Combined KSU Fellowship and Saudi Board Training Program inOtorhinolaryngology and Head and Neck
1. - Information
King Abdulaziz University Hospital
is one of the Teaching Institutions under King Saud University
Hospital where it
offers a Continuing Medical Education through its Fellowship over the
One of its Fellowship Programs offers is in the field of Otorhinolaryngology and Head and Neck Surgery where,
the Fellowship then is tied up and/or combined with that of the Training
Program of the Saudi Council for Health Specialties. King Abdulaziz University
Hospital’s ORL Department then
plays an important role and considered as the Center Hospital.
While, five (5) other hospitals are affiliated and as well
participating, where the Candidates are rotating during their entire
training period (King Abdulaziz Medical City,
Riyadh Al-Kharj Hospital,
City, Security Forces
Hospital and King
Faisal Specialist and Research Centre)
Section 2. - Post Graduate Unit
While ORL Department of King Abdulaziz
University Hospital plays the major role, its Post Graduates’ Unit then
is under its Department’s umbrella that shared the responsibilities
concerning the affairs and handling the Candidates’ affairs and its
Post Graduate Coordinator has been delegated to handle the
above responsibilities and has a direct supervision on this task.
He is coordinating with the members of the affiliated hospitals to attain
the smooth flow of the training program. He is as well responsible
in furnishing the information to all its approving body particularly the
ORL Department’s Board Members.
In coordination with the
Department, in coming Residents will be given the necessary and important
information as a sort of orientation which include:
a) Securing bleep - Candidates may
secure their bleep to the Post Graduate Unit’s Secretary at the beginning
of each rotation and advising to return those bleeps at the end of their
b) Bleeping system – Post Graduate
Unit’s Secretary can assist the Candidates on how to use the bleep system
in the hospital
c) Their respective duties and
obligations as per Department’s requirement e.g. on-call, workload-where
it implies all the Residents activities for the whole rotation
period. (these can be explained by the Post Graduate’s
Secretary, Department’s Secretary and/or Clinic Coordination Secretary)
d) Parking space and Candidates’
Badge– Candidates can coordinate with the PG Unit’s Secretary.
For the arrangement
of these things, a letter will be sent to the Executive
Director to request for the parking space for the rotating
their respective Badges for identification
e) Advising them to go to
Medical Records Department in securing their password to access to the
Dictaphone system and/or contact the Secretaries at extension # 1051-1056
(note: usually, prior to the beginning of the new rotation, leaflet has
been distributed to each of the Candidate for their information and the
specified password numbers were indicated)
f) At the end of each rotation,
Department’s clearance form should be secured and completed and this
should be submitted to the Department (see attachment)
g) Other instruction in relation to
the Training Program and in relation to their rotation in the Department
can be assisted by the Post Graduate and the Department’s
Section 3. - Residency’s Affairs
With pertains to the Residency’s
affairs, originally it has a program of 4-year duration structured
training period in Otorhinolaryngology.
But, it was rectified by the Executive Board / Scientific Board of the
Training Program to a 5-year duration period to attain the maximum
year of training exposures and expertise needed by the Candidates
effective 1 October 2000.
of Residency is determined through category
R1 – 1st Level
(Rotation in General Surgery – ICU, Plastic and
R2 – 2nd Level
(rotation in ENT proper
down to R5)
R3 – 3rd Level
R4 – 4th Level
R5 – 5th Level
R1 Candidates will be rotating in the field of General
Surgery as mentioned above for a period of 1 year. While, for the
R2 to R5, their rotation interval is within 3 months time. Hence
forth, 4-rotation period in each academic year.
Distribution of Candidates’ rotation will be determined
during the Residency Training Committee Meeting prior to the beginning of
its academic year in October.
Section 4- Rotation
There are four quarters in each academic year.
Since, October is the beginning of the academic year, the first quarter
will commence in October until December, 2nd
is January to March, 3rd is April to June and the last quarter
is July to September.
