ENT training amongst general practitioners: results from a questionnaire

Dimitrov, L; Unadkat, Samit; Khanna, Amit; Rennie, Catherine; Saleh, Hesham

doi:10.1017/s0022215120000201

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…Their study concluded that general practitioners reported insufficient exposure to ENT during both post-graduate and undergraduate training. 14 Regarding the chart review that was performed as a part of this analysis, our findings corroborate those published by Gurgel et al, with 14.3% of total patient visits accounting for otolaryngological diagnoses. Our review further delineated that a large portion of patients presented to shelter clinics specifically with complaints of rhinitis, sinusitis, cough, GERD, and hearing loss (53.08%, n = 97).…”

Section: Discussionsupporting

confidence: 90%

An Integrative Model of ENT Healthcare for the Homeless Population

Patel,

Shah,

Poulson

et al. 2024

The Laryngoscope

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ObjectiveOur aim was to determine the need for otolaryngology care within the homeless population, identify barriers to access that the homeless population may face, and develop a model system which would address these needs with respect to the barriers.MethodsA retrospective chart review of 812 patients seen between 1/25/16–3/21/2020 was performed. Charts were obtained from homeless patients seen at free general clinics held shelters in Chicago, IL (781 charts) and in Champaign, IL (31 charts). Records reporting at least one otolaryngology disease in a patient experiencing homelessness were included in this study. Patients were considered homeless if they resided at the shelter at the time of their appointment. To determine common barriers to care, a simple yes/no questionnaire was administered to residents at west‐side Chicago homeless shelters. Questions addressed barriers to health care access that had been mentioned by patients seen at free clinics.ResultsChart review findings demonstrated that 14.3% (n = 142) of all homeless patients seen at free in‐shelter clinics were seen for ENT‐related disorders. Survey results revealed that 76.3% (n = 71) of respondents believed that telemedicine services would be useful in shelters. 74.2% (n = 69) stated they were unable to afford prescribed medications. 93.5% (n = 87) stated that better access to transportation would increase their likelihood of seeking care.ConclusionsIn our attempt to bridge this inequity, we have launched a hybrid in‐person/virtual care program to improve access to otolaryngology care for the homeless community.Level of EvidenceN/A Laryngoscope, 2024

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Section: Discussionsupporting

confidence: 90%

An Integrative Model of ENT Healthcare for the Homeless Population

Patel,

Shah,

Poulson

et al. 2024

The Laryngoscope

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“…However, not all general practitioners feel confident to teach ENT; therefore, ENT teaching in the community could be delivered through a 'hub and spoke model' whereby multiple practices collaborate and teach ENT in a single practice. 27 We have talked in the past about GP hubs because in any one general practice that you also don't have people that are confident in every-thing… Maybe it's the same for ENT to ensure that the right person is teaching the students… you could have tutorials with several students or going to one practice maybe, and that GP, upskilling other GPs to teach the important facets. (Black, curriculum developer) Finally, while primary care has the potential to provide students with much of the basic competences in ENT, it is unable to replace the value presented by ENT experience in secondary care.…”

Section: Ent Teaching In General Practicementioning

confidence: 99%

The provision of ENT teaching in the undergraduate medical curriculum: a review and recommendations

2021

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Objective The existing provision of ENT teaching in the undergraduate curriculum is deemed inadequate by medical students, general practitioners and ENT surgeons alike. This study aims to explore the perceptions of a variety of stakeholders on how undergraduate ENT provision can be optimised. Methods This study involved semi-structured interviews with seven participants (two medical students, two general practitioners, two ENT surgeons and a curriculum developer). Inductive thematic analysis was used to identify key themes that emerged from the interviews. Results The four emergent themes were evaluation of current ENT provision, barriers to learning and teaching, alternate means of delivery of ENT education, and professional identity development. A number of barriers to learning and teaching in the clinical environment were identified including student-related, teacher-related and environmental factors. Conclusion The existing ENT provision should be re-considered to help students achieve a basic level of competence in managing common ENT conditions. This can be achieved by ENT teaching in additional contexts including general practice, e-learning and simulation workshops.

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“…The run-through scheme increased trainer engagement and gave geographical stability to the trainees, who were well motivated from an early stage in their medical careers. This complements surveys of the attitudes and experiences towards ENT training of students and general practitioners, investigated in recent issues of The Journal , 12,13 and a more historical but seminal article in The Journal on undergraduate ENT education. 14…”

mentioning

confidence: 93%

Acute ENT care, cochlear implantation and otitis media in the pandemic, and ENT post-graduate education

Fisher¹,

Fishman²

2021

J. Laryngol. Otol.

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We reach this month, the first anniversary of the West hearing the word 'lockdown', in relation to a large city in China. Wuhan is an important academic and commercial hub, but was perhaps not a place known to the majority of the world's population until a year ago. We at The Journal of Laryngology & Otology continue to receive a flow of articles in relation to coronavirus disease 2019 (Covid-19) from around the world, and endeavour to publish those that we feel add something new, interesting or useful. Colleagues grapple globally with the basic sciences relevant to ENT, the practicalities and the implications for ENT services during this 'war' with a virus and its aftermath. Despite the increase in article submissions, being a journal editor at the moment is surely more comfortable than being a local or national politician. The Oxford English Dictionary notes a dramatic increase during 2020 of words such as 'circuit breaker', 'lockdown', 'shelter-in-place', 'bubbles', 'face masks' and 'key workers'. The over-use of 'unprecedented' is often mentioned, but the Oxford English Dictionary comments: '…what was genuinely unprecedented this year was the hyper-speed at which the English-speaking world amassed a new collective vocabulary relating to the coronavirus, and how quickly it became, in many instances, a core part of the language'. 1 We approach the anniversary of the coining of 'Covid-19', which first appeared in February 2020. This issue covers the matters of otitis media in the Covid-19 era, from Iran; 2 the feasibility of paediatric cochlear implantation, from the North of England; 3 rapid access (urgent) ENT care, 4 protection during microlaryngoscopy, 5 dysgeusia symptoms 6 and transnasal humidified rapid-insufflation ventilatory exchange ('THRIVE') during the pandemic. 7 This supplements and complements recent articles in The Journal on acute care, by Osborne and colleagues, 8 on ethics, by Leonard, 9 and on smell and taste dysfunction, by Jain and colleagues. 10 The imposed unwelcome revolution in working practices has been superimposed on an evolution of education and training in ENT, not only in the UK, but around the world. Surgical colleges, regulatory bodies (such as the General Medical Council), specialty associations, hospitals, deaneries and universities have all been grappling with this. How to reconcile a need for ENT skills in the general medical workforce (general practitioners and others) and specialists with the barriers imposed by a crowded undergraduate and postgraduate curriculum? Undergraduate and postgraduate curricula are increasingly time-pressured, and a political imperative to increase throughput must be balanced against a professional desire to maintain or improve quality. One such scheme in the UK has been 'run-through' training, in which young doctors make a firm commitment to the specialty (shortly after qualifying in medicine) and are carried right through to independent specialist practice. This issue of The Journal includes a representative survey of a cohort of recent traine...

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ENT training amongst general practitioners: results from a questionnaire

Cited by 7 publications

References 14 publications

An Integrative Model of ENT Healthcare for the Homeless Population

An Integrative Model of ENT Healthcare for the Homeless Population

The provision of ENT teaching in the undergraduate medical curriculum: a review and recommendations

Acute ENT care, cochlear implantation and otitis media in the pandemic, and ENT post-graduate education

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