WACS ORL Membership study plan
WACS ORL Membership · Give each week a clear focus.
8 weeks · About 7 hours per week
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.
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.
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.
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.
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.
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.
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.
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.