A Prospective Assessment of Nasopharyngolaryngoscope Recording Adaptor Use in Residency Training

Abstract

Flexible fiberoptic nasopharyngolaryngoscope (FN) examinations are important to the practice of otolaryngology (ENT). We sought to assess whether a portable recording adaptor for the FN can enhance resident learning and improve patient management. The adaptor was used prospectively on consultations by first- and second-year ENT residents, and changes in diagnosis and management were recorded in the patient care workflow. In 43 patients, we found a 23% change in diagnosis, 44% change in management, and 19% change in surgical management after an attending reviewed recorded videos. Residents and attendings reported that discussing the video enhanced learning in 88% and 81% of cases, respectively. A portable FN recording adaptor has the potential to improve resident training and perhaps lead to more prompt health care delivery.

The clinical impact of bedside fiberoptic laryngoscopic recording on a tertiary consult service

“…Similar to our study, comparisons were made between resident versus attending interpretations. The authors found a change between resident and attending diagnoses in 23% of patients, with a change in management occurring 44% of the time …”

“…In addition, during the course of this study, junior residents routinely reviewed recorded FL exams demonstrating commonly seen pathologies as a group, providing a unique educational experience. In the study by Liu et al, the vast majority of attendings and residents felt that the portable recording technology enhanced resident education …”

“…Although their sample size was small, correlation of diagnosis was seen for all cases. Similarly, Liu et al used a smartphone video attachment to record nasopharyngolaryngoscopy exams on all consults seen by first‐ and second‐year otolaryngology residents . The recording, exam findings, and management plan were relayed to attending physicians who documented their own findings.…”

Smartphone capture of flexible laryngoscopy: Optics, subsite visualization, and patient satisfaction

“…A limited number of studies have investigated the value of recording endoscopic exams with smartphone adaptors in terms of diagnostic accuracy and resident education . However, only one previous study has looked at optical parameters .…”

“…A limited number of studies have investigated the value of recording endoscopic exams with smartphone adaptors in terms of diagnostic accuracy and resident education. [2][3][4][5] However, only one previous study has looked at optical parameters. 3 Liu et al found no significant difference in video quality ratings between endoscopy video tower recordings and smartphone adapter recordings.…”