Month: May 2017

Requirements to Become an ENT Physician

When a person talks about ‘visiting the doctor’s office’, there is a fair chance that the ‘doctor’ he/she is about to visit is the ENT Specialist. Alternatively known as otolaryngologists, these doctors specialize in treating the ear, nose, neck and throat, and constitute a very popular group of doctors within the United States.

What does an ENT physician do?

An ENT doctor is basically a medical physician who specializes in treating physical issues in four main categories; namely: the ears, the nose, the head/neck and the throat. He frequently collaborates with dentists and other dentistry specialists due to the physical proximity of his area of concentration to dental areas.

– Ears: ENT doctors help treat issues related to the ear such as hearing problems, ear infections, tinnitus, balance, nerve pain, facial as well as cranial nerve disorders, among others, both medically as well as surgically.

– Nose: ENTs treat issues related to the nasal section such as chronic sinusitis, breathing issues, allergies and sense of smell.

– Throat: Ear/Nose/Throat specialists treat several throat-related problems such as those related to speech and swallowing, among others. (somtimes interacting with dentists to solve snoring issues and oral cavity irregularities)

– Head/Neck: Many ENTs oversee (or at least help with) the treatment of serious infectious diseases, severe head and/or neck trauma, and other abnormalities such as deformities and tumors. This sometimes includes performing reconstructive plastic surgery.

Besides the aforementioned, these doctors also do other things such as medical researching, teaching educational courses and publishing journal articles.

Educational Track

To become a board-certified, legitimate ENT physician, one must complete a medical degree (which is of four years duration), and thereafter follow it up with a residency program (of five years duration). The path to becoming an otolaryngologist, however, begins with earning a Bachelor’s Degree from an accredited university or college. (Future specialists build their foundational knowledge in science and their interaction skills, which together form the the focus of their core educational course.)

Educational Steps

1. Bachelor’s Degree
As already mentioned, the first step towards being an ENT is earning a bachelor’s degree. While candidates can (and often do) take any undergraduate major, it is better for them to major in subjects that that medical schools generally require as prerequisites. This includes physics, chemistry, biology, as well as oral and written communication course study.

Undergraduate students who want to gain extra points in the medical-school application pool can benefit from taking specific career-oriented steps such as joining pre-med organizations, taking part in community service, observing physicians and preparing for the MCAT in advance. The candidate must apply to a suitable medical school before they graduate. Medical school continues for four years, the completion of which leads to an advanced-degree in medicine such as M.D. and D.O.

2. Medical School
ent dentistAfter graduation and successful passing of the MCAT, candidates must complete their medical degree from a suitably accredited medical school, which takes four years. In these four years, the first year is spent in the classroom studying subjects such as histology, anatomy, pathology, psychology, dentistry, biochemistry, and ethics along with preparation for the Objective Structured Clinical Examinations. Studies get more clinically focused in the second year, though they still remain largely in-classroom. In the third and the fourth years, medical students get assigned to clinical rotations from where they get exposure to a large variety of potential specializations.

3. Residency
Medical school graduates who intend to be board-certified ENT physicians should, in addition to their education, complete a residency of five years duration. This is where they get training as well as hands-on experience in specific areas of the nose, ears, and throat, oncology, research, dentistry, anesthesiology, pediatric, surgery, clinical evaluation and management/leadership.


4. Licensing
Given that the requirements for getting licensed varies from one state to another, doctors should the pass the state examination in every state in which they want to practice. Most doctors prefer to complete their residency from the state in which they intend to practice, because otherwise they will have to learn a separate set of regulations prior to taking the test.

5. Board Certification

To get board certified as an Otolaryngologist, medical doctors should satisfy the following criteria:

– Complete their graduation either from an accredited U.S. or Canadian medical school, or any other international school that has the approval of the WHO
– Have an unrestricted license for practicing in one state
– Complete their necessary ENT specialty training, as specified by ABOto
– Give and pass ABOto’s test for Otolaryngology

6. Specialization in a Field, Earn Sub-specialty
American Board OtolaryngologyWhile ABOto technically offers exams as well as certification in only two sub specialties, namely, Sleep Medicine and Neurology, a percentage of ENT doctors spend 1-2 years training in additional subjects to specialize in areas like allergy, pediatrics, balance, reconstructive and plastic surgery, neck and head tumors, dentistry, swallowing and voice problems and rhinology.

