General Skills
•   Participate in the post-operative ward and office management of patients who have undergone major head and neck ablative and Reconstructive surgery
•   Demonstrate a sophisticated approach to imaging studies including independent interpretation of findings
•   Perform fine needle aspiration of neck lesions
•   Biopsy nasal or oral cavity lesions
•   Insert or change a tracheoesophageal puncture prosthesis
•   Pack a pharyngocutaneous fistula and provide ongoing wound care/debridement
•   Effectively manage pain associated with surgery and malignancy
•   Demonstrate understanding of the indications for tracheotomy in a critical care setting
•   Promptly and effectively assess patients with airway emergencies including airway obstruction and supervise junior colleagues in this situation
•   Perform open and percutaneous tracheostomies
•   Pre-operative assessment and preparation of patient for surgery
•   Management of post-operative patient care issues (e.g., pain, labs, wounds)
•   Participate in the post-operative ward and office management of ENT patients
•   Interpret X-ray and cross-sectional imaging of temporal bones, paranasal sinuses, and soft tissues of the head and neck
Head and neck Oncologic Surgery
•   Rapidly stage malignancies of the head and neck & develop approach to management
•   Perform pan-endoscopy independently with accurate interpretation of findings
•   Perform lymph node and neck mass biopsy
•   Perform excision of branchial cleft cysts and thyroglossal duct cysts
•   Perform parotidectomy with increasing degree of autonomy
•   Perform neck dissections with increasing degree of autonomy
•   Perform thyroidectomy, parathyroidectomy with limited consultant intervention
•   Perform excision of oral cavity lesions
•   Perform composite resections as well as pharyngolaryngectomies with increasing degree of autonomy
•   Perform more extensive maxillectomies with consultant supervision
Facial Plastic and Reconstructive Surgery
•   Demonstrate sophisticated understanding of the hierarchy of reconstructive options for defects in the head and neck
•   Formulate plan for reconstruction of head and neck defects with attention to form and function
•   Design and harvest flaps for major Reconstructive surgical procedures with direct consultant supervision
•   Perform or assist at microvascular anastomosis for vessels and nerves in free tissue transfers
•   Diagnosis and treatment of facial nerve disorders and reanimation strategies
•   Assessment for septorhinoplasty including an appreciation of the nasal valve, open vs. closed approaches, as well as grafting techniques.
•   Perform septorhinoplasty with direct consultant supervision.
•   Management of patients suffering from facial trauma including the techniques of soft tissue repair and closed/open reduction of facial fractures.
Laryngology
•   Develop a differential diagnosis and management plan for dysphonia
•   Develop a differential diagnosis and management plan for dysphagia
•   Management of vocal cord paralysis including investigation, medical therapy, and surgical therapy
•   Perform rigid suspension laryngoscopy
•   Perform microlaryngeal surgery with microlaryngeal instruments, CO2 Laser
•   Understanding of intraoperative airway management during microlaryngeal surgery
•   Perform, with supervision, endoscopic laser resections of early tumors of the larynx
•   Assist at and begin to perform airway reconstruction (e.g. laryngotracheoplasty)
Neurotology / Otology
•   Accurately assess patients suffering temporal bone trauma including ordering appropriate investigations
•   Be able to interpret conventional audiometry and tympanometry in adults
•   Understand the principles and application of auditory brainstem response (ABR) and otoacoustic emissions (OAEs)
•   Understand the principles and application of electronystagmography including interpretation of findings
•   Accurately diagnose benign positional vertigo and demonstrate a rational approach to its treatment
•   Perform the particle repositioning maneuver
•   Develop a rational approach to vestibular rehabilitation and participate in delivery of this care
•   Participate in and demonstrate understanding of the indications for surgical treatment of vertigo (includes labyrinthectomy, vestibular nerve section, endolymphatic sac surgery, and posterior canal occlusion)
•   Demonstrate an understanding of electro-diagnostic testing of the facial nerve
•   Elevate a tympanomeatal flap with limited consultant intervention
•   Perform tympanoplasty with limited consultant intervention
•   Perform ossiculoplasty with consultant supervision
•   Perform mastoidectomy with consultant supervision
•   Demonstrate a rational, organized approach to management of disorders of the facial nerve
•   Demonstrate a rational approach to selection of patients for cochlear implant surgery
•   Assist at surgery for treatment of otosclerosis
•   Assist 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
Rhinology
•   Perform effective rigid nasal and sinus endoscopy
•   Biopsy nasal cavity lesions
•   Participate actively in the post-operative office management of patients who have undergone sinus surgery including pharmacotherapy and debridement
•   Demonstrate a sophisticated approach to selection of the surgical candidate for treatment of nasal obstruction and chronic rhinosinusitis
•   Perform nasal septoplasty including choice of incision, method of septoplasty, and closure materials with decreasing degree of direct consultant supervision
•   Perform inferior turbinate reduction
•   Refine 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
•   Acquire familiarity with indications for and performance of endoscopic sphenoidotomy and frontal sinusotomy
•   Perform external approaches to the paranasal sinuses such as external ethmoidectomy, frontal sinus trephine, and frontal sinus osteoplasty
•   Perform surgical treatments for epistaxis including endoscopic sphenopalatine artery ligation and anterior ethmoid artery ligation as well as internal maxillary artery ligation
•   Acquire familiarity with techniques for the management of benign sinonasal neoplasms such as inverted papilloma (e.g. endoscopic medial maxillectomy)