Prior to the beginning of each academic year, distribution
of Candidates will be arranged and they will be deployed and distributed
accordingly to the affiliated hospitals with respect to their levels of
Residency and with respect to the general rules stipulated in the
Residency Training Committee’s By-Laws and Policies.
a) Resident’s workload
There are 4 ORL Department’s Groups of King Abdulaziz University Hospital
which consist of Consultants in their distinct and respective
Candidates will be distributed among these groups, ensuring
that on the
whole training periods, chances to rotate in each group will be there for
appropriate exposures in different fields of specialty and under the
supervision of each Group’s Head.
Proposal then, on the allocation and/or distribution of the
Residents will be
made by the Coordinator and will be forwarded to the Department Board for
its approval. When the allocation of
Group of the specific Candidate
has been determined, whole week activities are there which was made by
Clinic Coordinator and consequently approved by the Head of the
Department as a guidance for the Candidates as well as for the
as a whole.
Other Directive Duty: the concern
of this aspect is for the Residents and Registrars on their free time
slot to cover whatever
Group that has a Staff shortage that comply to the department’s
protocol. This is also a means of exposure especially to the
Candidates to ENT related works whether in Clinic and OR with variety of
The Department is encouraging its
Candidates to stay in the hospital as much as they could to enable
them to gin the much needed exposures in enhancing their individual
crafts whether to deploy them in OR, Clinic and other hospital activity
and related works.
Other Department’s guidelines (as
per affiliated hospitals) General Policies and Procedures are expected to
be adhered to by all the Candidates.
of the Candidates’ duties and obligations, they will be given an on-call
duties. This on call schedule will be on a
monthly basis. As a rule, a
maximum of 10 on calls are allocated to eacH
Candidates and in
compliance to the Department’s protocol
Junior Candidates (R2 & R3) will be on the
first on call slot, while, the
Seniors (R4 / R5) will be on the second
on-call slot the same as the
registrars of the Hospital.
Note that, Senior Candidates will be having a double number of
compared to that of the Registrars as per Department’s
In addition, Junior Candidates (R2 & R3) are
expected to inform all the
attended cases during his/her on
call days and subsequently, Senior will inform the respective
Consultant on call on those cases for their proper
management of each cases.
As part of the Department’s continuing medical education,
group activities are
esigned other than that of the usual
activities for the Candidates which will
be mentioned on the later part.
With Department’s 4 groups, this will be divided into 2
subgroups, Group I –
Group III and Group II - Group IV. Each Candidate of the 2
subgroups will be
presenting a case presentation. This case
then will be discussed and related
literatures are reviewed by the Teaching Staff of the concern group in
and give a more detailed explanations.
The venue is usually in the lecture
hall of Building 2.
Pre and Post operation rounds (5A, 5B, 6A, 6B) arethere
for n specific group
as mentioned above as part of the whole week
activity for the Candidates.
During these rounds, discussions and teaching sessions are being
administered in order to have a good and concrete knowledge of each
Specific clinic day is assigned to
each Candidate depending on their group
Candidate has an assigned clinic room
adjacent to his/her Consultant-in-
Charge. Different cases are there, consultation and referrals are made by
Resident to the Staff for discussion and
Overall, ENT Clinic has 8 rooms and situated in Ground
floor of the main
Building (Building 1). The clinic will start at 8:00 a.m. to 12:00
while, in the afternoon, from
1:00 p.m. to 4:30 p.m..
One of the objectives of the Training Program for the
Candidates is to give a
more exposure and active participation in
different variety of ENT procedures.
Candidates are expected to acquire a good surgical skills through the
supervision of the Consultant in charge of the
ENT Group. Candidate will be
exposed to variety of cases and they will be allowed to participate
Surgeon, 1st or 2nd Assistant .
As a requirement of the Training Program, at the
end of each rotation,
Residents are obliged to submit their logbook summary and to be
to Post Graduate Unit. In turn, these will
be discussed and assessed by
Residency Training Committee on their meeting.
has been advised as well to the Candidates to show their logbook to their
respective Supervising Staff on a weekly basis and ask their signature(s)
attesting to the listed procedures.
The operation theater is located in level 2 of Building 1.
The OR schedule will start at 7:30 a.m. until 4:30 p.m.
Any problems arising within the Group that concern
with the Residents,
this should be tackled and solved within
the Group itself. However, if
interference will be needed, this can be forwarded to the Coordinator, if
and/or depends on the weight of the incident, this can be addressed to
Head of the Department for Department Board resolution.