Career Path for an ENT

Gap Medics has revealed that ENT doctors are found in clinics and hospitals, and even in private practice. It also revealed that those who practice privately generally spend a very little time performing surgeries.

Needless to say, there is a wide scope of opportunity for an ENTs. Those who wish to work with children may go on to become Pediatric Otolaryngologists. Alternatively, they can also specialize in other areas such as allergies, or as reconstructive and plastic surgery, among others.

Income

According to salary.com, the average annual salary in the US is $336,844.

Career Outlook

ENTs have a special place in American culture. As a matter of fact, ENT Associates has revealed that over 50% of all visits to the doctor are related to ENT issues. Furthermore, changes in coverage of medical expenses, such as the introduction of the Affordable Care Act has led to a large number of people being covered by insurance, who previously could not afford to see ENT doctors. Given the fact that overall demand for physicians is set to grow up to 18% by 2022, there will be a greater need for doctors in general and ENT physicians in particular.

Sinus Infection and Dizziness

ent doctorA sinus infection can be bothersome enough. Your head feels like it’s about to explode, you feel like there’s a fever coming on and nothing seems right. When a bout of dizziness comes along for the ride, it is only fair that you would feel a little worried and feel the need to call your ear, nose and throat (ENT) doctor. Why do a sinus infection and dizziness go together? In certain circumstances, unhappily, they certainly do. Our sinuses are internally connected to a passage that leads to our ear canals. Infections of our sinuses can easily set up camp in our ear canals. And as everyone knows, our sense of physical balance comes from the way our inner ears are designed. An infection of the ears can easily send our balance sensing inner ear parts out of whack.

It’s not just a when a sinus-related ear infection affects our balance sensing mechanism that we experience dizziness either. It can happen even when the infection goes nowhere near the inner ear. But you don’t have to let it go as far as all that. When you come down with a sinus infection, going down to the ENT doctor for a prescription to get rid of it should help you keep far enough away from any dizzy spells. What you need to do then is to catch a sinus infection right when it’s starting. The moment you sense a little pressure around the middle of your face, a little mucus and a heaviness that seems to radiate from around your cheeks, you know that you’re coming down with a sinus infection. Take steps to deal with a sinus infection and the dizziness should never have to be what comes out of it.

What are the sinuses exactly? Around the front of your face, in the bony matrix of your skull, bordering your nose, are this series of little cavities – strung out like an archipelago of islands. These are supposed to just be filled with air – to act as resonating chambers to help your voice project. When you get an infection, mucus fills these chambers up. And of course when it does that, your face feels swollen and painful. But how exactly are a sinus infection and dizziness related? One reason it can come about is that a sinus infection can get people to have headaches and feel exhausted. It is not uncommon for exhaustion to lead to a little unsteadiness.

When an infection progresses, it branches out into the eustachian tubes that connect the nasal passage to the ear canals. Those tubes are needed for the ears to be able to drain excess fluid away. Tubes that are blocked by a spreading sinusitis infection will no longer be able to drain fluid out. With mucus and fluid building up in the tubes, you can only imagine how it would upset the vestibular system in the inner ear and succeed in throwing your sense of balance off. Anything that leads to an infection around the ear canals can lead to dizziness. Since a sinus infection is one of them, dizziness is sometimes seen to accompany it.

antibiotic drugsIt’s pretty simple to get rid of a sinus infection and dizziness, luckily. All you need are a few ENT physician prescribed antibiotics, plenty of fluids, and rest. Sometimes, a little allergy treatment could help prevent the problem before it even comes up. If you should ever come down with a sinus infection that gives you a bout of dizziness, be sure to not do anything where you need to be alert – such as driving.

