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• Rotation-specific CanMEDS objectives have been elaborated. The residents rotate throughout the three teaching hospitals: the Montreal General, Jewish General and Royal Victoria hospitals. Ìý
• The PGY5 residents will be able to see patients and define a treatment plan independently; the resident should possess sufficient basic and clinical knowledge and technical skills to undertake the management of patients under the supervision of the appropriate staff.
• At this level, the resident will be responsible for the supervision and teaching of more junior residents, medical students, the management of patients on the wards, and ensuring coverage of emergency and inpatient consultations.
• The senior resident will be responsible for many activities within the post-graduate program to include: sitting on post-graduate committees, organization of education activities including rounds, journal clubs and seminars as well as organization of all the vacation schedules.
• Their technical training is designed to meet the requirements as outlined in the rotational objectives of the Â鶹AV Department of Otolaryngology – Head & Neck Surgery Residency Handbook.
• Senior residents (PGY4 & PGY5) at each hospital site are evaluated according to their specific exposure using the One45 system. Evaluations forms are different from the junior residents (PGY2 & PGY3) evaluation. All residents must undergo a STASER or STACER evaluation by attending staff person every six months. They are also evaluated by 360 degree inter-professional evaluation (feedback from allied health care personnel, nurses, secretaries)
• During their final year in otolaryngology, residents are expected to develop proficiency in the following:

Medical Expert

Operative objectives / experience

Obtain proficiency in the following:
Otology
•ÌýÌý Ìýexcision of exostosis
•ÌýÌý Ìýtympanoplasty
•ÌýÌý Ìýmastoidectomy and tympanomastoidectomy
•ÌýÌý Ìýossiculoplasty
•ÌýÌý ÌýCanaloplasty
•ÌýÌý Ìýstapedectomy
Neurotology
•ÌýÌý Ìýfacial nerve decompression
•ÌýÌý Ìýintratympanic injections
•ÌýÌý Ìýsurgical excision of middle ear tumors e.g. paraganglioma tympanicum
Rhinology
•ÌýÌý Ìýsurgical management of epixtasis
•ÌýÌý Ìýexternal sinus procedures
•ÌýÌý Ìýdrainage of intra-orbital abscess
•ÌýÌý ÌýMaxillectomy
Head and neck
•ÌýÌý Ìýradical neck dissection,
•ÌýÌý Ìýcomposite resection,
•ÌýÌý Ìýlaryngectomy
•ÌýÌý Ìýthyroid surgery
•ÌýÌý Ìýparathyroid surgery
•ÌýÌý Ìýparotidectomy,
•ÌýÌý Ìýregional flaps,
•ÌýÌý ÌýZenker’s diverticulum repair surgery
•ÌýÌý Ìýmajor flap reconstruction
Facial Plastics and Reconstructive
•ÌýÌý Ìýrhinoplasty
•ÌýÌý Ìýcartilage graft
•ÌýÌý Ìýbone graft e.g. calvarial
•ÌýÌý Ìýcomposite graft e.g. auricular
•ÌýÌý Ìýcervicofacial cosmetic surgery (face lift, blepharoplasty)
•ÌýÌý Ìýfacial trauma and reconstructive surgery
Laryngnology
•ÌýÌý Ìýmicrolaryngeal surgery,
•ÌýÌý Ìýendoscopic partial laryngectomy,
•ÌýÌý Ìýmedialization thyroplasty
•ÌýÌý Ìýlaser procedures of the airway,
•ÌýÌý Ìýrepair of laryngeal fracture
•ÌýÌý Ìýlaryngotracheal reconstruction

Obtain some experience in the following:
Otology
•ÌýÌý Ìýendolymphatic shunts
•ÌýÌý Ìývestibular neurectomy
•ÌýÌý Ìýposterior fossa surgery
Rhinology
•ÌýÌý Ìýadvanced rhinoplasty
•ÌýÌý Ìýadvanced endoscopic sinus surgery techniques for the management of sinonasal neoplasmsÌýÌýÌýÌý Ìý

