One of the main missions of the academic surgeon is to teach residents, pass on the knowledge, and build a strong generation of young otolaryngologists. Our team has been dedicated to building a strong residency program that exposes residents to all aspects of otolaryngology-head and Neck surgery, and prepares them to successfully sit and pass the American Board Examination (ABOHNS). This round table will discuss the challenges and key concepts to building a well rounded training program in Otolaryngology. It will include surgeons and leaders from the United-States and Europe. We will specifically discuss the topics of funding, recruiting, mentorship, research activities, and teaching in a learner-centered environment.