How I do it: a simulator of the ear for developing otomicroscopy skills during the coronavirus disease 2019 pandemic

Shenton, Catriona; Aucott, W.

doi:10.1017/s0022215120002261

Cited by 4 publications

(4 citation statements)

References 11 publications

(14 reference statements)

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“…1, flowchart) and study characteristics are provided in Table 2. Twenty-one studies (18–38) described only development/technical aspects of simulation models and were categorized as “descriptive.” Twenty-five studies (5,39–62) evaluated models for training/educational purposes or assessment of MT skills and were categorized as “educational.” Overall, we found 31 unique physical models and three different VR models.…”

Section: Resultsmentioning

confidence: 99%

“…A majority of the survey studies and one observational study had a Kirkpatrick level 1 educational outcome such as perceived realism of the model and/or opinion on its potential use for training (5,44,46,48,56,57,61). Generally, the different models were perceived to be of moderate to high realism and potentially beneficial to trainees' skills acquisition.…”

Section: Outcomes Of Simulation-based Trainingmentioning

confidence: 99%

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Current Evidence for Simulation-Based Training and Assessment of Myringotomy and Ventilation Tube Insertion: A Systematic Review

Hovgaard

Al-Shahrestani

Andersen

2021

Otology &Amp; Neurotology

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Objective: Myringotomy and ventilation tube insertion (MT) is a key procedure in otorhinolaryngology and can be trained using simulation models. We aimed to systematically review the literature on models for simulation-based training and assessment of MT and supporting educational evidence. Databases Reviewed: PubMed, Embase, Cochrane Library, Web of Science, Directory of Open Access Journals. Methods: Inclusion criteria were MT training and/or skills assessment using all types of training modalities and learners. Studies were divided into 1) descriptive and 2) educational interventional/observational in the analysis. For descriptive studies, we provide an overview of available models including materials and cost. Educational studies were appraised using Kirkpatrick's level of educational outcomes, Messick's framework of validity, and a structured quality assessment tool. Results: Forty-six studies were included consisting of 21 descriptive studies and 25 educational studies. Thirty-one unique physical and three virtual reality simulation models were identified. The studies report moderate to high realism of the different simulators and trainees and educators perceive them beneficial in training MT skills. Overall, simulation-based training is found to reduce procedure time and errors, and increase performance as measured using different assessment tools. None of the studies used a contemporary validity framework and the current educational evidence is limited. Conclusion: Numerous simulation models and assessment tools have been described in the literature but educational evidence and systematic implementation into training curricula is scarce. There is especially a need to establish the effect of simulation-based training of MT in transfer to the operating room and on patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Outcomes Of Simulation-based Trainingmentioning

confidence: 99%

Current Evidence for Simulation-Based Training and Assessment of Myringotomy and Ventilation Tube Insertion: A Systematic Review

Hovgaard

Al-Shahrestani

Andersen

2021

Otology &Amp; Neurotology

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“…With these challenges faced by Otolaryngology residents, the need for simulation models has become more apparent for developing skills that include otomicroscopy, myringotomy and ventilation tube insertion. [11][12][13] A recent international survey of Otolaryngologists during the Covid-19 pandemic reported that 90 percent of respondents supported the use of surgical simulation in training. However, many did not have access to these tools at their institutions.…”

Section: Discussionmentioning

confidence: 99%

A novel approach to myringotomy simulation

et al. 2022

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Objective In the wake of the 2019 coronavirus disease pandemic, elective cases and opportunities for clinical application have decreased, and the need for useful simulation models has become more apparent for developing surgical skills. A novel myringotomy with ventilatory tube insertion simulation model was created. Methods Residents across all levels at our institution participated in the simulation. Participants were evaluated in terms of: time of procedure, microscope positioning, cerumen removal, identification of middle ear effusion type, canal wall trauma, tympanic membrane damage and tube placement. Results Eleven residents participated. Scores ranged from 14 to 34, out of a maximum of 40. The average score among junior and senior residents was 24 and 31, respectively. The simulation was felt to be representative of the operating theatre experience. Conclusion This study demonstrates a low-cost simulation model that captures several important, nuanced aspects of myringotomy with tube insertion, often overlooked in previously reported simulations.

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“…Given the reduction in clinical ENT exposure during the Covid-19 pandemic, this simulation session was extremely valuable in improving my confidence in managing such emergencies. Recent literature also shows innovative techniques in simulating aural microscopy skills and myringotomy and grommet insertion using simple tools ( Shenton and Aucott, 2020 ), which are useful in gaining and maintaining existing skills. In this way, simulation can be valuable adjunct for training during this period.…”

Section: Tipmentioning

confidence: 99%

12 Tips to Improve ENT Training During the Covid-19 Pandemic

Karunaratne¹

2021

MedEdPublish

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This article was migrated. The article was marked as recommended. Background: The Covid-19 pandemic has resulted in significant change to ENT practice, as it a high-risk speciality in terms of SARS-Cov-2 virus transmission. The reduction in theatre time, loss of face to face outpatient appointments and redeployment has contributed to significant loss of training opportunities for current ENT trainees. Aim: This paper provides twelve easy and simple tips for current ENT trainees to follow. Methods: Relevant literature was reviewed and the first named author’s personal experiences were drawn upon. Results: The twelve tips are (1) Try run a telephone clinic, (2) Evaluate face to face patients independently and make a management plan, (3) Gain formative feedback, (4) Make the ward round a learning opportunity, (5) Organise formal consultant led teaching, (6) Learn from the interprofessional team, (7) Attend online courses and webinars, (8) Take pictures when performing flexible nasoendoscopy , (9) Organise simulation sessions, (10) Gain surgical knowledge and exposure outside of the theatre setting, (11) Undertake an audit or quality improvement project and (12) Look after yourself and make mental health a priority Conclusion: These twelve tips should help the ENT trainee to maximise their learning opportunities and improve their training.

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How I do it: a simulator of the ear for developing otomicroscopy skills during the coronavirus disease 2019 pandemic

Cited by 4 publications

References 11 publications

Current Evidence for Simulation-Based Training and Assessment of Myringotomy and Ventilation Tube Insertion: A Systematic Review

Current Evidence for Simulation-Based Training and Assessment of Myringotomy and Ventilation Tube Insertion: A Systematic Review

A novel approach to myringotomy simulation

12 Tips to Improve ENT Training During the Covid-19 Pandemic

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