Is the training for paranasal sinus surgery really effective in our medical residencies?

Stamm, Aldo Cassol

doi:10.1016/j.bjorl.2015.03.002

Cited by 2 publications

(2 citation statements)

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“…Due to the changing educational environment, questions have been raised about the effectiveness of current teaching methods and how we might better accomplish educational missions. 8 The Society of American Gastrointestinal and Endoscopic Surgeons has been at the forefront in establishing the need for curriculum development, surgical simulators, and assessment of proficiency. 9–12 Within otolaryngology, individual efforts have also been made, though no unified effort of this kind has taken place.…”

Section: Discussionmentioning

confidence: 99%

The Role of Simulation in Teaching Sinus Surgery in Otolaryngology Residency: A Survey of Rhinologists

Chen

Chang

Weitzel

et al. 2016

Allergy�Rhinol (Providence)

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Background:Simulation is currently recognized as an effective surgical training tool. However, no standardized curriculum exists for endoscopic sinus surgery (ESS) simulation training. The goal of this study was to obtain an understanding of current ESS simulation use to aid the future development of an ESS training curriculum.Methods:A 14-question survey regarding sinus simulation in residency training was developed through the education committee of the American Rhinologic Society. The survey was administered to academic American Rhinologic Society members in the United States, Canada, and Puerto Rico. The participants provided information regarding the type, amount, and effectiveness of simulation use in their residency program.Results:Responses were received from 67 training programs; 45% of the programs endorsed using simulation training, although only 23.9% used ESS simulation, and all the programs used cadavers. Only 12.5% of respondent programs required ESS simulation training before operating on live patients, and trainees had an average of <6 hours of simulation training before live operations. A majority of respondents observed subjective improvement in residents' endoscope handling, dexterity, and understanding of anatomy after ESS simulation. The greatest obstacles identified were associated cost and lack of realistic simulators.Conclusion:A majority of responders observed improved surgical technique and knowledge in residents after simulation training. However, <25% of the survey responders used ESS simulation and cited cost and limited availability as the most common barriers. A curriculum of validated simulators has potential to improve the quality of ESS training during residency.

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Section: Discussionmentioning

confidence: 99%

The Role of Simulation in Teaching Sinus Surgery in Otolaryngology Residency: A Survey of Rhinologists

Chen

Chang

Weitzel

et al. 2016

Allergy�Rhinol (Providence)

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“…A positive correlation between VR training and performance of FESS was established by numerous studies. 2,7 Although students demonstrated greater dexterity and fewer mistakes after practicing with simulation-based training, 8 once in the operating room (OR), attending physicians still sustained the challenge of instructing students through traversing the nasal cavity. Due to the nature of endoscopy, much of the teaching that occurs in the OR during an FESS is verbal particularly because of the impracticality for a physician to assist with an endoscope.…”

Section: Methodsmentioning

confidence: 99%

Intraoperative Functional Endoscopic Sinus Surgery Training: Efficient Teaching Techniques—A New Method

Sandhaus

Chen

2018

Clin Med Insights Ear Nose Throat

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Introduction:Functional endoscopic sinus surgery is a complex procedure used by otorhinolaryngologists to treat a host of nasal sinus pathologies. Due to the involved nasal anatomy and the nature of the procedure, teaching residents to use an endoscope is challenging. Simulation labs have been helpful but intraoperative instruction can still present difficulty in communication between resident and attending physicians during the teaching process. The purpose of this is to hypothesize a method of teaching intraoperatively that can be used supplemental to or independently of virtual reality teaching.Method:Literature review to determine current intraoperative verbal teaching methods used by surgeons was performed. Review was also performed on the effects of simulation techniques in preparing residents for the operating room. Although this was not a systematic review including statistical analysis, a gap was found in the literature on how residents can be efficiently taught intraoperatively to navigate an endoscope while maintaining patient safety. A novel and inexpensive method has been devised as a possible teaching method.Conclusions:Extensive literature is not available in intraoperative teaching techniques. It is therefore uncertain whether such a method has been used before. Further study, possibly in the form of surveys and intraoperative trials, must be done to determine the effectiveness of this mechanism.

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Is the training for paranasal sinus surgery really effective in our medical residencies?

Cited by 2 publications

References 0 publications

The Role of Simulation in Teaching Sinus Surgery in Otolaryngology Residency: A Survey of Rhinologists

The Role of Simulation in Teaching Sinus Surgery in Otolaryngology Residency: A Survey of Rhinologists

Intraoperative Functional Endoscopic Sinus Surgery Training: Efficient Teaching Techniques—A New Method

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