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We reviewed a singular facet of the otolaryngology residency experience, nasal bone fracture management, to identify if treatment standardization would improve care and efficiency. For 1 year, otolaryngology consults for isolated nasal fractures were analyzed to assess consultation trends, rate of intervention, and resident work hour utilization. Following a review of the literature, an evidence\u2010based algorithm for management of nasal fractures was developed. Analysis revealed a potential improvement in intervention rate from 20% to 100% with utilization of the algorithm, with an 84% decrease in overall emergency room and inpatient consultations. Sixty\u2010three hours of otherwise lost resident time would be gained. In the setting of Accreditation for Graduate Medical Education duty hour restrictions, implementation of protocol\u2010driven management may result in a decrease in work hours and serve as a model for more efficient otolaryngology care.<\/jats:p>","DOI":"10.1177\/0194599816688179","type":"journal-article","created":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T17:42:11Z","timestamp":1485279731000},"page":"1041-1043","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The Nasal Fracture Algorithm: A Case for Protocol\u2010Driven Management to Optimize Care and Resident Work Hours"],"prefix":"10.1002","volume":"156","author":[{"given":"Alexander","family":"Lanigan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery San Antonio Military Medical Center San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Lospinoso","sequence":"additional","affiliation":[{"name":"Portia Statistical Consulting LLC San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah N.","family":"Bowe","sequence":"additional","affiliation":[{"name":"Department of Otology and Laryngology Division of Pediatric Otolaryngology Massachusetts Eye &amp; Ear Infirmary Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne M.","family":"Laury","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery San Antonio Military Medical Center San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,24]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"PhilibertI AmisS.The ACGME2011duty hour standards: enhancing quality of care supervision and resident professional development.http:\/\/www.acgme.org\/acgmeweb\/Portals\/0\/PDFs\/jgme\u2010monograph%5B1%5D.pdf. 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