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Simulation training in laser safety education: the use of technical and non-technical skills simulation in a comprehensive laser safety course

  • C Hall (a1), S Okhovat (a2), T D Milner (a3), J Montgomery (a2), A Hitchings (a2), T Kunanandam (a3) and W A Clement (a3)...

Abstract

Objective

The completion of a laser safety course remains a core surgical curriculum requirement for otolaryngologists training in the UK. This project aimed to develop a comprehensive laser safety course utilising both technical and non-technical skills simulation.

Methods

Otolaryngology trainees and consultants from the West of Scotland Deanery attended a 1-day course comprising lectures, two high-fidelity simulation scenarios and a technical simulation of safe laser use in practice.

Results

The course, and in particular the use of simulation training, received excellent feedback from otolaryngology trainees and consultants who participated. Both simulation scenarios were validated for future use in laser simulation.

Conclusion

The course has been recognised as a laser safety course sufficient for the otolaryngology Certificate of Completion of Training. To the authors’ knowledge, this article represents the first description of using in situ non-technical skills simulation training for teaching laser use in otolaryngology.

Copyright

Corresponding author

Author for correspondence: Mr Thomas Daniel Milner, Department of Otolaryngology, Royal Hospital for Children, 1345 Govan Road, Glasgow. G514TF, Scotland, UK E-mail: tommilner1@doctors.org.uk

Footnotes

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Mr T D Milner takes responsibility for the integrity of the content of the paper

Footnotes

References

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1Rebeiz, EE. Lasers in otorhinolaryngology – head and neck surgery. J Med Liban 1994;42:242–9
2Zhang, Y, Liang, G, Sun, N, Guan, L, Meng, Y, Zhao, X et al. Comparison of CO2 laser and conventional laryngomicrosurgery treatments of polyp and leukoplakia of the vocal fold. Int J Clin Exp Med 2015;8:18265–74
3Association of University Radiation Protection Officers. Guidance on the safe use of lasers in education and research. In: https://www.gla.ac.uk/media/media_418032_en.pdf [24 June 2019]
4Smalley, PJ. Laser safety: risks, hazards, and control measures. Laser Ther 2011;20:95106
5Agha, RA, Fowler, AJ, Sevdalis, N. The role of non-technical skills in surgery. Ann Med Surg (Lond) 2015;4:422–7
6Brown, D. The role of simulation in the learning of surgical skills. Ann R Coll Surg Engl (Suppl) 2013;95:292–5
7Green, M, Tariq, R, Green, P. Improving patient safety through simulation training in anesthesiology: where are we? Anesthesiol Res Pract 2016;2016:4237523
8Apfelbaum, JL, Caplan, RA, Barker, SJ, Connis, RT, Cowles, C, Ehrenwerth, J et al. Practice advisory for the prevention and management of operating room fires: an updated report by the American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology 2013;118:271–90

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Supplementary materials

Hall et al. supplementary material
Hall et al. supplementary material 1

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