“…Which highlights the shortage and the wide variation in the overall course duration allocated to otorhinolaryngology topics across Libyan medical faculties, this result is agrees widely in the literature, as seen in In contrary, otorhinolaryngology in Spain UME is a core subject, allocating a mean of 7 credits, consists of about 30 lectures, and the time available for practical teaching varies greatly between 20 and 60 hours (de Diego, J. I., & Prim, M. P., 2008) [18]. This study also figures that the ORL curricula have a weakness in providing the knowledge (43.3% negative ratings), and skills (60% negative), with insufficient teaching hours (62.5%), and suboptimal assessment methods (56.6%) this demonstrate the minimal clinical experience in the majority of Libyan medical graduates relating ear, nose and throat issues, table (2), the literature concur with our study results in Canada, as provided by ( ,2020) as they share their concerns, demonstrating the lack of confidence among final year medical students and junior doctors in dealing with common ENT problems [16,22]. This giving raise to allocate otorhinolaryngology and head/neck curriculum in separate department rather than having them remain under general surgery, a 59.4% of respondent support this, table (2) as it facilitates oversight of curriculum quality, which confirmed by (de Diego, J. I., & Prim, M. P., 2008) in their study, as the ORL curriculum provided as a single semester course, taught in the 4th or 5th year in (92.6%) of medical faculties [18].…”