Background This study primarily assessed ENT surgical trainees’ preferences for the qualities of disposable and reusable fibre-optic nasendoscopes. Secondary aims included eliciting trainees’ views on ENT surgery and climate change, and creating a single-centre per-use cost analysis for disposable and reusable fibre-optic nasendoscopes. Methods A cross-sectional study was formulated. An online survey consisting of multiple-choice and Likert-scale questions was distributed nationally. Cost analysis was performed using 2021–2022 data from the host institution. Results Twenty-four trainees responded. Data on disposable fibre-optic nasendoscopes showed no difference in overall satisfaction (p = 0.244). Reusable fibre-optic nasendoscopes had a lower cost per use compared with disposable nasendoscopes at 5 years (4.7 per cent reduction) and 10 years (7.1 per cent reduction). Of the trainees, 79.2 per cent were supportive of climate-friendly initiatives within ENT surgery, and 25 per cent felt supported by their departments. Conclusion Trainees’ satisfaction with disposable and reusable fibre-optic nasendoscopes is similar. Cost analysis favours reusable fibre-optic nasendoscopes in the long term at the host institution. Empowering departments and trainees to pursue climate-friendly initiatives should be encouraged.
Background Climate change is increasingly threatening human health. This study aims to establish UK medical students’ opinions on climate change and health outcomes as well as their opinion on the respective medical school curricula inclusion of this topic. Methods An online survey consisting of multiple-choice, Likert-scale questions and free text questions was distributed nationally. Results 206 medical students responded. 173 (84%) and 188 (91.3%) were in agreement that climate change currently impacts health outcomes and it is important for healthcare professionals to be aware of this impact respectively. However, only 39 students were in agreement that they are confident discussing this topic with the patients, with only 38 students reporting environmental health teaching in their school and 15 students subjectively reporting this as adequate. Female students and students aged 40-44 were significantly more likely to agree that their medical school provides adequate education on climate change. 153 (74.3%) believe the inclusion of climate change related health topics should be mandatory during their training. Conclusions A majority of UK medical students surveyed, lack the confidence to counsel patients on climate change related health topics and perceive their respective medical school’s curricula coverage of this topic inadequate. This study demonstrates students’ demand and the gap in medical schools’ curricula on climate change related health topics across the UK. With an increasing health threat due to climate change, there is a need to update and evaluate the current medical school curricula.
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