Ear, Nose & Throat

Goodnight Kiss
Draft proposed by Dr Annie Fok
Reviewed by Dr S P Wu

Essential Skills

Domain 1 Professional Values & Behaviour

Domain 4 Patient Management

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises

Basic Training

Anatomical abnormality of the ear

Identify anomalies of the pinna, including microtia, anotia, accessory auricles, preauricular sinus, aural atresia and malformations of the middle ear

Aware of characteristic ear appearance in certain syndromes and its association with other anomalies

Hearing impairment

Understand the Universal Neonatal Hearing Screening (UNHS) Care Path and management

Common causes and classification of hearing impairment

 

Infection of the ear

Understand the presentation of otitis externa, acute otitis media and otitis media with effusion

Apply the different management strategies

 

Inflammation / Infection of the upper airway

Differentiation of croup and acute epiglottitis

Emergency management

 

Inflammation / Infection of the throat

Diagnostic features and common management of acute pharyngitis and tonsillitis

Understand the association with acute rheumatic fever, post-streptococcal glomerulonephritis, infectious mononucleosis, etc.

 

Epistaxis

Evaluation and common management of epistaxis

 

Rhinitis

Classification into allergic and non-allergic causes such as vasomotor rhinitis

Common management including use of topical nasal medications

 

Orofacial cleft anomalies

Cleft palate and associated feeding / speech problems and middle ear infection

Multidisciplinary management approach

Desirable skills 

  1. Use of otoscope

  2. Use of nasal speculum

  3. Interpretation of brainstem auditory evoked potential and pure tone audiometry

Higher Training

Syndromes associated with ENT malformation

Understand the effect on airway patency and feeding in conditions such as Pierre Robin sequence, Treacher Collins syndrome

Hearing impairment

Genetic causes of hearing impairment

Understand the management of hearing impairment such as hearing aids, cochlear implants

 

Vertigo

Diagnosis of benign paroxysmal positional vertigo

Differentiate vertigo from dizziness

 

Obstructive sleep apnoea and snoring

Understand the role of tonsillectomy in the management of OSAS

Desirable skills 

  1. Repositioning maneuver for BPPV (Epley’s maneuver)