S Mackay1, S Holmes2, A Jones3. 1. Division of Otolaryngology Head and Neck Surgery,Wollongong Hospital,Wollongong,New South Wales,Australia. 2. Illawarra ENT Head and Neck Surgery Clinic,Wollongong,New South Wales,Australia. 3. Division of Respiratory and Sleep Medicine,Wollongong and Shellharbour Hospitals,New South Wales,Australia.
Abstract
BACKGROUND: The identification and treatment of adult obstructive sleep apnoea and other sleep-related breathing issues demands nuanced clinical judgement to determine if surgery is appropriate and which surgery should be performed. No study to date has evaluated the sleep medicine curriculum from the perspective of the Australian ENT surgical trainee, or addressed potential strategies for improving levels of surgical skill and knowledge in this field. METHODS: A cross-sectional survey was used to assess knowledge of sleep surgery in trainees enlisted with the Australian Society of Otolaryngology Head and Neck Surgery. After a cadaver dissection workshop on the latest reconstructive surgical techniques in adult OSA, a second survey was used to assess changes in the likelihood of applying techniques. RESULTS: Overall, trainee confidence, knowledge and exposure to sleep-disordered breathing cases averaged below 50 per cent. The cadaver dissection workshop achieved consistent improvements in all areas assessed. CONCLUSION: Low confidence and lack of exposure to sleep surgery cases for ENT trainees supports a broadening of the Australian Society of Otolaryngology Head and Neck Surgery curriculum. This paper outlines possible ways to improve this situation.
BACKGROUND: The identification and treatment of adult obstructive sleep apnoea and other sleep-related breathing issues demands nuanced clinical judgement to determine if surgery is appropriate and which surgery should be performed. No study to date has evaluated the sleep medicine curriculum from the perspective of the Australian ENT surgical trainee, or addressed potential strategies for improving levels of surgical skill and knowledge in this field. METHODS: A cross-sectional survey was used to assess knowledge of sleep surgery in trainees enlisted with the Australian Society of Otolaryngology Head and Neck Surgery. After a cadaver dissection workshop on the latest reconstructive surgical techniques in adult OSA, a second survey was used to assess changes in the likelihood of applying techniques. RESULTS: Overall, trainee confidence, knowledge and exposure to sleep-disordered breathing cases averaged below 50 per cent. The cadaver dissection workshop achieved consistent improvements in all areas assessed. CONCLUSION: Low confidence and lack of exposure to sleep surgery cases for ENT trainees supports a broadening of the Australian Society of Otolaryngology Head and Neck Surgery curriculum. This paper outlines possible ways to improve this situation.
Authors: Giovanni Cammaroto; Giulia Bianchi; Henry Zhang; Vik Veer; Bhik Kotecha; Ofer Jacobowitz; Marina Carrasco Llatas; Paula Martínez Ruiz de Apodaca; Rodolfo Lugo; Giuseppe Meccariello; Giannicola Iannella; Riccardo Gobbi; Song Tar Toh; Ying-Shuo Hsu; Ahmed Yassin Baghat; Jerome R Lechien; Christian Calvo-Henriquez; Carlos Chiesa-Estomba; Maria Rosaria Barillari; Badr Ibrahim; Tareck Ayad; Nicolas Fakhry; Paul Hoff; Eric Rodrigues Thuler; Lyndon Chan; Chloe Kastoer; Madeline Ravesloot; Andrea De Vito; Filippo Montevecchi; Claudio Vicini Journal: Sleep Breath Date: 2020-11-20 Impact factor: 2.816