Fourth Residency Year in Otolaryngology (ORL-4)
Fourth-year residents, with the faculty's supervision and senior residents' assistance, perform much of the major head and neck surgery and a significant portion of the cosmetic and reconstructive plastic surgery.

Fourth-year residents rotate as acting chief residents through the Division of Pediatric Otolaryngology at Rainbow Babies and Childrens Hospital. Here they have complete responsibility for inpatient medical care and outpatient clinic. They directly supervise an ORL-2 resident on the service.

Fourth-year residents spend four months on Otology for a broad experience in Pediatric and Adult Otology and skull-base procedures in conjunctiion with the department of Neurosurgery.

In addition, they are expected to complete or significantly advance their clinical and/or basic science research project.

As in previous years, they are required to complete the home study course of the American Academy of Otolaryngology - Head and Neck Surgery and take the national yearly in-service examination.