Otolaryngology Head and Neck Surgery
Volume 112 Number 5
COURSE 1808-1
One-period course ($20)
InstructionCourses-- Sunday P59
Room NOCC-54 4:15-5:15
Epistaxis: What's Old, What's New, What Works? BARRYC. BARON,MD
San Francisco, Calif.
Educational objectives: To know the history of epistaxis treatment and to be familiar with the available therapies for epistaxis and therefore be able to select the appropriate treatment for each case.
Epistaxis may be a minor problem or a catastrophic event. Many modalities are available for treatment of nasal bleeding, from simple self-treatment measures to major surgical procedures. This course will review the broad spectrum of epistaxis treatment, including local measures. The possible complications of each treatment modality will be discussed. The course will discuss the many means of managing epistaxis so that the practitioner can choose the one best suited for each case and avoid the pitfalls sometimes associated with these therapeutic measures. The course will also address the management of epistaxis and packing following surgical procedures, such as septoplasty and endoscopic sinus surgery. A postoperative packing for sinus endoscopy will be described.
COURSE 1809-1 One-period course ($20)
Room NOCC-55 4:15-5:15
Communication Tips: A Practice Building Opportunity JOHN R. EMMEI"r,MD
Memphis, Tenn,
Educational objectives: To improve correspondence techniques with primary care physicians and referring physicians and to learn practice-building techniques.
Good communication is one of the cornerstones of a successful medical practice. All things being equal, good communication can make the difference between a good practice and an outstanding practice. This course is designed to stress the nuances and subtleties of the art of communication between the surgeon, his patients, and his referral sources. The steps in establishing good patient rapport are outlined. This can result in each patient becoming a goodwill ambassador for the practice. Good correspondence habits can be a unique and tremendous practice builder. Wording and format of letters to the new patient, the referring physician, the established patient, and the referring patient, and surgical reports to the primary care physician are discussed in detail. The psychologic hurdles of the patient preoperative discussion, including the use of procedure brochures, are outlined. The importance of staff postoperative follow-up, tele-
phone etiquette, and documentation are stressed. The effective use of new patient packets, office information brochures, and physician profile brochures is presented. The importance of a referring physician tracking system and its potential uses are reviewed. In this emerging era of managed care, the attention to detail and the continued development of relationships with primary care physicians will become not only important but crucial to a successful medical practice. In summary, this course, which is a collection of thoughts and ideas, could be called "wooing the gatekeeper." While this is probably true, good communication between the physician, the patient, and the referring physician not only represents good medicine but is important from a medicolegal aspect and is a powerful practice-building opportunity as well,
COURSE 1810-1
One-period course ($20)
Room NOCC-56 4:15-5:15
How to Dispense Hearing Aids--An Overview RICHARD G. CASTANON, MD, and JERODGOLDSTEIN,PhD
Huntington Beach, Calif.
Educational objectives: To understand the evaluation process of the hearing impaired, the audiometric measurements required for the evaluation, and the application of these measurements and proper amplification.
As hearing aid technology has become more sophisticated and miniaturized, the otolaryngologist must become a more involved member of the team in the evaluation and dispensing of hearing instruments. Some states and insurance carriers even require a physician' s prescription to cover the cost of a hearing instrument. Less than 1% of the hearing impaired adults seen by an otolaryngologist require ear surgery, but close to 80% of these same patients do require amplification. Therefore it behooves the otolaryngologist to become knowledgeable in the evaluation and dispensing of heating instruments. Furthermore, the otolaryngologist is sometimes the first health care provider to discuss the idea of amplification, so it is essential that he or she be knowledgeable of current technology and capabilities. An otolaryngologist, working as a team with the audiologist, can provide patients with a positive outlook toward amplification and enable the patient to master the adaptations associated with the use of hearing instruments, aural rehabilitation, and counseling patients in the direction of amplification. Therefore this lecture provides a comprehensive understanding of the audiometric evaluation process, the different types of amplification circuits available, and the selection process to successfully fit hearing instruments. Specific case studies and procedures will be discussed, as well as the provision of aural rehabilitation and assistive listening devices.