• Ogura lectures;
  • residency education;
  • graduate education;
  • maldistribution of otolaryngologists


Objectives/Hypothesis: A number of prior Ogura lecturers have focused on the need to change residency education in otolaryngology—head and neck surgery; nothing has changed. The present discussion is based on the notion that graduate medical education should reflect societal need.

Study Design: Lecture.

Methods: Information on graduate medical education is presented.

Results: The information presented substantiates the maldistribution of otolaryngologists and the mismatch of the design and output of our programs from the perspective of public need.

Conclusion: It is proposed that the American Board of Otolaryngology should take the lead in substantive change with the targets being 1) providing flexibility in program design, 2) a 1-year reduction in core training in otolaryngology, and 3) expanded interaction with family medicine.