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A novel approach to myringotomy simulation

Published online by Cambridge University Press:  02 March 2022

Z Kelly Open the ORCID record for Z Kelly [Opens in a new window] ,
A Cao ,
N Ahmedli  and
M Nassar
Z Kelly
Affiliation:
Department of Otolaryngology, Montefiore Medical Center, Bronx, New York, USA
A Cao
Affiliation:
Department of Otolaryngology, Montefiore Medical Center, Bronx, New York, USA
N Ahmedli
Affiliation:
Department of Otolaryngology, Montefiore Medical Center, Bronx, New York, USA
M Nassar*
Affiliation:
Department of Otolaryngology, Montefiore Medical Center, Bronx, New York, USA
*
Author for correspondence: Dr Michel Nassar, Department of Otolaryngology, Montefiore Medical Center, Third Floor, 3400 Bainbridge Avenue, Bronx, NY10467, USA E-mail: mnassar@montefiore.org Fax: +1 718 405 9014
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Abstract

Objective

In the wake of the 2019 coronavirus disease pandemic, elective cases and opportunities for clinical application have decreased, and the need for useful simulation models has become more apparent for developing surgical skills. A novel myringotomy with ventilatory tube insertion simulation model was created.

Methods

Residents across all levels at our institution participated in the simulation. Participants were evaluated in terms of: time of procedure, microscope positioning, cerumen removal, identification of middle ear effusion type, canal wall trauma, tympanic membrane damage and tube placement.

Results

Eleven residents participated. Scores ranged from 14 to 34, out of a maximum of 40. The average score among junior and senior residents was 24 and 31, respectively. The simulation was felt to be representative of the operating theatre experience.

Conclusion

This study demonstrates a low-cost simulation model that captures several important, nuanced aspects of myringotomy with tube insertion, often overlooked in previously reported simulations.

Keywords

PediatricsOtolaryngologyResidencyMedical EducationOtologySimulation Training
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 6 , June 2022 , pp. 562 - 567
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr M Nassar takes responsibility for the integrity of the content of the paper

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