PGY5 - The Expert Role specific objectives the JGH / RVH / MGH

General Skills
•ÌýÌý ÌýUnderstands medical literature its limitations and can argue based on the published literature
•ÌýÌý ÌýParticipate in the post-operative ward and office management of patients who have undergone major head and neck ablative and Reconstructive surgery
•ÌýÌý ÌýDemonstrate a sophisticated approach to imaging studies including independent interpretation of findings
•ÌýÌý ÌýPerform fine needle aspiration of neck lesions
•ÌýÌý ÌýBiopsy nasal or oral cavity lesions
•ÌýÌý ÌýInsert or change a tracheoesophageal puncture prosthesis
•ÌýÌý ÌýIncise and drain a wound abscess including a demonstrated understanding of the indications for the procedure
•ÌýÌý ÌýPack a pharyngocutaneous fistula and provide ongoing wound care/debridement
•ÌýÌý ÌýEffectively manage pain associated with surgery and malignancy
•ÌýÌý ÌýDemonstrate understanding of the indications for tracheotomy in a critical care setting
•ÌýÌý ÌýPromptly and effectively assess patients with airway emergencies including airway obstruction and supervise junior colleagues in this situation
•ÌýÌý ÌýPerform open and percutaneous tracheostomies
•ÌýÌý ÌýPerform percutaneous tracheostomy/translaryngeal tracheotomy with limited consultant supervision
•ÌýÌý ÌýProvide effective counseling for patients regarding tracheotomy/stoma care
•ÌýÌý ÌýEffectively manage pain associated with surgery (e.g. mastoidectomy, skull base surgery)
•ÌýÌý ÌýParticipate in the post-operative ward and office management of patients who have undergone otologic surgery, lateral skull base surgery, and general otolaryngological surgery
•ÌýÌý ÌýInterpret X-ray and cross-sectional imaging of temporal bones and soft tissues of the head and neck

Head and Neck Oncologic Surgery
•ÌýÌý ÌýRapidly stage malignancies of the head and neck and develop approach to surgical management
•ÌýÌý ÌýAppropriate use and recommendation of alternate/adjuvant therapies for management of malignancies of the head and neck
•ÌýÌý ÌýEffectively perform a transnasal esophagoscopy and understand the findings
•ÌýÌý ÌýComprehensive management of complications from Head and Neck surgery with limited consultant intervention
•ÌýÌý ÌýComprehensive understanding and management of Head and Neck emergencies such as airway obstruction and trauma
•ÌýÌý ÌýPerform pan-endoscopy independently with accurate interpretation of findings
•ÌýÌý ÌýPerform lymph node and neck mass biopsy limited consultant intervention
•ÌýÌý ÌýEffectively perform cervical echography and ultrasound guided fine needle biopsy
•ÌýÌý ÌýPerform excision of submandibular glands with limited consultant intervention
•ÌýÌý ÌýPerform excision of branchial cleft cysts and thyroglossal duct cysts with gradually decreasing degree of consultant intervention
•ÌýÌý ÌýPerform parotidectomy with increasing degree of autonomy
•ÌýÌý ÌýPerform neck dissections with increasing degree of autonomy
•ÌýÌý ÌýPerform thyroidectomy, parathyroidectomy with limited consultant intervention
•ÌýÌý ÌýPerform excision of oral cavity lesions with and without laser
•ÌýÌý ÌýPerform medial maxillectomy with consultant supervision
•ÌýÌý ÌýPerform composite resections as well as pharyngolaryngectomies with increasing degree of autonomy
•ÌýÌý ÌýPerform more extensive maxillectomies with consultant supervision
•ÌýÌý ÌýAssist at anterior craniofacial resections

