US Naval Hospital Corps School - Yearbook (San Diego, CA)

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The hospital provides an adequate number and variety of surgical patients. Program is so organized that the resi- dents will hold positions of increasing responsibility for the as Xi SURGERY - Left to right: Lieut. Charles Emerick, MCQ Captain Wihle, MCQ .l. M. Evans, HM3. 'S Wm--w , .gh 2 5, rw au ff NOSE SURGERY: Comdr. Kenneth J. Kelley, MC. care and management of patients when they receive suffi- cient operative experience to acquire skill and judgment. OTORHINOLARYNGOLOGY SERVICE: General view of facilities. TONSILLECTOMY: J. Evans, HM3g I. V. Biddle, HNQ Lieut. Comdr Helen Schlesinger, NC. 1 Aw , . g ij NOSE SURGERY: Lieut. James C. King, MC.

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OTORHI OLARYNGOLOGY ERVICE The Department of Otolaryngology at this hospital con- ducts a large outpatient clinic f14,000 visits annuallyj maintains a 50-bed ward for enlisted active duty and retired inpatients, has available beds for officer personnel fin S.0.Q.J and for dependent patient personnel fwomen's Ward and Pediatric wardj. It occupies a modern, Well-equipped, three operating room surgical suite including a complete endoscopic set-up for bronchoesophagology and operating microscope for otologic surgery. Provision is made for the specialized care of diseases, dis- orders and injuries of the ear, nose, and throat, with surgery being performed as indicated. Diagnostic and therapeutic endoscopic procedures such as larynogoscopy, bronchoscopy, and esophagoscopy are conducted as requested. In addition to routine surgery such as tonsillectomy, adenoidectomy, spetec- tomy, sinustotomy, and mastoidectomy such procedures as rhinoplasty, otoplasty, stapes mobilization, fenestration, thy- rotomy, tracheotomy, laryngectomy, and radical sinus surgery are performed. At this time the personnel includes the chief of the de- partment fAmerican Board of Otolaryngology diplomate and ACS memberl, one resident at third year level, one at second year level and one at first year level. At frequent but irregular intervals an intern is assigned to the department for one month upon his selecting otolaryngology as an elec- tive. General practice residents occasionally are with the service for a three month period. In the outpatient clinic 60 per cent of the visits are made by dependent personnel, 9 per cent by retired personnel and veteran administration beneficiaries and 31 per cent by active duty personnel of the armed forces. Audiometric evaluations of hearing loss as part of physical examinations and otolgic diagnosis average 360 monthly. For the calendar year 1957 a total of 2,069 major opera- tions and 1,644 minor operations were performed. Residency training in Otolarynology at this hospital is set up to meet the requirements pf the council on medical edu- cation and hospitals, the American College of Surgeons, and CAPTAIN LeROY E. WIBLE, MC, USN Chief, Otorhinolaryngology Service the American Board of Otolaryngology. The residency embraces three years of progressive train- ing in the specialty and is preceded by one year of rotating internship. The residents are offered a board training which includes some experience in closely related fields of surgery. Adequate clinical and operative experience is provided. Essen- tial equipment for diagnosis and treatment is available. The clinical material is abundant and adequate to provide train- ing in the various divisions of the specialty including broncho-esophagology, allergy, anesthesiology and maxillo- facial surgery. The training includes a systemic course of instruction with demonstrations on clinical and technical subjects pertinent to various phases of otolaryngology. Surgical technique is taught to the extent that residents will be able to undertake operative Work on their own respon- sibility in their second and third year. Training is available in the applied anatomy of the ear, nose, throat, neck and chest. Frequent departmental conferences including a detailed dis- cussion of difficult cases are held. Clinical pathology con- ferences are attended by the residents bi-monthly. The resi- dents study and discuss with the pathologist tissues removed at operation-and autopsy material from patients on the service. The designated Chief of Service is responsible for the quality of all work done in the department and his assignment is not rotated or honorary. He is available full time.

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OTHRHlNOLARYNOCOLOCYg SAY AH : Lieut. Comdr. Helen Schlesinger, NCg T. Magness, BM3 fpatientl. TONSILLECTOMY-ADENOIDECTOMY: Lieut. Walter C. Emery, MCg H. B. Alexander, HM2g Lieut. Comdr. Helen Schlesinger, NCQ J. M. Evans, HM2g Comdr. K. J. Kelley, MC. THROAT SURGERY: Lieut. Gerald W. Cady, MC. 41 OTORHINOLARYNGOLOGY WARD: Lieut. lj.g.1 Ethel Creswick, NC, Lieut. James C. King, MC, F. Anglin. HA. 78 AUTOCLAVE: B. P. Segaya, HM3.