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==Training== Otorhinolaryngologists are [[physicians]] ([[Doctor of Medicine|MD]], [[Doctor of Osteopathic Medicine|DO]], [[MBBS]], [[MBChB]], etc.) who complete both medical school and an average of five–seven years of post-graduate surgical training in ORL-H&N. In the United States, trainees complete at least five years of surgical residency training.<ref>{{cite web|title=Otolaryngology Specialty Description|publisher=American Medical Association|url=https://www.ama-assn.org/specialty/otolaryngology-specialty-description|access-date=2024-10-30}}</ref> This comprises three to six months of [[general surgery|general surgical]] training and four and a half years in ORL-H&N specialist surgery. In Canada and the United States, practitioners complete a five-year residency training after medical school. Following residency training, some otolaryngologist-head & neck surgeons complete an advanced sub-specialty fellowship, where training can be one to two years in duration. Fellowships include head and neck surgical oncology, facial plastic surgery, [[rhinology]] and sinus surgery, [[neurotology|neuro-otology]], pediatric otolaryngology, and laryngology. In the United States and Canada, otorhinolaryngology is one of the most competitive specialties in medicine in which to obtain a residency position following medical school.<ref>{{Cite web|url=https://www.enttoday.org/article/crisis-in-otolaryngology-match/|title=Is There a Crisis in the Otolaryngology Match?|first=Amy E.|last=Hamaker|date=11 June 2018|website=ENTtoday|language=en-US|access-date=2020-04-16}}</ref><ref>{{Cite web|url=https://mk0nrmp3oyqui6wqfm.kinstacdn.com/wp-content/uploads/2020/03/Advance-Data-Tables-2020.pdf|title=National Residency Match Program 2020|website=National Residency Match Program|access-date=2 April 2020|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828123610/https://mk0nrmp3oyqui6wqfm.kinstacdn.com/wp-content/uploads/2020/03/Advance-Data-Tables-2020.pdf|url-status=dead}}</ref> In the United Kingdom, entrance to higher surgical training is competitive and involves a rigorous national selection process.<ref>{{Cite web|url=https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/otorhinolaryngology-ear-nose-and-throat-surgery-ent/training-and-development|title=Training and development (otorhinolaryngology)|date=2015-04-16|website=Health Careers|language=en|access-date=2020-04-16}}</ref> The training programme consists of 6 years of higher surgical training after which trainees frequently undertake fellowships in a sub-speciality prior to becoming a consultant. The typical total length of education, training and post-secondary school is 12–14 years. Otolaryngology is among the more highly compensated surgical specialties in the United States. In 2022, the average annual income was $469,000.<ref>{{cite web|url=https://www.medscape.com/slideshow/2022-compensation-otolaryngologist-6015158#2|title=Medscape, Otolaryngologist Compensation Report 2022|website=Medscape|url-access=registration}}</ref>
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