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April 2020 – Vol. 39, No. 3
Clinical Practice Guideline: Ménière’s Disease
Ménière’s disease is a clinical condition defined by spontaneous vertigo attacks, each lasting 20 minutes to 12 hours, with documented low- to mid- frequency sensorineural hearing loss in the affected ear before, during, or after one of the episodes of vertigo. Prevalence estimates as low as 3.5 in 100,000 and as high as 513 in 100,000 have been reported from Ménière’s disease studies worldwide.
Leading Edge
We Must Do Better: Zeroing Out Preventable Errors
Since the release of the 1999 Institute of Medicine (IOM) report on medical errors, To Err Is Human: Building a Safer Health System, over 20 years ago, there have been considerable effort and resources applied attempting to identify preventable causes of these errors and limit their occurrence through system improvement and education.
The Value of a Mentor
Over the last several months, I have had the opportunity to speak to many individuals, including students, residents, and colleagues, about my journey in our specialty–all leading up to my current role as President of our Academy.
Humanitarian Travel Grant: Grant Recipient Travels to Philippines
As a PGY4 at Mount Sinai, I have been looking forward to the opportunity to participate in a medical mission since residency began. When I was told the nonprofit Sustainable Surgery was putting together a skull base team mission to Manila, I leaped at the chance to join.
Clinical Practice Guideline: Ménière’s Disease
Ménière’s disease is a clinical condition defined by spontaneous vertigo attacks, each lasting 20 minutes to 12 hours, with documented low- to mid- frequency sensorineural hearing loss in the affected ear before, during, or after one of the episodes of vertigo. Prevalence estimates as low as 3.5 in 100,000 and as high as 513 in 100,000 have been reported from Ménière’s disease studies worldwide.
Transition to In-office Treatments: Ménière’s Disease
Given the benefits of improved healthcare access, decreased cost, avoidance of anesthetic risk, and improved patient safety, many procedural specialties have embraced the trend of transitioning operating room-based treatments to in-office procedures. In contrast to some other otolaryngology subspecialties, the evolution of in-office procedures for the otologist has advanced more slowly.
Tech Talk: User-centric Cybersecurity Foundation
Cybersecurity is one of the most important and broadest topics in the technology management space. The defense in-depth approach has always been key. Regular software patches, firewalls, intrusion detection, network monitoring, and antivirus protection are some of the many landscape components to keep the bad guys out and sensitive information in.
Study Explores Ibuprofen Versus Opioid Therapy for Outpatient Post-Op Pain Control
In this Bulletin segment, our committee shares highlights from recent key publications in otolaryngology-head and neck surgery. We offer concise summaries of significant findings that may alter current surgical practice. The following original research is the focus for this issue.
Incorporating Advanced Practice Providers Into Your Practice Part II: Why Work With an APP?
In 2020, AAO-HNS members find themselves challenged by our commitment to quality care for our patients, meeting regulatory and financial demands, and maintaining our own wellness.
Intraoperative Sentinel Events: Righting Wrongs or Ticking Boxes?
Time-out protocols and checklists are now widely used in efforts to deter sentinel events in the operating room. Academy members were queried about their experiences, affording insights into what is happening in otolaryngology-head and neck surgery. In the survey, 543 Academy members shared their experiences relating to sentinel events that continue to occur in the modern operating room.
Cast Your Vote: Election opens May 4, 2020
There are several clarifications to the bylaws that will be on the ballot as part of the upcoming election opening May 4. Take a moment to review these proposed clarifications before casting your vote.
Four Projects Receive WIO Endowment Grants
The Women in Otolaryngology (WIO) Section has been productive in the last year. The WIO Endowment grants, totaling $19,000, were awarded to four standout projects.
Culture and Engagement in Your Practice
Scenario: A busy and productive otolaryngology practice struggles to manage personnel issues effectively while keeping up the pace and delivering the quality of patient care that the practice is accustomed to providing. This is not an unusual situation, and how it is managed can affect the entire practice.
At the Forefront
May Is Better Hearing & Speech Month ENThealth.org offers information for your patients. Your Ear Gear and Hearing Health shares the facts about noise-induced hearing loss and tips for preserving hearing.
Celebrating 10 Years Since Inception: Harry Barnes, MD Endowment Leadership Grant and the Diversity Endowment
2020 marks the 10th anniversary of the Diversity and Inclusion Committee, the Harry Barnes, MD Endowment Leadership Grant, and the Diversity Endowment. The Harry Barnes, MD Endowment Leadership Grant provides travel grants for otolaryngology residents of African descent from the United States, the Caribbean, or Canada to attend the Annual Meeting or the Spring Leadership Forum.
Recognizing Your Dedication and Skills During This Critical Time
We recognize the significant impact the COVID-19 pandemic has already had and will continue to have on your day-to-day lives, particularly relating to your ability to practice otolaryngology. First of all, we thank you for the dedication and skills that you each bring to the critical services you and your staff provide to a very anxious and fearful population.