Common ENT emergencies include severe tonsillitis, peritonsillar abscess, epistaxis, blunt and penetrating neck trauma, and airway obstruction. ENT surgery is frequently underrepresented in undergraduate curricula in medical schools in the UK, yet junior trainees can manage most emergency ENT work optimally following limited training. Therefore this is a specialty which offers a unique sense of responsibility at an early stage. In some sites in the North West, at core surgical trainee level, out-of-hours emergency cover is provided as a non-resident, a good source of experience for higher training.
Otolaryngologists in the UK are trained as generalists, capable of managing ENT emergencies. Most choose to develop their skills in one or more subspecialties including otology, rhinology and facial plastics, laryngology, and benign or malignant head and neck surgery. Cutting-edge techniques in the form of upper aerodigestive reconstructive surgery, laser surgery and navigation-assisted endoscopic sinus surgery are utilised in the North West, and exposure to these techniques is possible as a trainee in this region.
North West core surgical trainees can either experience otorhinolaryngology as a 6 month rotation in another track or can choose an ENT-themed track – 18 months of ENT with 6 months’ experience in an allied specialty. ENT-themed core surgical trainees will experience otolaryngology in both a teaching hospital and a district general hospital setting, providing very different experiences and necessary exposures to large volumes of emergency work and elective surgery, in preparation for higher surgical training. Core trainees in the North West have a high success rate in ST3 applications in this challenging and attractive specialty, a reflection of the high standard of training and senior support offered in the region.
- Basic surgical anatomy for the head and neck - RCS
- Operative skills in Ear, Nose and Throat – RCS
- Manchester DOHNS course -
- The Laryngoscope
- Clinical Otolaryngology
- Head & Neck
- Journal of Laryngology & Otology
- European Archives of Oto-Rhino-Laryngology