Facial Plastic and Reconstructive Surgery
•ÌýÌý ÌýDemonstrate sophisticated understanding of the hierarchy of Reconstructive options for defects in the head and neck
•ÌýÌý ÌýFormulate plan for reconstruction of head and neck defects with attention to form and function
•ÌýÌý ÌýDesign and harvest flaps for major Reconstructive surgical procedures with direct consultant supervision
•ÌýÌý ÌýPerform or assist at microvascular anastomosis for vessels and nerves in free tissue transfers
•ÌýÌý ÌýPerform or assist at microvascular anastomosis for vessels and nerves in free tissue transfers
•ÌýÌý ÌýDiagnosis and treatment of facial nerve disorders and reanimation strategies
•ÌýÌý ÌýDiagnose, evaluate and perform treatments of cutaneous malignancies including appropriate reconstruction.
•ÌýÌý ÌýObserve, assist in and perform various types of local and regional flaps in cervicofacial reconstruction
•ÌýÌý ÌýApproach to facial analysis of patient presenting for esthetic surgery
•ÌýÌý ÌýObserve, assist in and perform septorhinoplasty including an evaluation of the nasal valve, open vs. closed approaches, as well as grafting techniques
•ÌýÌý ÌýPerform septorhinoplasty with direct consultant supervision.
•ÌýÌý ÌýObserve, assist in cervicofacial cosmetic surgery such as blepharoplasty, rhytidectomy, forehead lifts, and various facial implants.
•ÌýÌý ÌýObserve, assist in and perform Facial reanimation including skin resurfacing, chemical peels, microdermabrasion, and laser peels
•ÌýÌý ÌýObserve, assist in and perform cosmetic procedures such as botox injection and soft tissue injectable fillers (hyaluronic acid derivatives, collagen, etc.)
•ÌýÌý ÌýObserve, assist in and perform scar revision including techniques such as Z - plasty, W - plasty, and geometric broken line closure, etc.
•ÌýÌý ÌýManagement of patients suffering from facial trauma including the techniques of soft tissue repair and closed/open reduction of facial fractures and post-operative care.
•ÌýÌý ÌýPerform surgical repair of mandible fractures including the use of M-M fixation and plates.
•ÌýÌý ÌýManagement of mid facial fractures including choice of incisions and repair materials.
•ÌýÌý ÌýPerform or assist at repair of orbitozygomatic and frontal sinus fractures

Laryngology
•ÌýÌý ÌýPerform indirect rigid laryngoscopy and video-stroboscopy
•ÌýÌý ÌýDevelop a differential diagnosis and management plan for dysphonia
•ÌýÌý ÌýDevelop a differential diagnosis and management plan for dysphagia
•ÌýÌý ÌýManagement of vocal cord paralysis including investigation, medical therapy, and surgical therapy
•ÌýÌý ÌýPerform office-based laryngeal procedures
•ÌýÌý ÌýPerform rigid suspension laryngoscopy
•ÌýÌý ÌýPerform microlaryngeal surgery with microlaryngeal instruments, CO2 Laser, microdebrideur
•ÌýÌý ÌýUnderstanding of intraoperative airway management during microlaryngeal surgery
•ÌýÌý ÌýPerform thyroplasty and other laryngeal framework surgeries
•ÌýÌý ÌýPerform, with supervision, endoscopic laser resections of early tumors of the larynx
•ÌýÌý ÌýDiagnosis and management of airway and aerodigestive trauma
•ÌýÌý ÌýAssist at and begin to perform airway reconstruction (e.g. laryngotracheoplasty)