Section 5 -
Feed Back Information
Prior to the end of each rotation period and each academic
year, Candidates are requested to evaluate as well, the Teaching Staff of
the affiliated hospitals.
These evaluations will be discussed in the Residency
Appropriate communication will be prepared by the
Committee basing on the evaluations and to be sent to the concern
Teaching Staff / Department Head for their
Section 6 - Program/ Scientific Activities
Basic Science Course
This is a one (1)-month compulsory Course to all the R2 Candidates
Combined Residency training Program and held each year on the first
Saturday after the Ramadan Holiday.
will be released from their clinical training and commitments, and other
hospital obligations on the inclusive period.
For the past two
years, the Course was administered in other Region and on
the coming year, it will be decided by the
Clinical Meeting Activity
The activity will start
at 1:00 p.m. to 2:00 p.m. in the main auditorium, 4th floor of
Building 1 of King Abdulaziz University
Hospital which is under the supervision of the Head of the ORL
The program is arranged
by the Clinical Meeting Coordinator which includes
Clinico-Radiological Presentation, Clinico-Pathological Presentation, Case
Pesentation, Mortality and
Morbidity, Statistics and Epidemoly, Speech and
Audiology Case Presentation and the Journal
Presentation of the
Occasionally there are
presentations from the Companies, for their machine
demonstration which acquired by the Hospital, presentation of the
Speakers from outside the Hospital and Country.
Participation of all the Teaching Staff in the University is compulsory
a live and active discussions that will be
beneficial to all
Above activity is
announced to all the affiliated hospitals as a sort of information and an invitation as well.
This programme is arranged by the Coordinator
and in coordination with the
Chairman of the Residency Training Committee prior to the commencement
the academic year which was also discussed and approved in the
Residency Training Committee.
Since, this activity
is maintaining its valuation to the Speakers, at the end of
each academic year,
these Speakers’ evaluation will be discussed in the RTC
meeting. Appreciation letter will
be sent to those who garnered the best
is being held as well in King
University Hospita’s main
auditorium from 2:00 p.m. to 4:00 p.m. after the Clinical
Journal Club Meeting / ENT Club Meeting
is one of the ORL Society’s activities for all the ENT Specialty
This intent for their continuing Medica
education and a sort of social
Lectures are being conducted here and hosted by the affiliated
Residents of the Training Program are obliged to attend this activity.
This is a chance as well to meet all their colleagues (ENT Doctors) and
occasionally, meet Speakers invited during the Seminars/ Courses and or a
Other related scientific activities
Candidates are encourage to attend other related scientific activities
including Seminars, Courses and Conference to enable them to abreast
to new information that can be gained on these activities ll above-mentioned
activities are maintaining an attendance sheets for the Candidates since
have a bearing in computing their promotion
grades except on item # 5.
Section 7 - Evalution
At the end of each rotation period, a standard form of
evaluation has been formed and Candidates will be evaluated basing on the
following criteria / fields stated on this.
2. Clinical Skills
a) History & Physical
b) Clinical Judgment and Decision Making
c) Consultation skills
d) Performance in emergencies
e) Appropriate utilization of the
f) Records and reports
g) Participation in scientific activities
3. Operative and interventional
a) Indication and judgment
4. Personality and Ethics
b) Discipline and reliability
c) Attitude to patients
d) Attitude to Staff
e) Ability to supervise
At the end of the rotation
period, evaluations of the Candidates will be asked by the Post
Graduates’ Coordinator to submit to their Unit. Once all evaluations have
been secured, in particular for the King Abdulaziz University
will be forwarded to the Head of the Department for their discussion and
for their approval on the Department Board Meeting.
Likewise, these will be discussed
by the Residency Training Committee and once approved,
these will be forwarded to King
Saud University and to Saudi Council
for its reference and filing purposes.
Section 8 -
Selection examination is administered on the 2nd
Saturday of April each year
for the in-takes on the next academic
The venue is in the lecture hall, level 2 of Building 2 of King Abdulaziz
are being conducted in collaboration
Continuing Medical Education Centre including its announcement and with
regards to the direct communication with
the applicants prior to its commencement.
