A survey of ENT experience in South West Peninsula general practitioner trainees: how can post-graduate ENT training be improved?

Easto, Rachel; Reddy, Venkat M.

doi:10.1017/s0022215116008665

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…It has been long recognised that GPs receive limited ENT training at both undergraduate and postgraduate level16 and this is particularly important in light of the number of ENT conditions that are initially seen in general practice. Our findings agree with previous research that GPs would like further ENT training,17 and that regional courses and updates might be useful to improve knowledge, clinical skills and referral pathways to secondary care.…”

Section: Discussionsupporting

confidence: 92%

Management strategies for chronic rhinosinusitis: a qualitative study of GP and ENT specialist views of current practice in the UK

et al. 2018

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ObjectivesTo explore general practitioner (GP) and ears, nose and throat (ENT) specialist perspectives of current treatment strategies for chronic rhinosinusitis (CRS) and care pathways through primary and secondary care.DesignSemi-structured qualitative telephone interviews as part of the MACRO programme (Defining best Management for Adults with Chronic Rhinosinusitis)SettingPrimary care and secondary care ENT outpatient clinics in the UK.ParticipantsTwelve GPs and 9 ENT specialists consented to in-depth telephone interviews. Transcribed recordings were managed using NVivo software and analysed using inductive thematic analysis.Main outcome measuresHealthcare professional views of management options and care pathways for CRS.ResultsGPs describe themselves as confident in recognising CRS, with the exception of assessing nasal polyps. In contrast, specialists report common missed diagnoses (eg, allergy; chronic headache) when patients are referred to ENT clinics, and attribute this to the limited ENT training of GPs. Steroid nasal sprays provide the foundation of treatment in primary care, although local prescribing restrictions can affect treatment choice and poor adherence is perceived to be the causes of inadequate symptom control. Symptom severity, poor response to medical treatment and patient pressure drive referral, although there is uncertainty about optimal timing. Treatment decisions in secondary care are based on disease severity, polyp status, prior medical treatment and patient choice, but there is major uncertainty about the place of longer courses of antibiotics and the use of oral steroids. Surgery is regarded as an important treatment option for patients with severe symptoms or with nasal polyps, although timing of surgery remains unclear, and the uncertainty about net long-term benefits of surgery makes balancing of benefits and risks more difficult.ConclusionsClinicians are uncertain about best management of patients with CRS in both primary and secondary care and practice is varied. An integrated care pathway for CRS is needed to improve patient management and timely referral.

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Section: Discussionsupporting

confidence: 92%

Management strategies for chronic rhinosinusitis: a qualitative study of GP and ENT specialist views of current practice in the UK

et al. 2018

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“…15 Likewise, 57% of general practitioner trainees in the UK reported 1 week or less of OHNS exposure during their undergraduate training. 5 In a Canadian survey, the majority of residents expressed inadequate OHNS training in UME with “very little” classroom (57%) and clinical instruction (63%). 16…”

Section: Introductionmentioning

confidence: 99%

“…1 Yet, studies from around the world consistently find otolaryngology—head and neck surgery (OHNS) to be underrepresented in undergraduate medical curricula. 2-7…”

Section: Introductionmentioning

confidence: 99%

Do Medical Students Receive Adequate Otolaryngology Training? A Canadian Perspective

Rosvall

Singer

Fung

et al. 2020

Ann Otol Rhinol Laryngol

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Objectives: Otolaryngology—head and neck surgery (OHNS) training has been found to be underrepresented in medical school curricula. The study aimed to assess (i) students’ clinical OHNS exposure, (ii) their confidence managing OHNS conditions, and (iii) the correlation between OHNS exposure and confidence managing OHNS conditions. Methods: Fourth-year medical students at two Canadian Universities completed a survey assessing baseline characteristics, OHNS training, and confidence managing OHNS conditions. Results: Of 87 returned surveys, 46 students had no clinical OHNS exposure, while 29 felt there was adequate OHNS exposure. The majority of students lacked confidence recognizing conditions requiring emergent referral. Students with greater OHNS training had greater confidence managing OHNS conditions ( r = 0.267, P = .012). Conclusion: The majority of medical students have minimal OHNS exposure. Students with greater OHNS exposure have greater confidence managing OHNS conditions. A review of Canadian medical school curricula is warranted to ensure adequate OHNS exposure.

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“…An online general practitioner trainee survey conducted by Easto and Reddy, with a response rate of 60.5 per cent, found that nearly 60 per cent of general practitioner trainees spent no time in ENT posts in post-graduate training, and 65 per cent of general practitioner trainees received no formal ENT teaching after medical school. 3 However, 93.4 per cent of trainees were keen to attend a 1-day ENT course if provided locally. Locally available courses for general practitioner trainees made up of local experts is therefore encouraged, especially given that within primary care 15-20 per cent of adult presentations and up to 50 per cent of paediatric presentations are ENT-related.…”

mentioning

confidence: 99%

“…ENT training is currently a topical issue. An online general practitioner trainee survey conducted by Easto and Reddy, with a response rate of 60.5 per cent, found that nearly 60 per cent of general practitioner trainees spent no time in ENT posts in post-graduate training, and 65 per cent of general practitioner trainees received no formal ENT teaching after medical school 3 . However, 93.4 per cent of trainees were keen to attend a 1-day ENT course if provided locally.…”

mentioning

confidence: 99%

Magenta red, Castellani's paint and an array of autumn colours

Fishman¹,

Youngs²,

Fisher³

et al. 2016

J. Laryngol. Otol.

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A survey of ENT experience in South West Peninsula general practitioner trainees: how can post-graduate ENT training be improved?

Cited by 8 publications

References 6 publications

Management strategies for chronic rhinosinusitis: a qualitative study of GP and ENT specialist views of current practice in the UK

Management strategies for chronic rhinosinusitis: a qualitative study of GP and ENT specialist views of current practice in the UK

Do Medical Students Receive Adequate Otolaryngology Training? A Canadian Perspective

Magenta red, Castellani's paint and an array of autumn colours

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