... Our Departmental Family Tree Department of Otolaryngology – Head and Neck Surgery at The Ohio State University Wexner Medical Center X 1

Departmental Landmarks 1914  Creation of EENT Department  John Edwin Brown, M.D. - Chair,  Ohio Penitentiary Physician X 2

X 1923  Hugh Beatty, M.D. - Chair,  American Laryngological Association  Head and Neck Surgery, Cleft Lip / Palate  Helped to found the American Board of Plastic Surgery  Retired in 1951 at age of 70.. practiced for 20 more years! Departmental Landmarks 3

X First Bronchoscopy Clinic west of Alleghenies EENT  ENT EENT Residency (2 Years) ENT Residency (3 years) Departmental Landmarks 4

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1951  Russell G. Means, M.D. - Chair,  Instrumental in achieving approval for a University Hospital 1952  Edward Harris, M.D. – Chair,  Hired first full-time faculty in 1954  William H. Saunders, M.D.  ACGME Residency Accreditation 6

X 1961  William H. Saunders, M.D. - Chair  DeWeese and Saunders  Septal Dermoplasty  President, Triological Society  Vice President, American Board Of Otolaryngology  Created Otologic Research Lab, focusing on otitis media Michael Paparella, M.D. David Lim, M.D.. Departmental Landmarks 7

X Small Department – Generalists – Otologic Research  Beginning of sub-specialization (Pediatric, Head and Neck)  Created CCC Head and Neck Oncology Program Departmental Landmarks 8

 D avid E. Schuller, M.D. - Chair,  Increased to Five Year Residency  Departmental growth via sub-specialization (Schuller, Welling, Dodson, Siegle, Wiet, Sullivan)  Expanded research into head an neck oncology, (Lang, et. al.), Otology (DeMaria, Bakaletz)  Created sub-specialty fellowships (head and neck, neurotology)  Departmental sub-specialty Divisions  Project EAR (1995) – Dodson  National Stature Departmental Landmarks 9

Current  D. Bradley Welling, M.D., Ph.D. - Chair  Accelerated departmental growth with full-time faculty  Further Research Growth Head and Neck, Speech Pathology, Otology, Cranial Base, Pediatric, Surgical Simulation, Rhinology, Laryngology, Facial Plastic Surgery Departmental Landmarks 10 OHNS Research Total

 Medical Center Leadership Forrest - Director of Ambulatory Care Teknos - Director of CCC Head and Neck Oncology Program Welling - Chair Schuller – CCC Director; CEO, The James; VP, Medical Center Expansion Departmental Landmarks

LOCAL – at Wexner Medical Center  Outstanding Resident Awards  High Patient Satisfaction Scores Ohio State Departmental PRIDE 12

NATIONAL –  Since 1952 ACGME original residency accreditation, “NEVER had an UNFAVORABLE” status  Annual Otolaryngology Exam Average Percentile ( ) = 96.4  Board Certificants – nearly 100%  Directors, American Board of Otolaryngology (Saunders, Schuller, Welling) – 40 years  Vice President – Saunders, 1976  President – Schuller, Ohio State Departmental PRIDE 13

NATIONAL –  ACGME Residency Review Committee (Schuller, Welling) -12 years Chair – Schuller  Triological Society  Members - 7  Awards - 5 (Miglets, Gebhart, Schuller, Welling, Wiet)  President – Saunders  Section Vice President - Schuller, Welling  Collegium  Members - 8 (Lim, Paparella, Schuller, Welling, Kim, Park, Linder, Grote)  Founding Department, International Symposium in Recent Advances in Otitis Media Ohio State Departmental PRIDE 14

USNWR RANKING  Nationally Ranked first in 1993 and for the past 19 years  The James Head and Neck Program and Department both concurrently ranked in 2000, 2001, 2002, and 2006 Ohio State Departmental PRIDE 15

16 Ohio State Departmental PRIDE Eye and Ear Institute

The past documents a tradition of extended departmental excellence by faculty, residents, and staff who work and play together Summary 17

21... BUT challenges are on the horizon... Affordable Care Act

Highly regulated research and educational environment  Research – animal use clinical research  G.M.E. regulatory oversight  $ “ Almost half of residents (48.4%) disapprove of the regulations – twice as many as those who approve of them (22.9%)” - NEJM, 6/14/12 Current Realities for Academic Medical Centers 22 regulatory oversight  $

Dave Schuller has ONE Request Please answer one question – Has this Department had a positive impact on your professional and personal life? If Yes, then... 23

WE NEED YOUR SUPPORT... to assure that future residents and fellows will be able to graduate with the same or even better educational experience than you. Thank you 24