Program Directors??? Opinions about Surgical Competency in Otolaryngology Residents

Carr, Michele M.

doi:10.1097/01.mlg.0000163101.12933.74

Cited by 37 publications

(32 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is acknowledged that competency may be achieved at different rates by different individuals [24]. In addition, competency does not equal expertise.…”

Section: Discussionmentioning

confidence: 99%

The University of Pennsylvania Curriculum for Training Otorhinolaryngology Residents in Transoral Robotic Surgery

Sperry

O’Malley

Weinstein

2014

ORL

View full text Add to dashboard Cite

Purpose: To define a curriculum for the development of robotic surgical skills in otorhinolaryngology residency training. Methods: A systematic review of the current literature on robotic surgery training was performed. Based on prior reports in other specialties, a curriculum for otorhinolaryngology residents was created that progresses through several modules, including didactics, inanimate skills laboratory, and operative experience. Results: The curriculum for residents in otorhinolaryngology was designed as follows: didactics include an overview of the robotic device and instruments, a tutorial in basic controls and function, and a room setup and positioning. The anatomy and steps of transoral procedures are taught through books, videos, operative observations, and cadaver dissections. Skills are developed with a virtual reality robotic simulator and robotics labs. The operative experience progresses from case observation to bedside assistant to console surgeon. The role of the console surgeon progresses in a stepwise fashion, and the procedures of radical tonsillectomy, supraglottic partial laryngectomy, and base of tongue resection have been organized as a series of steps. Conclusion: A structured curriculum for training residents in transoral robotic surgery was developed. This training is important for otorhinolaryngology residents to acquire the knowledge and skills to perform robotic surgery safely.

show abstract

“…It is acknowledged that competency may be achieved at different rates by different individuals [24]. In addition, competency does not equal expertise.…”

Section: Discussionmentioning

confidence: 99%

The University of Pennsylvania Curriculum for Training Otorhinolaryngology Residents in Transoral Robotic Surgery

Sperry

O’Malley

Weinstein

2014

ORL

View full text Add to dashboard Cite

show abstract

“…Numerous studies [1,2,3 , [4][5][6][7][8]9 ] have examined the role of training programs in teaching stapes surgery. Yung et al…”

Section: Trainingmentioning

confidence: 99%

“…In a survey among 73 US otolaryngology program directors, Carr [9 ] found 60% of program directors agree that PGY-5 residents are competent as primary surgeons when performing stapedectomy. Though respondents felt that residents should perform an average of 10.5 stapedectomies to establish competence, graduate case-logs from 2002, as reported to the American Board of Otolaryngology, revealed the average graduate performed 6.8 stapedectomies.…”

Section: Trainingmentioning

confidence: 99%

Who should be a stapes surgeon? An otologist or a generalist?

Statham

Pensak

2006

Current Opinion in Otolaryngology & Head and Neck Surgery

View full text Add to dashboard Cite

show abstract

“…Studies have shown that 10–15 operative procedures are needed for technical and basic competency in mastoidectomy 48,49 . However, proficiency in surgical procedures requires substantially more practice—up to 100 procedures—but often at the cost of patient discomfort, longer procedural times and increased risk of complications 50 .…”

Section: Introductionmentioning

confidence: 99%

Otologic Skills Training

Wiet

Sørensen

Andersen

2017

Otolaryngologic Clinics of North America

View full text Add to dashboard Cite

Synopsis This review presents a summary of the current activity of simulation training for otologic skills. Simulation training has been demonstrated in a large spectrum of skills from simple otoscopy to advanced temporal bone surgical procedures and these are individually addressed. There is a wide variety of educational approaches, assessment tools and simulators in use including simple low cost task trainers to complex computer based virtual reality systems. A systematic approach to otologic skills training using adult learning theory concepts such as repeated and distributed practice, self-directed learning, and mastery learning is necessary for these educational interventions to be effective. Future directions include development of valid, universally accepted measures of performance to assess efficacy of simulation training interventions and for complex procedures, improvement in fidelity based on the educational goals for the particular skill.

show abstract

Program Directors??? Opinions about Surgical Competency in Otolaryngology Residents

Abstract: Surgical skill is one aspect of clinical competency, and this indicates agreement among program directors with regard to a set of benchmark skills we can use for concentrated evaluation efforts.

Cited by 37 publications

References 6 publications

The University of Pennsylvania Curriculum for Training Otorhinolaryngology Residents in Transoral Robotic Surgery

The University of Pennsylvania Curriculum for Training Otorhinolaryngology Residents in Transoral Robotic Surgery

Who should be a stapes surgeon? An otologist or a generalist?

Otologic Skills Training

Contact Info

Product

Resources

About