Sub-Specialty Training in OTOHNS
Research
Research training is provided throughout the residency. Four months
during PGY-3 and one month during PGY-4 are dedicated to research.
The research rotation is monitored by the Resident Research Committee,
which is chaired by the department Director of Research, Dianne
Durham, PhD. Generally, data collection is completed during the
four month rotation; while data analysis, preparation of presentations,
and completion of manuscripts is all done subsequently. Research
is performed in the departmental Auditory and Vestibular Neuroscience
(AVN) Laboratory under the supervision of Dr. Durham or Dr. Hinrich
Staecker, or in other laboratories within the Medical Center, as
appropriate. During residency, all OTOHNS residents are required
to publish a minimum of one manuscript in a peer-reviewed journal.
The
AVN laboratory is located in the new, state-of-the-art, Kansas
Life Sciences Innovation Center (KLSIC). This laboratory was originally
established by Dr. Durham to investigate biochemical and anatomical
changes in central auditory neurons following manipulation of peripheral
auditory input, but has expanded to include central mechanisms
of tinnitus, avian and mammalian hair cell regeneration, and the
use of viral vectors to promote restoration of vestibular function.
The OTOHNS Department employs lab technicians to oversee the day-to-day
operation of the lab, and they are available to train residents
in histological and molecular techniques. The laboratory is fully
equipped for physiology and houses two soundproof booths, equipment
for controlled noise exposure to laboratory animals, as well as
equipment for measuring auditory evoked potentials and otoacoustic
emissions.
Several
institutional facilities supplement the department resources; including;
a core laboratory for molecular biology, which contains equipment
for RNA and DNA analysis, PCR, in situ hybridization, and gene
chip microarray analysis. Additionally, there is a microscopy center
with three new confocal microscopes, and an imaging center for
preparation of digital posters and other graphics. The Mental Retardation
Research Center has a fully equipped histology laboratory. The
facility houses two transmission and one scanning electron microscope
and employs two technicians to manage the facility and prepare
tissue samples. An AAALAC-approved animal facility located adjacent
to KLSIC, provides veterinary support and housing for research
animals, as well as common use procedure rooms for small animal
surgery.
The
Director of Clinical Research, Kevin Sykes, facilitates clinical
research projects. Residents are encouraged to participate in prospective
and retrospective projects in collaboration with OTOHNS faculty. Some
retrospective projects are accomplished during clinical rotations
and often involve chart reviews, case reports, etc. Research
ideas should be presented to Mr. Sykes prior to study initiation
for assistance with research design and Human Subjects Committee
(HSC) submission. Following HSC approval, Mr. Sykes assists residents
with subject recruitment and study coordination, as well as with
database design, data analysis, presentation, and publication of
research.
The
success of resident and faculty research, in both clinical and basic
science, is showcased at the department’s annual Alumni Day
Research Symposium, held every June. This daylong forum includes
research and clinical presentations by third, fourth and fifth year
residents. Attendees include clinical and research faculty, residents,
alumni, community otolaryngologists, and a nationally renowned OTOHNS
guest lecturer. Residents are encouraged to present their projects
at a national meeting, such as the annual Academy of Otolaryngology-Head
and Neck Surgery meeting or the Association for Research in Otolaryngology
Mid-Winter meeting.