Doing More with Less: Advancing Rhinology Care in Resource Constrained Environments

Monday, October 19, 2026

11:00 AM - 12:00 PM PT

Location: 406A

Moderator(s)

Sanjeet V. Rangarajan, MD

Associate Professor and Vice Chair - Innovation and Community Partnerships
University Hospitals Cleveland Medical Center
Cleveland, OH, United States

Panelist(s)

MG

Mohnish Grover, MS

Professor
SMS medical college Jaipur
Jaipur, Rajasthan, India
RA

Ralph Abi Hachem, MD, MBA, MSc

Associate Professor
Duke University Hospital System
Durham, North Carolina, United States
Yvonne Chan, MD, FRCSC, MSc, FARS

Professor & Vice Chair Education
University of Toronto
Toronto, Ontario, Canada
Regan W. Bergmark, MD

Assistant Professor
Mass General Brigham and Harvard Medical School
Chestnut Hill, MA, United States

Disclosure(s):

Sanjeet V. Rangarajan, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Rhinologic care increasingly relies on high-cost medications, disposable surgical technologies, and frequent post-op follow-up. At the same time, rhinologists across practice environments face growing constraints related to insurance coverage, care affordability, transportation barriers, and health literacy. These challenges are not confined to low- and middle-income countries; they are increasingly common in the United States across safety-net systems, rural practices, and under-resourced urban populations. Our international group of panelists will discuss practical approaches to managing medication cost and access, adapting surgical practice to reduce waste, addressing transportation barriers, and improving patient engagement amid misinformation and limited health literacy.

Learning Objectives:

Identify common cost, access, and adherence barriers that limit delivery of guideline-concordant rhinologic care in under-resourced patient populations.
Apply practical strategies to improve access to medical therapies, including steroid irrigations, combination sprays, and biologics, despite coverage limitations and describe surgical and perioperative adaptations that reduce cost and waste while maintaining safety and outcomes.
Incorporate telemedicine, modified follow-up pathways, and patient-centered education tools to address transportation barriers, health literacy, and mistrust.