Literature DB >> 24912668

Otolaryngology-specific emergency room as a model for resident training.

Rosh K V Sethi1, Elliott D Kozin, Aaron K Remenschneider, Daniel J Lee, Richard E Gliklich, Mark G Shrime, Stacey T Gray.   

Abstract

OBJECTIVES/HYPOTHESIS: There is a paucity of data on junior resident training in common otolaryngology procedures such as ear debridement, nasal and laryngeal endoscopy, epistaxis management, and peritonsillar abscess drainage. These common procedures represent a critical aspect of training and are necessary skills in general otolaryngology practice. We sought to determine how a dedicated otolaryngology emergency room (ER) staffed by junior residents and a supervising attending provides exposure to common otolaryngologic procedures. STUDY
DESIGN: Retrospective review.
METHODS: Diagnostic and procedural data for all patients examined in the Massachusetts Eye and Ear Infirmary ER between January 2011 and September 2013 were evaluated.
RESULTS: A total of 12,234 patients were evaluated. A total of 5,673 patients (46.4%) underwent a procedure. Each second-year resident performed over 450 procedures, with the majority seen Monday through Friday (75%). The most common procedures in our study included diagnostic nasolaryngoscopy (52.0%), ear debridement (34.4%), and epistaxis control (7.0%)
CONCLUSIONS: An otolaryngology-specific ER provides junior residents with significant diagnostic and procedural volume in a concentrated period of time. This study demonstrates utility of a unique surgical education model and provides insight into new avenues of investigation for otolaryngology training.
© 2014 The American Laryngological, Rhinological and Otological Society, Inc.

Entities:  

Keywords:  Milestones project; otolaryngology emergency room; otolaryngology procedures; residency education

Mesh:

Year:  2014        PMID: 24912668      PMCID: PMC4465099          DOI: 10.1002/lary.24766

Source DB:  PubMed          Journal:  Laryngoscope        ISSN: 0023-852X            Impact factor:   3.325


  12 in total

1.  The next GME accreditation system--rationale and benefits.

Authors:  Thomas J Nasca; Ingrid Philibert; Timothy Brigham; Timothy C Flynn
Journal:  N Engl J Med       Date:  2012-02-22       Impact factor: 91.245

2.  Program directors' opinions about surgical competency in otolaryngology residents.

Authors:  M M Carr
Journal:  Laryngoscope       Date:  2005-07       Impact factor: 3.325

3.  Otolaryngology resident workflow: a time-motion and efficiency study.

Authors:  Andrew Victores; Jess Roberts; Angela Sturm-O'Brien; Nina Victores; Wil Uecker; Bobby Alford; Mas Takashima
Journal:  Otolaryngol Head Neck Surg       Date:  2011-05       Impact factor: 3.497

4.  Extremes in otolaryngology resident surgical case numbers.

Authors:  Tara L Rosenberg; Christine B Franzese
Journal:  Otolaryngol Head Neck Surg       Date:  2012-05-03       Impact factor: 3.497

5.  An acute care surgery rotation contributes significant general surgical operative volume to residency training compared with other rotations.

Authors:  Matthew D Stanley; Daniel L Davenport; Levi D Procter; Jacob E Perry; Paul A Kearney; Andrew C Bernard
Journal:  J Trauma       Date:  2011-03

Review 6.  Training and simulation in otolaryngology.

Authors:  Gregory J Wiet; Don Stredney; Dinah Wan
Journal:  Otolaryngol Clin North Am       Date:  2011-12       Impact factor: 3.346

7.  Impact of duty hour restrictions on otolaryngology training: divergent resident and faculty perspectives.

Authors:  Joseph D Brunworth; Raj Sindwani
Journal:  Laryngoscope       Date:  2006-07       Impact factor: 3.325

8.  Impact of duty hour limits on resident training in otolaryngology.

Authors:  Evan R Reiter; Denise R Wong
Journal:  Laryngoscope       Date:  2005-05       Impact factor: 3.325

9.  ORL emergencies boot camp: using simulation to onboard residents.

Authors:  Sonya Malekzadeh; Kelly M Malloy; Eugenia E Chu; Jared Tompkins; Alexis Battista; Ellen S Deutsch
Journal:  Laryngoscope       Date:  2011-09-06       Impact factor: 3.325

10.  Creation of an emergency surgery service concentrates resident training in general surgical procedures.

Authors:  Hesham M Ahmed; Stephen C Gale; Meredith S Tinti; Adam M Shiroff; Aitor C Macias; Stancie C Rhodes; Marissa A Defreese; Vicente H Gracias
Journal:  J Trauma Acute Care Surg       Date:  2012-09       Impact factor: 3.313

View more
  3 in total

1.  Prospective audit of a dedicated ear, nose and throat emergency department and 24-year comparison.

Authors:  R S R Woods; E Keane; C V Timon; S Hone
Journal:  Ir J Med Sci       Date:  2016-01-29       Impact factor: 1.568

2.  Diagnostic flexible pharyngo-laryngoscopy: development of a procedure specific assessment tool using a Delphi methodology.

Authors:  Jacob Melchiors; Mikael Johannes Vuokko Henriksen; Frederik G Dikkers; Javier Gavilán; J Pieter Noordzij; Marvin P Fried; Daniel Novakovic; Johannes Fagan; Birgitte W Charabi; Lars Konge; Christian von Buchwald
Journal:  Eur Arch Otorhinolaryngol       Date:  2018-02-13       Impact factor: 2.503

3.  Assessment of Approaches of Otorhinolaryngologists in Facial Plastic and Nasal Surgery: A Survey Study.

Authors:  Ahmet Altıntaş; Yakup Yeğin; Mustafa Çelik; Tevfik Sözen; Gürkan Kayabaşoğlu; Ömer Taşkın Yücel; Fazıl Apaydın
Journal:  Turk Arch Otorhinolaryngol       Date:  2017-08-14
  3 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.