Effects on Swallowing When Treating Unilateral Vocal Fold Palsy.

centric environment, which makes us look at what patients prefer. My experience has been that when patients are given the choice of avoiding an inpatient hospital stay, they will choose to go home the same day if that is a safe option. Economics are a factor not just for hospitals and health plans but also for our patients who have higher copays. The education of residents should not be determined by the venue in which surgery is being performed but, rather, by the needs of residents to get good training as deemed by the Accreditation Council for Graduate Medical Education (ACGME) Otolaryngology Subsection. Issues concerning residency training should be brought to the Review Committee. Many of our head and neck procedures are already done on an outpatient basis, and this is the new reality that training programs should consider.