Neurotology / Otology
•ÌýÌý ÌýAccurately assess patients suffering temporal bone trauma including ordering appropriate investigations
•ÌýÌý ÌýBe able to perform and interpret conventional audiometry and tympanometry in adults
•ÌýÌý ÌýUnderstand the principles and application of auditory brainstem response (ABR) and Otoacoustic Emissions (OAEs)
•ÌýÌý ÌýUnderstand the principles and application of electronystagmography including interpretation of findings
•ÌýÌý ÌýAccurately diagnose benign positional vertigo and demonstrate a rational approach to its treatment
•ÌýÌý ÌýPerform the particle repositioning maneuver
•ÌýÌý ÌýDevelop a rational approach to vestibular rehabilitation and participate in delivery of this care
•ÌýÌý ÌýParticipate in and demonstrate understanding of the indications for surgical treatment of vertigo (includes labyrinthectomy, vestibular nerve section, endolymphatic sac surgery, and posterior canal occlusion)
•ÌýÌý ÌýObserve performance of and interpret electrocochleography
•ÌýÌý ÌýPerform and interpret electro-diagnostic testing of the facial nerve
•ÌýÌý ÌýElevate a tympanomeatal flap with limited consultant intervention
•ÌýÌý ÌýPerform tympanoplasty with limited consultant intervention
•ÌýÌý ÌýPerform ossiculoplasty with consultant supervision
•ÌýÌý ÌýPerform mastoidectomy with consultant supervision
•ÌýÌý ÌýDemonstrate a rational, organized approach to medical management of disorders of the facial nerve
•ÌýÌý ÌýDemonstrate a rational approach to selection of patients for cochlear implant surgery
•ÌýÌý ÌýAssist in performance of cochlear implant surgery and actively participate in post-operative rehabilitation and assessment
•ÌýÌý ÌýAssist at/observe surgery for treatment of otosclerosis
•ÌýÌý ÌýAssist at and demonstrate a logical approach to surgery for treatment of lateral skull base lesions including acoustic neuromas, other benign CPA lesions, and petrous apex lesions
•ÌýÌý ÌýAttend Skull Base Clinic and understand controversies in patient management
•ÌýÌý ÌýPresent cases at Skull Base Tumor Board
•ÌýÌý ÌýParticipate at skull base surgeries and perform some of the procedure under supervision

Rhinology
•ÌýÌý ÌýPerform effective rigid nasal and sinus endoscopy
•ÌýÌý ÌýBiopsy nasal cavity lesions
•ÌýÌý ÌýParticipate actively in the post-operative office management of patients who have undergone sinus surgery including pharmacotherapy and debridement
•ÌýÌý ÌýInterpret X-ray and cross-sectional imaging of the paranasal sinuses
•ÌýÌý ÌýDemonstrate a sophisticated approach to selection of the surgical candidate for treatment of nasal obstruction and chronic rhinosinusitis, including indications for endoscopic sinus surgery and the extent of the procedure to be performed.
•ÌýÌý ÌýEffectively prepare patients for endonasal surgery such as septoplasty and endoscopic sinus surgery, including he informed consent process (description of risks/possible complications)
•ÌýÌý ÌýPerform nasal septoplasty including choice of incision, method of septoplasty, and closure materials with decreasing degree of direct consultant supervision
•ÌýÌý ÌýPerform inferior turbinate reduction with limited consultant supervision
•ÌýÌý ÌýRefine knowledge of paranasal sinus anatomy and perform surgical techniques of endoscopic polypectomy, uncinectomy, ethmoidectomy, and middle meatal antrostomy with decreasing degree of direct consultant supervision
•ÌýÌý ÌýPerform endoscopic sphenoidotomy and frontal recess dissection with direct consultant supervision
•ÌýÌý ÌýAcquire familiarity and assist at endoscopic approaches to the pituitary gland
•ÌýÌý ÌýPerform surgical treatments for epistaxis including endoscopic sphenopalatine artery ligation and anterior ethmoid artery ligation as well as internal maxillary artery ligation
•ÌýÌý ÌýAcquire familiarity with techniques for the management of benign sinonasal neoplasms such as inverted papilloma (e.g. endoscopic medial maxillectomy)

Ìý

Communicator Role

As a communicator the otolaryngology resident should effectively facilitates the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter. The resident is thought and evaluated on these issues:

