YOUR RESIDENCY:
Purpose
Product
Value
Career-long Fan of Paul
Ward
My Boss for a Month
Critic
Golfer
Mover and Shaper
My Purpose Today
Tell stories
Share experiences
Get you to look deeper
Look at our U.S. GME
System Closely
The envy of the world
Complex and multi-layered
Deserves thoughtful review
Look at what is changing around
you
The Historic UCLA-
Hopkins Connection
Faculty
Model
Culture
John Bordley, MD
Hopkins ENT Chief, 1943-1968
You build from a known blueprint
Recall
What attracted you to UCLA?
The process then and now
Sam Marable
Recall – Years 1 (and 2?)
Impressive fellow residents
The work schedule, dress code,
nurse conflicts
The resident revolt & Dr. Longmire
Mulder, Maloney, Barker, Stern,
Rand, Marmor, & Pressman
Monell & Quinn
Recall - Year 3 In the Clinic
Great volunteer faculty
No audiologists
Learning from Nahum & Purcelli
Pressman, Seltsam, & Goodhill
Recall – Years 4 & 5
OR & Ward
Wally Berman
Goodhill, Brockman, & Seligman
Von Leden arrives
Light supervision
Clinical Growth &
Innovation
OpMi 1 & Stapedectomy
Dental drill to powered drill
Tiny bulbs to fiberoptic
Load & Go to stabilize
Intra-arterial chemotherapy
Out-patient surgery
Education & Evaluation
Basic Science – Home Study Course
NIH training grant, 1961
Basic
Science faculty teachers
Cadavers & dog lab
Research
No protected time
VPL dog lab exercises
Mildred & Pressman – dyes,
lymphatics
Wally Berman & silicone
Purcelli & facial nerve
Cadaver mediastinal dissections
What Hasn’t Changed?
Same Basic 6 Steps
Step 1: Grasp the basics rapidly
Same Basic 6 Steps
Step 2: Role modeling – it is scary
how much you will resemble your
teachers
Same Basic 6 Steps
Step 3: Learning clear, effective
communication skills and attitudes
toward patients
Same Basic 6 Steps
Step 4: Growth and maturation as a
person and a physician & surgeon
Same Basic 6 Steps
Step 5: Finding your passion within
the specialty and beginning to
master it
Same Basic 6 Steps
Step 6: Giving back – taking the first
steps on your path as a contributor
and leader
My Second Residency – 4
Formative Years at
UCLA/Harbor
The Buck Stops Here
Clinician
Teacher
NIH Investigator
Administrator
Defending an Expanding Turf
Committing to the formation of a
regional specialty
Dealing with Opportunities
Yes vs. No
The first 5 years after residency will
shape the rest of your career
Building & Cultivating
Your Network
My Unforgettable
Longmire Moment
The Purpose of
Residency Is…
TO UNLEASH
HUMAN POTENTIAL
The Product of
Residency Is…
INNOVATION
The Value of
Residency is…
To extend and improve
the quality of life of your
patients and to leave
your community and
your specialty better off
than you found it