WACS ORL Membership study materials
WACS ORL Membership study resources

WACS ORL Membership study plan

WACS ORL Membership · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Otology and Neurotology

  • Build a one-page map of otology anatomy and physiology, covering the external, middle, and inner ear plus the vestibular end organs, from a standard textbook chapter.

  • Explain the tuning-fork test battery (Rinne, Weber, Schwabach) and compare it against pure-tone audiometry, tympanometry, and acoustic reflex findings to classify conductive versus sensorineural loss.

  • Draw and label the audiogram patterns for otosclerosis, presbycusis, noise-induced loss, Meniere disease, and vestibular schwannoma, and state one distinguishing feature for each.

  • List the first-line management of acute otitis media, otitis media with effusion, and chronic suppurative otitis media, including when referral for surgery is indicated.

Your checkpoint

A single-page audiogram pattern table with five diagnoses, expected findings, and a one-line distinguishing feature for each.

Week 2

Otology and Neurotology

  • Summarize the workup and management of sudden sensorineural hearing loss, including timing of treatment and the role of imaging.

  • Compare the indications and expected outcomes of tympanoplasty, mastoidectomy, and ossicular reconstruction.

  • Outline the bedside and laboratory evaluation of the dizzy patient, distinguishing peripheral from central causes.

  • Describe the diagnostic criteria and stepwise management of benign paroxysmal positional vertigo, Meniere disease, and vestibular neuritis.

  • List red-flag features in a patient with facial nerve palsy that warrant urgent imaging or referral.

Your checkpoint

A 20-question self-test on otology and neurotology, scored and reviewed, with every wrong answer rewritten as a corrected fact.

Week 3

Rhinology and Sinus Surgery

  • Map the paranasal sinus drainage pathways and ostiomeatal complex anatomy from a sagittal and coronal perspective.

  • Distinguish viral rhinosinusitis, acute bacterial rhinosinusitis, and chronic rhinosinusitis with and without nasal polyps by history, duration, and endoscopic findings.

  • State the antibiotic and adjunctive treatment choices for acute bacterial rhinosinusitis, including when imaging is and is not appropriate.

  • Explain the role of allergy testing, nasal saline irrigation, and intranasal corticosteroids in chronic rhinosinusitis.

  • List the major complications of sinusitis (orbital, intracranial, bony) and the immediate management step for each.

Your checkpoint

A one-page decision flowchart for rhinosinusitis, from presentation through treatment escalation and referral.

Week 4

Laryngology and Voice Disorders

  • Describe the anatomy and function of the vocal folds and the layered structure of the lamina propria.

  • Classify voice disorders into functional, organic, and neurologic categories, giving two examples of each.

  • Interpret the key parameters of stroboscopy and acoustic analysis (jitter, shimmer, maximum phonation time) in a clinical report.

  • Outline the assessment and management of a patient with hoarseness lasting more than three weeks, including when laryngoscopy is mandatory.

  • Summarize the management of benign vocal fold lesions and the role of voice therapy before surgery.

Your checkpoint

A written case summary of one hoarse patient, with differential diagnosis, investigation plan, and management steps.

Week 5

Head and Neck Oncology

  • Describe the TNM staging approach for oral cavity, larynx, and oropharynx cancers, and explain what changes between stages.

  • Outline the diagnostic pathway for a neck mass in an adult, including when fine-needle aspiration and panendoscopy are indicated.

  • Compare surgery, radiotherapy, and chemoradiotherapy as primary treatment options for early versus advanced laryngeal cancer, including larynx preservation considerations.

  • List the common sites of head and neck cancer and their associated risk factors and warning signs.

  • Explain the principles of neck dissection levels and when elective neck dissection is indicated in a clinically node-negative neck.

Your checkpoint

A staging summary table for three head and neck cancer sites, with T and N categories and the corresponding treatment implication.

Week 6

Pediatric Otorhinolaryngology & Audiology and Vestibular Medicine

  • Outline the evaluation and management of pediatric otitis media with effusion, including when tympanostomy tubes are indicated.

  • Describe the assessment of a child with suspected hearing loss, including newborn screening pathways and the role of auditory brainstem response testing.

  • Explain the approach to pediatric obstructive sleep apnea, including adenotonsillectomy indications and postoperative considerations.

  • Summarize the evaluation of a child with stridor, distinguishing croup, epiglottitis, and foreign body aspiration.

  • Interpret the findings of caloric testing and videonystagmography in a patient with vertigo.

Your checkpoint

A comparison table of pediatric airway and hearing conditions, with presentation, first-line test, and management for each.

Week 7

Facial Plastic and Reconstructive Surgery & Sleep Medicine and Airway

  • Describe the principles of local flap design and when a skin graft is preferred over a flap for facial defects.

  • Outline the management of auricular hematoma, nasal bone fracture, and mandible fracture, including timing of intervention.

  • Explain the indications and complications of rhinoplasty and blepharoplasty in a general ORL context.

  • Summarize the diagnostic criteria for obstructive sleep apnea and the role of polysomnography versus home sleep testing.

  • Compare continuous positive airway pressure, oral appliances, and upper airway surgery as treatment options for obstructive sleep apnea.

Your checkpoint

A one-page comparison of facial reconstruction options and a separate one-page sleep apnea treatment algorithm.

Week 8

General ORL, Ethics, and Patient Safety & Otology and Neurotology & Head and Neck Oncology

  • Review informed consent, documentation, and error disclosure principles relevant to ORL practice.

  • Revisit the highest-yield otology and head and neck oncology facts from weeks 1, 2, and 5 and correct any remaining weak areas.

  • Complete a timed mixed-domain practice set covering all nine domains and analyze performance by domain.

  • Build a personal one-page summary sheet of the ten facts most likely to be tested and least well remembered.

Your checkpoint

A timed 60-question mixed practice exam, scored, with a domain-by-domain accuracy list and a final one-page summary sheet.

Milestones

Week 2: Score at least 70 percent on the 20-question otology self-test and be able to explain every missed item without notes.

Week 4: Complete the rhinosinusitis flowchart and the voice case summary, and pass a 15-question mixed domains 1 to 3 quiz at 70 percent or higher.

Week 6: Score at least 70 percent on a 20-question quiz covering pediatric ORL and audiology and vestibular medicine, and correctly interpret two stroboscopy and two audiogram examples.

Week 8: Score at least 75 percent on the timed 60-question mixed practice exam, with no single domain below 60 percent accuracy.