•ÌýÌý ÌýDemonstrate effective establishment of therapeutic relationships with patients and their families
•ÌýÌý ÌýRecognize unique issues related to head and neck patients, particularly relevant to patients with cancer of the head and neck including end-of-life discussions
•ÌýÌý ÌýRecognize unique biopsychosocial issues related to deafness and the deaf community and recognize their unique communication requirements
•ÌýÌý ÌýDemonstrate the capacity to recognize the psychological, occupational and social consequences of speech and voice disorders, particularly relevant to vocational demands
•ÌýÌý ÌýObtain and synthesize relevant history from patients, their families, and communities
•ÌýÌý ÌýPrepare clear, accurate, concise, appropriately detailed clinical notes, consultation notes, discharge summaries, and operative reports
•ÌýÌý ÌýPresent histories, physical findings, and management plan to consultants in an organized, efficient, and confident manner
•ÌýÌý ÌýRespect diversity and difference, including gender, religion and cultural beliefs on decision-making
•ÌýÌý ÌýDiscuss common procedures with patients and their families in a clear and understandable form including risks/benefits, informed consent, and post-operative care
•ÌýÌý ÌýAddress challenging communication issues effectively, such as obtaining informed consent, delivering bad news, and addressing anger, confusion and misunderstanding
•ÌýÌý ÌýParticipate, and present effectively in organized rounds and seminars

The communicator role is evaluated especially on:
•ÌýÌý ÌýDemonstrate effective establishment of therapeutic relationships with patients and their families
•ÌýÌý ÌýPresent histories, physical findings, and management plan to consultants in an organized, efficient, and confident manner
•ÌýÌý ÌýObtain and synthesize relevant history from patients, their families, and communities
•ÌýÌý ÌýPrepare clear, accurate, concise, appropriately detailed clinical notes, consultation notes, discharge summaries, and operative reports
•ÌýÌý ÌýDiscuss more complex procedures (e.g. tympanoplasty, thyroidectomy) with patients and their families in a clear and understandable form including risks/benefits, informed consent, and post-operative care
•ÌýÌý ÌýPrepare, participate, and present effectively in organized rounds and seminars
•ÌýÌý ÌýDemonstrate the capacity to recognize the psychological, occupational and social consequences of speech and voice disorders, particularly relevant to vocational demands
•ÌýÌý ÌýRecognize unique issues related to head and neck patients particularly relevant to patients with cancer of the head and neck including end-of-life discussions
•ÌýÌý ÌýRespect diversity and difference, including gender, religion and cultural beliefs on decision-making
•ÌýÌý ÌýAddress challenging communication issues effectively, such as obtaining informed consent, delivering bad news, and addressing anger, confusion and misunderstanding
Ìý

Collaborator Role

As collaborators the otolaryngology residents effectively work within a health care team to achieve optimal patient care. The resident is thought and evaluated on these issues:

•ÌýÌý ÌýDemonstrate an understanding of the team structure of an in-patient service ('the resident team') and fulfill his/her role in this structure
•ÌýÌý ÌýDemonstrate recognition and respect for the opinions & roles of other team members
•ÌýÌý ÌýIdentify the situations and instances where consultation of other physicians or health care professional is useful or appropriate
•ÌýÌý ÌýDemonstrate collegial and professional relationships with other physicians, office and clinic support staff, operating room personnel, and emergency room staff
•ÌýÌý ÌýRecognize the expertise and role of allied health professionals such as speech language pathologists, audiologists, technicians, nurses, and clerical staff
•ÌýÌý ÌýRecognize the advantages for optimal patient care provided by an multidisciplinary Head and Neck oncology team

The collaborator role is evaluated especially on:
•ÌýÌý ÌýIdentify the situations and instances where consultation of other physicians or health care professional is useful or appropriate
•ÌýÌý ÌýDemonstrate collegial and professional relationships with other physicians, office and clinic support staff, operating room personnel, and emergency room staff
•ÌýÌý ÌýRecognize the expertise and role of allied health professionals
•ÌýÌý ÌýRecognize the advantages for optimal patient care provided by a multidisciplinary head and neck oncology program
Ìý

