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In the early part of this century, the otolaryngologist possessed a limited surgical repertoire that he/she used skillfully to avert many lifethreatening situations. The otolaryngologist was generally comfortable in his/her specialty and capable of mastering the medical and surgical knowledge that was required of him/her.
Today's specialist must attempt to master an enormous expansion in medical knowledge to attain society's expected high level of competency. The advances that have taken place in otology, head and neck oncology, facial plastic and reconstructive surgery, neurotology, allergy, and infectious diseases have made otolaryngology truly a multidisciplinary specialty. It has become commonplace for recent resident graduates to seek additional training or experience so that they may achieve a level of performance that will be more selfsatisfying and legally acceptable. Just as medical educators have recognized that students cannot learn all aspects of medicine, it has become increasingly clear that otolaryngologists are finding it difficult
SCHUKNECHT HF. Training in Otolaryngology. Arch Otolaryngol. 1979;105(2):57. doi:10.1001/archotol.1979.00790140003001
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