Acquisition of diagnostic and surgical skills in otorhinolaryngology: a comparison of France and Germany

Oker, N.; Escabasse, Virginie; Alotaibi, Naif H.; Coste, A.; Albers, Andreas E.

doi:10.1007/s00405-015-3632-7

Cited by 4 publications

(1 citation statement)

References 10 publications

(22 reference statements)

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“…Germany) reported difficulty in obtaining operative experience, which was felt to be allocated unfairly based on the approval of senior doctors. A 2015 survey-based study cites this one reason for a disparity in trainees' reports of their surgical competence between Germany and France (6) . Nevertheless, trainee quality-of-life and working conditions were reportedly highest in Germany compared to Spain and France, where low pay in inflexible working conditions was cited by residents (7) .…”

Section: The Union Européenne Des Médecins Spécialistes (Uems)mentioning

confidence: 99%

Training in ENT; a comprehensive review of existing evidence

Šurda¹,

Barac²,

Deghani³

et al. 2018

RHINOL

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Despite an expansion of fellowship opportunities over the last three decades, there is still incomplete regulation and standardisation of fellowship training. The aim of this comprehensive review was to examine existing evidence about the ear, nose and throat (ENT) training, especially focused on surgical and non-surgical aspects of the training. It is challenging to critically evaluate and compare training programmes across nations for several reasons. Studies on the subject rely entirely on trainee self-reports, without any objective comparators between groups. No evidence exists that directly compares the theoretical or practical attainment of trainees between nations. More fundamentally, trainee exposure to, and competence in, elective surgical procedures, is not the sole measure of a training programme, nor can it be viewed in isolation from the health system's expectations of a newlyqualified specialist, which may vary. During recent years, the Internet and e-learning methods were implemented into the training curriculum. Also, there is an increasing number of platforms that can host the ENT learning content free of charge. Novel educational tools are powerful alternative to standard teaching techniques within otorhinolaryngology education for both residents and medical students. Overall evidence for virtual reality (VR) simulators could be implemented as adjunct in training programs but cannot replace conventional methods. This is mainly due to the fact that actual surgical outcomes after VR training have not been studied so far, but may be the content of future larger scale studies. The otolaryngologists' non-surgical training needs to extend beyond the limits of ENT as skills and experience in areas of ENT, respiratory medicine, allergology, infectious diseases, radiology and oncology are required in the diagnosis and management of ENT diseases.

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Section: The Union Européenne Des Médecins Spécialistes (Uems)mentioning

confidence: 99%

Training in ENT; a comprehensive review of existing evidence

Šurda¹,

Barac²,

Deghani³

et al. 2018

RHINOL

View full text Add to dashboard Cite

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Otorhinolaryngology residency in Spain: training satisfaction, working environment and conditions

Oker

Alotaibi

Herman

et al. 2016

Eur Arch Otorhinolaryngol

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Europe-wide efforts are being initiated to define quality standards and harmonize Otolaryngology, Head and Neck Surgery (ORL-HNS)-specialty-training by creating an European board examination. However, differences within and between countries remain and are underinvestigated making comparisons and further improvement more difficult. The study aimed at assessing quality of training, satisfaction and quality of life of residents and recent ORL-HNS specialists in Spain and to trace similarities and differences to France and Germany administering anonymous online-questionnaire to ORL-HNS-residents and recent specialists. 146 questionnaires were returned with answers of 75.6 % of residents, a mean age of 30 years and a female to male ratio of 1.46:1. The global satisfaction of training was high as 76 % would choose the same ENT training again, 86 % confirmed that responsibilities which were given to them were adapted to their level of training and 97 % felt well considered in their department. Ninety-two confirmed that helpful seniors contributed to a good work environment (75 %) and to a good organization within the department (69 %). The respondents spent on average 8.8 h per day at the hospital and covered on average 4.8 night duties or week-end shifts per month with mostly no post-day off (86 %). Seventy-four percent participated regularly at complementary training sessions. Research work was supported and guided in 59 %. This study is the first one, to our best of knowledge, to assess the ORL-HNS-training in Spain and to trace parallelisms and differences to other European countries, such as France and Germany. The satisfaction of training and supervision was high in Spain, but there are still efforts to make concerning resident's quality of life. Compared to France and Germany, satisfaction with ORL-HNS-training and the support and guidance provided by seniors was similar. Work conditions were comparable to those in France. Motivation, teaching and scientific output was higher in Spain, despite the salary being the lowest.

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European otorhinolaryngology training programs: results of a European survey about training satisfaction, work environment and conditions in six countries

Oker

Alotaibi

Reichelt

et al. 2017

Eur Arch Otorhinolaryngol

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ORL-students and residents have an ongoing debate about the "best" programme in Europe. Aim of this study was to comparatively assess differences among programmes in training, satisfaction, quality of life (QoL) of residents and recent otorhinolaryngologist (ORL) specialists in France, Germany, Spain, Italy, Austria, and Belgium. A self-administered anonymous questionnaire, structured in ten sections including general information, provided guidance, working environment, training structure, teaching of medical students, publication work, QoL, and satisfaction with training, were emailed to residents and recent ORL specialists. 476 returned questionnaires from 6 countries revealed that daily work hours were the highest in France and Belgium with 11 and 10.4 h on average, respectively. QoL, work conditions, and salary were best in Germany followed by Austria in terms of possibility of part-time contracts, better respect for post-duty day off, and compensation for overtime. Satisfaction with training including support and guidance of seniors was lowest in Italy, but, on the other hand, the publication work and support had a more important place than in other countries. In Belgium, there was some gap between the quality of teaching and feedback from seniors as well as apprenticeship. The highest satisfaction with training was in France and Spain followed by Austria. The study results provide guidance before choosing an ORL training programme in Europe. Country-specific strengths could be included into future harmonization efforts to improve all programmes, facilitate professional exchange and, finally, establish standards-of-care carried out by well-trained doctors also looking after a satisfying work-life balance.

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Acquisition of diagnostic and surgical skills in otorhinolaryngology: a comparison of France and Germany

Cited by 4 publications

References 10 publications

Training in ENT; a comprehensive review of existing evidence

Training in ENT; a comprehensive review of existing evidence

Otorhinolaryngology residency in Spain: training satisfaction, working environment and conditions

European otorhinolaryngology training programs: results of a European survey about training satisfaction, work environment and conditions in six countries

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