Result of the above examination will be
discussed by the Examination Committee for its
approval. Consequently, this will be forwarded to the Head
of the Department of King Abdulaziz University
Hospital for its Board’s
Upon securing its approval from the Board,
a correspondence will be made
addressed to the Dean of the University, King Saud
Univiersity for its approval
and the rest of the Communication will be made by the Continuing Medical
Education, in the office of its Director in coordination with the Post
Appropriate acceptance letter will be sent to
the selected Candidates
particularly, the information when the deadline will be
since most cases, those accepted Candidates were not able to
complete their requirements,
hence, from the stand by status its where we are pulling to include
in the final
selected candidates. Please note that only
6 Candidates are allotted for this
Prior to a higher
level, Candidates are expected to pass the yearly Promotion
For the Written, it is scheduled each year on the 2nd
followed by the Oral examination on the coming Tuesday
falls on the 2nd Tuesday of June of each year
In Oral, there are TWO examiners in each Examination
Committee has a bearing of 10 marks (10%)
Committee I and II
Examiners are assigned for the Senior Levels, while,
Committee III and IV for the Junior Levels.
Out of 100 %, 50% is allotted to its
written examination. The remaining 50%
is computed from the Candidates’ Oral Examination Result, Hospital
Evaluation, Attendance of the Clinical Meeting and Tutorial, Evaluation
the Candidates Journal Presentation during Clinical Meeting,
Passing mark is 60 %.
Note: Saudi Council’s yearly 1st
Part Examination has an inter relation to promotion as well. Candidates
will not be promoted to R4 level unless he/she pass
the 1st part Saudi Board Examination. However, 3
chances are given to each Candidate.
Result of this promotion examination and a confirmation
from the Residency Training Committee will be forwarded for approval to
the Department Board of King Abdulaziz
University Hospital and to the Saudi Council for Health Specialties’
Scientific Board and Central Supervision Committee.
c) Final Examination
Graduating Candidate(s) is/are eligible to sit on this examination only
will pass all the necessary and incidental requirements including in particular,
the hospital rotation evaluation and promotion
This examination consists of Written and Oral examination and held
October each year. The written will be on the 2nd
Saturday and has 2 sets,
first set in the morning and the second set in
the afternoon. Candidate should
score a minimum of 50% in final written
examination to be eligible to sit in the
While, on the Oral Examination (which
usually inviting an External Examiner),
Committees are there with a 10 marks/percentage each. For each
Committee, it comprises of 2 Members that deal in different field;
Otology, Rhinology, Larynx/Pharynx and Head and
Neck, Principles of Surgery with allotted time of 20
minutes per Candidate.
Out of 100 %, 60% is allotted for the Written Examination
and 40% for its
Oral. Close marking system is implemented by the
Examination Committee in determining the passing marks of
Passing mark (70), Border Line (69) and Failure (68 down).
The result will be forwarded to the KAUH’s
ORL Department Board Members
for its Approval before sending to King Saud University.
For those who fail, three attempts are allowed to pass on this final.
Section 9 -
Upon completion of the training program, the trainee
should have gained sound and solid knowledge of otorhinolaryngology.
He/she should have gained enough clinical and technical experience to
practice as a safe and competent otorhinolaryngology
Head & Neck surgeon. He/she should be able to evaluate,
assess, diagnose all problems of otorhinolaryngology and safely manage them.
At the end of training, the candidate should have the
following capabilities and skills:
Section 10 -
in the other fields of specialties and/other
Other Saudi Board Candidate(s) from other fields of
specialties are also doing their ENT rotation to the Department for the
period of 1-month and/or as specified by the Training Program/Department.
1) Family Medicince
part of the Candidate(s) trainig requirements,
Candidate has to complete their 1-month rotation in the field of
ENT. Hence, Post Graduate Unit has the duty to distribute them in
order to attain and gain knowledge and the necessary exposure in the field of ENT.
is(are) deployed in Speech Unit, Audiology Unit and ENT Clinic.
2) Oral and Maxillofacial Surgery
same provisions but the allocation is the same as the Rotation Candidates
of the Combined KSU Fellowship and Saudi Board Training Program (see the
aforementioned infromation) which includes
Clinic, Pre-op Op round, Admission and Clerking and other scientific
activity of the department.
