YOUR RESIDENCY:

PurposeProduct

Value

Career-long Fan of Paul Ward

My Boss for a Month Critic Golfer Mover and Shaper

My Purpose Today

Tell stories Share experiences Get you to look deeper

Look at our U.S. GME System Closely

The envy of the world Complex and multi-layered Deserves thoughtful review Look at what is changing around

you

The Historic UCLA-Hopkins Connection

Faculty Model Culture

John Bordley, MD

Hopkins ENT Chief, 1943-1968 You build from a known

blueprint

Recall

What attracted you to UCLA? The process then and now Sam Marable

Recall – Years 1 (and 2?)

Impressive fellow residents The work schedule, dress code,

nurse conflicts The resident revolt & Dr.

Longmire Mulder, Maloney, Barker, Stern,

Rand, Marmor, & Pressman Monell & Quinn

Recall - Year 3 In the Clinic

Great volunteer faculty No audiologists Learning from Nahum & Purcelli Pressman, Seltsam, & Goodhill

Recall – Years 4 & 5OR & Ward

Wally Berman Goodhill, Brockman, & Seligman Von Leden arrives Light supervision

Clinical Growth & Innovation

OpMi 1 & Stapedectomy Dental drill to powered drill Tiny bulbs to fiberoptic Load & Go to stabilize Intra-arterial chemotherapy Out-patient surgery

Education & Evaluation

Basic Science – Home Study Course

NIH training grant, 1961Basic Science faculty teachersCadavers & dog lab

Research No protected time VPL dog lab exercises Mildred & Pressman – dyes,

lymphatics Wally Berman & silicone Purcelli & facial nerve Cadaver mediastinal dissections

What Hasn’t Changed?

Same Basic 6 Steps

Step 1: Grasp the basics rapidly

Same Basic 6 Steps

Step 2: Role modeling – it is scary how much you will resemble your teachers

Same Basic 6 Steps

Step 3: Learning clear, effective communication skills and attitudes toward patients

Same Basic 6 Steps

Step 4: Growth and maturation as a person and a physician & surgeon

Same Basic 6 Steps

Step 5: Finding your passion within the specialty and beginning to master it

Same Basic 6 Steps

Step 6: Giving back – taking the first steps on your path as a contributor and leader

My Second Residency – 4 Formative Years at

UCLA/Harbor

The Buck Stops Here

Clinician Teacher NIH Investigator Administrator

Defending an Expanding Turf

Committing to the formation of a regional specialty

Dealing with Opportunities

Yes vs. No The first 5 years after residency

will shape the rest of your career

Building & Cultivating Your Network

My UnforgettableLongmire Moment

The Purpose ofResidency Is…

TO UNLEASHHUMAN POTENTIAL

The Product ofResidency Is…

INNOVATION

The Value ofResidency is…

To extend and improve the quality of life of your

patients and to leave your community and

your specialty better off than you found it