-- not sure if you are lacking a home department, residency, or both? --
I'm in a similar situation just beginning my third year with an interest in ENT as a possibility. We have a department but no residency program. There are many pros/cons but here are a few that come to mind.
The disadvantages:
- Less impact of the connections from my home school, but these guys are still academic Oto physicians who are connected to others in academia.
- No exposure to life as a resident in ENT
- Lack of program means lack of ENT education experiences with zero exposure during 3rd year surgery and only one true ENT 4 week elective available during 4th year. This highlights the need to do at least one or two away rotations.
The advantages:
- Undivided attention from the Oto department faculty. Nobody (and I literally mean nobody) from my school has gone into ENT in at least the last 2 or 3 matches. That means that if I get interested, I will likely be the only student doing so. I would have the undivided attention and support of the entire department (assuming I don't perform like a complete *****
).
- Easier opportunity to get involved with the department and participate in things like research opportunities. Again, this is because I would likely be the only student even expressing an interest in such.
I luckily already have a connection to someone at a school where I would like to do an away -- the guy is in charge of education for their ENT program and also happens to be my dad's doctor. Lucky me. If I'm still thinking ENT by the time Christmas break rolls around 6 months from now, I am hoping to at least set up some shadowing with him.....maybe an away rotation 4th year. Who knows?
Good luck. You are interested early in the game, so you are well prepared already.