Though, primarily, this is the job description of the
Department’s Undergraduate Program’s Coordinator.
rotation and workload of the Interns will be as the same as the
Candidates of the Combined Training Program as well.
Section 1 - General Information
King Saud University Fellowship
Examination Committee is one of the Committees of the ORL Department that
is directly involved and has the responsibility in the King Saud University Fellowship’s Final Examination for
It entails the examination preparations including the
selection of its Examiners and the preparation of the examination
materials to be used and all other aspects with regard to the
Over the years, External Examiners (from U.S.A.-NewYork, Germany
….) were invited to share their valuable contributions to the
examination-exposure wise in different styles/forte of the concerned
Examiners that test the ability of the Candidates and measures their
The Final Examination of King Saud
University Fellowship is conducted on the 2nd Saturday of
October for the Written Examination and the coming Tuesday of the same
week will be the Final Oral/Clinical Examination yearly and/or otherwise
specified and rescheduled by the Committee itself and/or by the
The venue will be in King Abdulaziz University
– Lecture Room, Level 2 of Building 2.
Section 2 – Committee’s Affairs and Responsibilities
The major responsibilities of the
Committee include the examination material preparations, invitation of
Examiner(s) including External Examiner(s), preparation of examination
results. While, other related task in relation to the Committee’s
scope of responsibilities includes, allocation of the Examiner(s) to each
Examination Committee, preparation of the communication to be sent
particularly the communication to the Head of the Department for any
approval to its Board Members and in all
the affairs concerning the Fellowship.
All these concerns are being
discussed in their meeting particularly the selection of Examiners that
is discuss 10 months earlier prior to the examination date and its
In connection to the preparation,
as per the Department’s resolution, each year, all Teaching Staff of the
Department are obliged to furnish the Committee the required MCQ and OSCE
for the Unit’s Question Bank so as to have an essential number of
questions. It is likewise approved that a total of 150
questions will be supplied by all the Teaching Staff of the Department
per academic year.
Though, this does not necessarily
mean that all of these solicited questions will be the official material
to be used. The Committee has the responsibility as well to sort and
consequently approve these questions in relation to the Committee’s setted rules with its Resolution # 5-3 that questions
are classified as follows.
% - Intermediate
30 % - Easy
20 % - Difficult
Section 3 - Types of
ý There are 2
sets, 1st set will be administered in the morning at
9:00 a.m. until 12:00 noon and the 2nd
set will be in the afternoon from 1:00 p.m. to 3:00 p.m..
is Multiple Choice Questions (MCQ) and Objective Structured Clinical
Examination (OSCE), though, it is as well depends on the
Examination Committee’s discretion in the
4 Committees are
there for a respective field - Otology, Rhinology,
Larynx and and Pharynx and Principles of Surgery-Head
2 Members per
20 Minutes alloted alloted time per
Committee (10 min.@ Examiner)
ý 10 marks are allocated per
4 - Eligibility and Criteria
should pass the Promotion Examination (Graduating Batch of the Combined
KSUF and Saudi Board Training Program) to be able to sit in this Finals as well as to complete his logbook.
Candidate(s) who will be taking the KSUF Finals must pass the KSUF Written
Examination (50%) to be eligible in taking the Oral, if Candidates
garnered less than 50% as stipulated, he/she will be considered failed.
Section 5 - Examination
Rules & Computation of Marks
a) As a general rule, to be elligibel
for entry for this finals, the candidate(s) must
1. complete satisfactorily the training Program in ORLHNS
2. Pass successfully the annual (promotion) Examination
3. Complete logbook
b) The passing mark is 70%, 69 % is the border mark, while the
failure mark is
68 % or less.
For the past years, the Department is adopting the Close Marking
has been approved and ratified by the Department Board and
described as follows:
68 % or less
CLOSE MARKING SYSTEM
Section 6 - Examination Result Fiinalization
The computed result of the Candidates will be discussed by
the Examination Committee itself and the KAUH Department’s Board Members
for its approval which will be based on the close marking system
(guidelines) as stated above.
Once the result is approved, a letter will be sent to the
Dean of the University
for their information and
approval. A copy as well will be sent to the Medical Education
Centre for thier information for the necessary
preparation of the Candidates’ certificate (Note: they will also wait for
the Dean’s approval prior to the preparation of the certificate)