ENT Explained Cochlear Implant

Here’s one way to see how a cochlear implant is very important for a hearing-impaired baby at a very young age. Know how when you first get a new device for your computer – say a WebCam or a new graphics card or something – when you first plug it in, Windows will say things like “Searching for drivers” or “Windows is installing your device”? What happens when the correct drivers are not there though? After trying for some time, Windows will just give up. You’ll have to do take a few elaborate steps to get it into a state where it’s receptive to finding and installing the device again.

When your baby is born, his brain does something like this too. Your baby’s brain needs to hear a little sound and it needs to see a little light and so on, to set things up correctly. If this information is missing – say if there’s something wrong with your child’s ears at this point – the brain doesn’t perceive the information needed to set things up. After trying for some time, the hearing part of the brain turns off permanently. To prevent this from happening, you need to supply your baby’s brain with sound. That’s where your ENT doctor may talk to you about a cochlear implant.

cochlear implantEar, Nose and Throat physicians are particularly skilled to know that not every hearing-impaired child needs a cochlear implant. Your child will only need one, if an inner-ear part called the cochlea is damaged. Typically, you’ll talk to your ENT doctor and he will refer you to an audiologist. The audiologist will perform a few. painless tests, and he will determine if there is something wrong with your kid’s cochlea.

For instance, the cochlea contains tiny little hair cells that are supposed to vibrate in the presence of sound. They use a device to make little sounds, and the response of the cochlea is picked up by a sensor. They call this Otoacoustic Emission screening. Another test called the Auditory Brainstem Response test tries to check the brain for electrical activity when there’s sound. If there is sound, and if the brain is receiving it, then the brain has to do something about it. They’ll pick it up in this scan.

Not every kid who has profound hearing loss is given a cochlear implant though. If hearing aids are able to do something, your ENT doctor usually thinks that these are better. But even after a cochlear implant is placed in your child’s year after surgery, it isn’t as simple as turning it on and going home. There are all kinds of therapy sessions that you and your child will have to attend. The ENT doctors and audiologists will see if you’re motivated enough to do this.

But if all goes well, your child will receive a cochlear implant and it will really work well. Your child will learn language at the right time, and everything will go as planned.

ENT Doctor and Rare Sinus Fungal Infection

Do you have a family member, a loved one, who just can’t stop getting an allergy or a sinus infection all year round? Did you ever consider the possibility that they could have a fungal infection right inside their sinuses? Although all Ear, Nose and Throat (ENT) doctors are familiar with it, most people haven’t heard of a sinus fungal infection. It is one of the rarest kinds of sinus infections there are. When a fungal attack occurs in the sinuses, it is usually the paranasal sinuses that they target. These are the ones that are behind the eyes and cheeks. A fungal infection in the sinuses is an opportunistic thing. It is only people who have a weakened immune system or an allergy to the particular fungus, who actually get it. According to ENT physicians, most people really have no specific allergy to any fungus. About the only time that a normal person gets struck by a sinus fungal infection is when they live in an area that is simply crawling with fungal infestations.

Every kind of sinus infection comes with a throbbing pain all over the face, behind the eyes, swollen eyes, what feels like a toothache, and stuffed ears. You probably have had to see your ENT doctor about these symptoms in the past. Also along for the ride, you get a stuffy nose (not to mention a leaky one), a scratchy throat, a state where you find it hard to keep your eyes open in the sunlight, and sometimes, even a mild fever. With a sinus fungal infection, you get to experience all of these. You may also feel exhaustion and a worse fever for than you would with normal sinus infections. What is your tipoff that what you have is the sinus fungal infection and not a normal one? Well, a normal sinus infection clears up right away with antibiotics. Fungi don’t really respond to antibiotics. This is where your ENT doctor earns his pay.

The first step you need to take if you feel that your sinus infection isn’t responding to antibiotics is that you need to go to either your primary or ENT doctor to see if you need an X-Ray taken of your sinuses. Aspergillus is one of the most common kinds of fungus known to attack your sinuses. Your doctor will prescribe you with antifungal medication, and will probably ask you to look around your home to see if there is mold or fungus anywhere. Dampness in the basement for instance, is a major cause of fungus in the home environment. You’ll probably need to get an air purifier too.

Make sure that you protect your immune system. Exercise a lot, and drink plenty of fluids. Fungal infections don’t typically happen to people who stay strong.