Manager Role

As managers the otolaryngology residents are integral participants in health care organizations, making decisions about allocating resources, and contributing to the effectiveness of the health care system. The resident is thought and evaluated on these issues:

•ÌýÌý ÌýUtilize resources effectively to balance patient care duties, learning needs, educational / teaching responsibilities & outside activities and personal life
•ÌýÌý ÌýAllocate finite health care resources in a wise, equitable, and ethical fashion
•ÌýÌý ÌýUtilize information technology to optimize patient care and life-long learning including facile use of hospital IT resources (e.g. filmless radiology, electronic charting)
•ÌýÌý ÌýActively participate in preparation, presentation, analysis, and reporting of morbidity and mortality rounds
•ÌýÌý ÌýAccurately identify criteria for patient admission to hospital in the urgent/emergent situation as well as the implications of such decisions
•ÌýÌý ÌýUse patient information tools effectively
•ÌýÌý ÌýDemonstrate an appreciation of the importance of quality assurance/improvement, such as patient safety initiatives
•ÌýÌý ÌýTake care of charts and use head and neck patient database
•ÌýÌý ÌýDemonstrate ability to lead a health care team
•ÌýÌý ÌýServe in administrative and leadership roles, such as participate effectively in committees and meetings

The manger role is evaluated especially on:
•ÌýÌý ÌýDemonstrate ability to lead a health care team
•ÌýÌý ÌýUtilize resources effectively to balance patient care duties, learning needs, Educational/teaching responsibilities and outside activities
•ÌýÌý ÌýAllocate finite health care resources in a wise, equitable, and ethical fashion
•ÌýÌý ÌýUtilize information technology to optimize patient care and life-long learning including facile use of hospital IT resources (e.g. filmless radiology, electronic charting)
•ÌýÌý ÌýDemonstrate an appreciation of the importance of quality assurance/improvement
•ÌýÌý ÌýActively participate in preparation, presentation, analysis, and reporting of morbidity and mortality rounds
•ÌýÌý ÌýAccurately identify criteria for patient admission to hospital in the urgent/emergent situation as well as the implications of such decisions
•ÌýÌý ÌýRecognize the advantages for optimal patient care provided by a multidisciplinary head and neck oncology program
Ìý

Health Advocate Role

As Health Advocate the otolaryngology residents responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations. The resident is thought and evaluated on these issues:

•ÌýÌý ÌýRecognize and respond to opportunities for advocacy within Otolaryngology, both for your patients as well as for the community in which we practice and populations at large
•ÌýÌý ÌýEncourage behaviors that promote hearing protection and conservation at work and at home
•ÌýÌý ÌýFacilitate patients' access to local and national resources available for the hearing impaired
•ÌýÌý ÌýEncourage behaviors that reduce/eliminate risk factors for the development of head & neck cancer (e.g., tobacco, alcohol, UVA/UVB sun exposure)

The health advocate role is evaluated especially on:
•ÌýÌý ÌýRecognize and respond to opportunities for advocacy within Otolaryngology, both for your patients as well as for the community in which we practice and populations at large.
•ÌýÌý ÌýDemonstrate familiarity with important determinants of health relevant to Otology such as environmental noise exposure
•ÌýÌý ÌýEncourage behaviors that promote hearing protection and conservation at work and at home
•ÌýÌý ÌýFacilitate patients' access to local and national resources available for the hearing impaired
•ÌýÌý ÌýEncourage behaviors that reduce/eliminate risk factors for the development of head and neck cancer (e.g.: tobacco, alcohol, UVA/UVB sun exposure)
Ìý

Scholar Role

As Scholars the otolaryngology residents demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application and translation of medical knowledge. The resident is thought and evaluated on these issues:

•ÌýÌý ÌýActively participate in the teaching of medical students (didactic, in clinics, and on Wards / in OR)
•ÌýÌý ÌýFacilitate learning in patients and other health professionals
•ÌýÌý ÌýActively participate in preparation and presentation of weekly hospital and grand rounds
•ÌýÌý ÌýDemonstrate a critical appraisal of research methodology, biostatistics, and the medical literature as part of monthly Journal Clubs
•ÌýÌý ÌýDevelop, implement, and monitor a personal educational strategy and seek guidance for this educational strategy as appropriate
•ÌýÌý ÌýContribute to the development of new knowledge through participation in clinical or basic research studies
•ÌýÌý ÌýDemonstrate commitment to evidence based standards for care of common problems in Otolaryngology
•ÌýÌý ÌýDemonstrate the evolving commitment to, and the ability to practice, life-long learning

The scholar role is evaluated especially on:
•ÌýÌý ÌýActively participate in the teaching of medical students (didactic, in clinics, and on wards/in OR)
•ÌýÌý ÌýFacilitate learning in patients and other health professionals
•ÌýÌý ÌýActively participate in preparation and presentation of weekly hospital and Grand Rounds
•ÌýÌý ÌýDemonstrate a critical appraisal of research methodology, biostatistics, and the medical literature as part of monthly Journal Clubs
•ÌýÌý ÌýPractice the skill of self-assessment
•ÌýÌý ÌýDevelop, implement, and monitor a personal Educational strategy and seek guidance for this Educational strategy as appropriate
•ÌýÌý ÌýDemonstrate the evolving commitment to, and the ability to practice, life-long learning
•ÌýÌý ÌýContribute to the development of new knowledge through participation in clinical or basic research studies
•ÌýÌý ÌýDemonstrate commitment to evidence based standards for care of common problems in Otolaryngology
•ÌýÌý ÌýActively participate in weekly academic rounds series including advance preparation for the topic(s)
•ÌýÌý ÌýDemonstrate the evolving commitment to, and the ability to practice, life-long learning

Professional Role

As professionals the otolaryngology residents are committed to the health and well-being of individual s and society through ethical practice, profession-led regulation, and high personal standards of behavior. The resident is thought and evaluated on these issues:

•ÌýÌý ÌýDeliver highest quality care with integrity, honesty, and compassion
•ÌýÌý ÌýExhibit appropriate professional and interpersonal behaviors
•ÌýÌý ÌýPractice medicine and Otolaryngology in an ethically responsible manner
•ÌýÌý ÌýRecognize limitations and seek assistance as necessary
•ÌýÌý ÌýSeek out and reflect on constructive criticism of performance
•ÌýÌý ÌýEndeavour to develop an appropriate balance between personal and professional life to promote personal physical and mental health/well-being as an essential to effective, life-long practice
•ÌýÌý ÌýDemonstrate a commitment to their patients, profession and society through participation in profession-led regulation, e.g. recognize and respond to others unprofessional behavior in practice, understand the legal and ethical codes of practice

The Professional role is evaluated especially on:
•ÌýÌý ÌýDeliver highest quality care with integrity, honesty, and compassion
•ÌýÌý ÌýExhibit appropriate professional and interpersonal behaviors
•ÌýÌý ÌýPractice medicine and Otolaryngology in an ethically responsible manner
•ÌýÌý ÌýRecognize limitations and seek assistance as necessary
•ÌýÌý ÌýSeek out and reflect on constructive criticism of performance
•ÌýÌý ÌýEndeavor to develop an appropriate balance between personal and professional life to promote personal physical and mental health/well-being as an essential to effective, life-long practice
•ÌýÌý ÌýDemonstrate a commitment to their patients, profession and society through participation in profession-led regulation (e.g.: recognize and respond to other unprofessional behavior in practice, understand the legal and ethical codes of practice