Otoskills training during covid-19 pandemic: a before-after study.
Medical education
Middle-ear
Simulation
Surgery
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
18 May 2021
18 May 2021
Historique:
received:
28
01
2021
accepted:
22
04
2021
entrez:
19
5
2021
pubmed:
20
5
2021
medline:
21
5
2021
Statut:
epublish
Résumé
The ongoing COVID-19 pandemic has disrupted the surgical training of residents. There is a real concern that trainees will not be able to meet their training requirements. Low-fidelity surgical simulation appears to be an alternative for surgical training. The educational benefits of repeating ossiculoplasty simulations under a microscope have never been evaluated. With this study we aimed to evaluate the differences in performance scores and on a global rating scale before and after training on an ossiculoplasty simulator. In this quasi-experimental, prospective, single-centre, before-after study with blinded rater evaluation, residents performed five microscopic ossiculoplasty tasks with a difficulty gradient (sliding beads onto rods, the insertion of a partial prosthesis, the insertion of a total prosthesis, and the insertion of a stapedotomy piston under microscopic or endoscopic surgery) before and after training on the same simulator. Performance scores were defined for each task, and total performance scores (score/min) were calculated. All data were collected prospectively. Six out of seven intermediate residents and 8/9 novices strongly agreed that the simulator was an effective training device and should be included in the ENT residency program. The mean effect of training was a significant increase in the total performance score (+ 0.52 points/min, [95 % CI, 0.40-0.64], p < 0.001), without a significant difference between novice and intermediate residents. This preliminary study shows that techniques for middle-ear surgery can be acquired using a simulator, avoiding any risk for patients, even under lockdown measures.
Sections du résumé
BACKGROUND
BACKGROUND
The ongoing COVID-19 pandemic has disrupted the surgical training of residents. There is a real concern that trainees will not be able to meet their training requirements. Low-fidelity surgical simulation appears to be an alternative for surgical training. The educational benefits of repeating ossiculoplasty simulations under a microscope have never been evaluated. With this study we aimed to evaluate the differences in performance scores and on a global rating scale before and after training on an ossiculoplasty simulator.
METHODS
METHODS
In this quasi-experimental, prospective, single-centre, before-after study with blinded rater evaluation, residents performed five microscopic ossiculoplasty tasks with a difficulty gradient (sliding beads onto rods, the insertion of a partial prosthesis, the insertion of a total prosthesis, and the insertion of a stapedotomy piston under microscopic or endoscopic surgery) before and after training on the same simulator. Performance scores were defined for each task, and total performance scores (score/min) were calculated. All data were collected prospectively.
RESULTS
RESULTS
Six out of seven intermediate residents and 8/9 novices strongly agreed that the simulator was an effective training device and should be included in the ENT residency program. The mean effect of training was a significant increase in the total performance score (+ 0.52 points/min, [95 % CI, 0.40-0.64], p < 0.001), without a significant difference between novice and intermediate residents.
CONCLUSIONS
CONCLUSIONS
This preliminary study shows that techniques for middle-ear surgery can be acquired using a simulator, avoiding any risk for patients, even under lockdown measures.
Identifiants
pubmed: 34006283
doi: 10.1186/s12909-021-02706-8
pii: 10.1186/s12909-021-02706-8
pmc: PMC8129703
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
284Références
J Laryngol Otol. 2019 Jul;133(7):571-574
pubmed: 31267887
BMC Med Educ. 2018 Aug 7;18(1):191
pubmed: 30086734
Med Educ. 2004 Oct;38(10):1095-102
pubmed: 15461655
J Laryngol Otol. 2016 Oct;130(10):954-961
pubmed: 27774923
Otolaryngol Head Neck Surg. 2020 Jul;163(1):38-41
pubmed: 32312158
J Surg Educ. 2018 Nov;75(6):1480-1485
pubmed: 29753685
Annu Rev Psychol. 1996;47:273-305
pubmed: 15012483
Otol Neurotol. 2017 Sep;38(8):1193-1197
pubmed: 28692591
Laryngoscope Investig Otolaryngol. 2019 Jul 17;4(4):387-392
pubmed: 31453346
Br J Surg. 1997 Feb;84(2):273-8
pubmed: 9052454
Am J Surg. 2005 Jul;190(1):107-13
pubmed: 15972181
BMC Med Educ. 2020 Dec 11;20(1):504
pubmed: 33308207
Acad Emerg Med. 2008 Nov;15(11):988-94
pubmed: 18778378
Laryngoscope. 2017 Apr;127(4):907-914
pubmed: 27075936
Med Educ. 2003 Mar;37(3):267-77
pubmed: 12603766
Am J Obstet Gynecol. 2005 Nov;193(5):1856-65
pubmed: 16260249
Am J Surg. 2007 Feb;193(2):237-42
pubmed: 17236854
J Surg Educ. 2015 Mar-Apr;72(2):212-9
pubmed: 25439178
Med Educ. 2015 Feb;49(2):161-73
pubmed: 25626747
JAMA. 2011 Sep 7;306(9):978-88
pubmed: 21900138
J Am Coll Surg. 2001 Nov;193(5):479-85
pubmed: 11708503
BMC Med Educ. 2021 Mar 25;21(1):184
pubmed: 33766007
Acad Med. 2015 Feb;90(2):246-56
pubmed: 25374041
BMC Med Educ. 2019 Apr 5;19(1):100
pubmed: 30953546
Acad Med. 2011 Jun;86(6):706-11
pubmed: 21512370
J Laryngol Otol. 2017 Nov;131(11):1010-1016
pubmed: 29081317
Ann R Coll Surg Engl. 1997 May;79(3):225-8
pubmed: 9196347
Med Educ. 2007 Aug;41(8):808-14
pubmed: 17661889
Laryngoscope. 2007 Feb;117(2):258-63
pubmed: 17204992