Otolaryngology in transition (presidential address)

Richards, Lyman

doi:10.1288/00005537-194806000-00001

Cited by 4 publications

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“…The invention of antibiotics dramatically reduced the incidence of sinusitis, mastoiditis and otitis media. In so doing, they also diminished the workload of the ENT surgeon 3 , 4 . The general surgeons and general practitioners, from whom the otologists and laryngologists had initially broken away, were now usurping routine ENT procedures.…”

Section: The Foundationsmentioning

confidence: 99%

“…Furthermore, developments in microsurgery threatened to undermine otolaryngologists' work if they did not assimilate these skills themselves. In 1948, during his Presidential Address to the American Laryngological, Rhinological and Otological Society, Lyman G Richards used a parable to illustrate the situation, likening it to the bounteous island of the otolaryngologist being invaded by general surgeons, plagued by chemotherapy and threatened by microsurgeons until it was stripped bare 4 . Anxiety ensued, as it was believed that training an otolaryngologist in the new allied disciplines, including audiology, allergy, radiology and plastics, would result in an unfeasibly long period of learning 5 …”

Section: The Foundationsmentioning

confidence: 99%

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Why should disorders of the ear, nose and throat be treated by the same specialty? Can this situation persist?

Yalamanchili

2008

J. Laryngol. Otol.

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The surgical specialty of otorhinolaryngology has its origins in the nineteenth century. Subsequently, the specialty also incorporated allied disciplines such as plastics and head and neck surgery. Following World War II, the survival of the specialty was threatened by the advent of antibiotics and the rise of the general surgeon. Despite this, the specialty of ENT was strengthened by strong post-war leadership and robust training.Today, with ENT knowledge ever increasing, the subspecialties have again begun to subdivide. Specialisation brings improved efficiency and outcomes; however, there remains a great need for the ENT generalist. Not all cases require subspecialist attention, and the generalist remains the basis of competent emergency cover. The natural development of otorhinolaryngology has brought the invaluable synergistic knowledge required to comprehensively treat disorders of the ear, nose and throat, knowledge that must not be overlooked when shaping the future of the specialty.

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Section: The Foundationsmentioning

confidence: 99%

Section: The Foundationsmentioning

confidence: 99%

Why should disorders of the ear, nose and throat be treated by the same specialty? Can this situation persist?

Yalamanchili

2008

J. Laryngol. Otol.

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“…We may even find that some of this advice offers guidance in decisions that must be made during the coming decade. The first article 1 is by Lyman G. Richards, MD, of Brookline, Massachusetts, whose Presidential Address at the 52nd Annual Meeting of the American Laryngological, Rhinological and Otological Society in Atlantic City in 1948 contained a parable describing the major problems and threats to otolaryngology at that time.…”

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confidence: 99%

The Status of Otolaryngology in the Post‐World War II Era. Part 1‐Defining the Problem

Bailey¹

1996

The Laryngoscope

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XV Undergraduate and Graduate Teaching in Otolaryngology

Boies¹

1955

Ann Otol Rhinol Laryngol

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One of the indirect benefits of this antibiotic era and its impact on the specialty of otolaryngology is the inquiry that has been directed into the teaching of otolaryngology to the undergraduate, and the adequacy of a resident's training in a particular institution approved for this training. This inquiry was stimulated a few years ago when it became apparent that the number seeking residency training in otolaryngology was diminishing and statements were made by some that our specialty was a dying one.There then began a process of self-examination. The American Board of Otolaryngology established within its organization committees to study undergraduate and graduate teaching; the Teachers' Section of the American Academy of Ophthalmology and Otolaryngology was revived; and the American Medical Association, the American College of Surgeons and the Board combined their appraising facilities for reviewing residency programs and revising the approved list.It was generally recognized that the character and scope of our activities had changed in some aspects of our specialty. A number voiced an optimistic outlook toward our future but a few were pessimistic.l": 7-11

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Otolaryngology in transition (presidential address)

Cited by 4 publications

References 0 publications

Why should disorders of the ear, nose and throat be treated by the same specialty? Can this situation persist?

Why should disorders of the ear, nose and throat be treated by the same specialty? Can this situation persist?

The Status of Otolaryngology in the Post‐World War II Era. Part 1‐Defining the Problem

XV Undergraduate and Graduate Teaching in Otolaryngology

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