Assessing Fundamental 2-Dimensional Understanding of Basic Soft Tissue Techniques

Jabbour, Noel; Dobratz, Eric J.; Dresner, Harley S.; Hilger, Peter A.

doi:10.1016/j.jsurg.2010.12.006

Cited by 7 publications

(7 citation statements)

References 10 publications

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“…Of the 48 studies that described medical knowledge, 6 were surveys, 27 were prospective studies, 5 were randomized clinical trials, 3 were case-control studies, 1 was a cross-sectional study, and 3 were retrospective studies. Twenty-nine studies were from North America and published after 2002; 17 were multi-institutional, and 21 of the 29 studies focused solely on medical knowledge.…”

Section: Resultsmentioning

confidence: 99%

“…Newer methods, such as simulation and models, have also been reported in the otolaryngology residency education literature to improve and assess these core competencies. Our review included 13 studies 12,31,37,41,42,46,51,54,55,61,81,92,100 using simulation as an assessment tool. This finding mirrors the education literature for many specialties that use simulators to establish competency before performing surgery on a live patient.…”

Section: Discussionmentioning

confidence: 99%

“…Simulation was used to assess medical knowledge in 14 studies. 13,22,23,28,32,89,91,92,95,97,98,100,107,110 Two studies 95,107 described the use of temporal bone simulators to measure resident technical skills in mastoid surgery. Both studies found that use of the virtual reality temporal bone simulator improved resident technical skills.…”

Section: Medical Knowledgementioning

confidence: 99%

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Otolaryngology Resident Education and the Accreditation Council for Graduate Medical Education Core Competencies

Faucett

Barry

McCrary

et al. 2018

JAMA Otolaryngol Head Neck Surg

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Medical Knowledgementioning

confidence: 99%

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Otolaryngology Resident Education and the Accreditation Council for Graduate Medical Education Core Competencies

Faucett

Barry

McCrary

et al. 2018

JAMA Otolaryngol Head Neck Surg

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“…20 Finally, written examinations imply having residents complete a standardized set of printed or computed-based questions, ranging from drawing a step of the procedure to providing short answers or descriptions. 21 A graph analysis of these evaluation methods as well as their representation throughout available literature is presented in Figure 2 .…”

Section: Resultsmentioning

confidence: 99%

“…Virtual reality has been used to simulate surgical situations and cases, enabling the resident to explore techniques safely and redo procedures as needed, while allowing automated or direct staff evaluation 20 . Finally, written examinations imply having residents complete a standardized set of printed or computed‐based questions, ranging from drawing a step of the procedure to providing short answers or descriptions 21 . A graph analysis of these evaluation methods as well as their representation throughout available literature is presented in Figure 2.…”

Section: Resultsmentioning

confidence: 99%

Objective Assessment of Technical Skills in Otorhinolaryngology–Head and Neck Surgery Residents: A Systematic Review

Mercier

Chagnon-Monarque

Lavigne

et al. 2017

Otolaryngol.--head neck surg.

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Objectives The primary goal is the indexation of validated methods used to assess surgical competency in otorhinolaryngology-head and neck surgery (ORL-HNS) residents. Secondary goals include assessment of the reliability and validity of these tools, as well as the documentation of specific procedures in ORL-HNS involved. Data Sources MEDBASE, OVID, Medline, CINAHL, and EBM, as well as the printed references, available through the Université de Montréal library. Review Methods The PRISMA method was used to review digital and printed databases. Publications were reviewed by 2 independent reviewers, and selected articles were fully analyzed to classify evaluation methods and categorize them by procedure and subspecialty of ORL-HNS involved. Reliability and validity were assessed and scored for each assessment tool. Results Through the review of 30 studies, 5 evaluation methods were described and validated to assess the surgical competency of ORL-HNS residents. The evaluation method most often described was the combined Global Rating Scale and Task-Specific Checklist tool. Reliability and validity for this tool were overall high; however, considerable data were unavailable. Eleven distinctive surgical procedures were studied, encompassing many subspecialties of ORL-HNS: facial plastics, general ear-nose-throat, laryngology, otology, pediatrics, and rhinology. Conclusions Although assessment tools have been developed for an array of surgical procedures, involving most ORL-HNS subspecialties, the use of combined checklists has been repeatedly validated in the literature and shown to be easily applicable in practice. It has been applied to many ORL-HNS procedures but not in oncologic surgery to date.

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Utility of a Systematic Approach to Teaching Photographic Nasal Analysis to Otolaryngology Residents

Robitschek

Dresner

Hilger

2017

JAMA Facial Plast Surg

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IMPORTANCE Photographic nasal analysis constitutes a critical step along the path toward accurate diagnosis and precise surgical planning in rhinoplasty. The learned process by which one assesses photographs, analyzes relevant anatomical landmarks, and generates a global view of the nasal aesthetic is less widely described.OBJECTIVES To discern the common pitfalls in performing photographic nasal analysis and to quantify the utility of a systematic approach model in teaching photographic nasal analysis to otolaryngology residents. DESIGN, SETTING, AND PARTICIPANTSThis prospective observational study included 20 participants from a university-based otolaryngology residency program. The control and intervention groups underwent baseline graded assessment of 3 patients. The intervention group received instruction on a systematic approach model for nasal analysis, and both groups underwent postintervention testing at 10 weeks. Data were collected from October 1, 2015, through June 1, 2016. INTERVENTION A 10-minute, 11-slide presentation provided instruction on a systematic approach to nasal analysis to the intervention group.MAIN OUTCOMES AND MEASURES Graded photographic nasal analysis using a binary 18-point system. RESULTSThe 20 otolaryngology residents (15 men and 5 women; age range, 24-34 years) were adept at mentioning dorsal deviation and dorsal profile with focused descriptions of tip angle and contour. Areas commonly omitted by residents included verification of the Frankfort plane, position of the lower lateral crura, radix position, and ratio of the ala to tip lobule. The intervention group demonstrated immediate improvement after instruction on the teaching model, with the mean (SD) postintervention test score doubling compared with their baseline performance (7.5 [2.7] vs 10.3 [2.5]; P < .001). At 10 weeks after the intervention, the mean comparative improvement in overall graded nasal analysis was 17% (95% CI, 10%-23%; P < .001).CONCLUSIONS AND RELEVANCE Otolaryngology residents demonstrated proficiency at incorporating nasal deviation, tip angle, and dorsal profile contour into their nasal analysis. They often omitted verification of the Frankfort plane, position of lower lateral crura, radix depth, and ala-to-tip lobule ratio. Findings with this novel 10-minute teaching model should be validated at other teaching institutions, and the instruction model should be further enhanced to teach more sophisticated analysis to residents as they proceed through training. LEVEL OF EVIDENCE NA.

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Assessing Fundamental 2-Dimensional Understanding of Basic Soft Tissue Techniques

Cited by 7 publications

References 10 publications

Otolaryngology Resident Education and the Accreditation Council for Graduate Medical Education Core Competencies

Otolaryngology Resident Education and the Accreditation Council for Graduate Medical Education Core Competencies

Objective Assessment of Technical Skills in Otorhinolaryngology–Head and Neck Surgery Residents: A Systematic Review

Utility of a Systematic Approach to Teaching Photographic Nasal Analysis to Otolaryngology Residents

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