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Training tomorrow's laryngologists – head and neck training alone is not sufficient

Published online by Cambridge University Press:  25 September 2013

N De Zoysa ,
N Amin  and
M Harries
N De Zoysa
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Royal Sussex County Hospital, Brighton, UK
N Amin*
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Royal Sussex County Hospital, Brighton, UK
M Harries
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Royal Sussex County Hospital, Brighton, UK
*
Address for correspondence: Mr N Amin, 34 Wykeham Rd, Kenton HA3 8LJ, UK E-mail: n.amin@doctors.org.uk
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Abstract

Background:

Diagnostic ability is essential in laryngology. The UK Higher Surgical Training syllabus includes competencies specific to laryngology. This study aimed to identify the factors in training that lead to a consultant level of laryngology-related diagnostic ability.

Method:

An online test of training experience was constructed using laryngoscopy videos obtained from a specialist UK voice clinic. Participation was aimed at both trainees and trainers via invitation through national ENT forums.

Results:

There were 51 complete responses. Trainees with six months of laryngology experience scored significantly higher than those without this experience (p < 0.001). There was no improvement in score demonstrated for those with head and neck specialty experience without laryngology experience. Trainees who had completed 12 months of laryngology, or 6 months of laryngology coupled with 12 months of head and neck training, scored similarly to their consultant trainers.

Conclusion:

It is recommended that all trainees have at least six months of experience in a specialist voice or laryngology placement prior to gaining the Certificate of Completion of Training.

Keywords

LaryngologyLaryngoscopyTrainingCurriculumCompetency-Based Education

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 1001 - 1006
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Morris-Stiff, GJ, Sarasin, S, Edwards, P, Lewis, WG, Lewis, MH. The European Working Time Directive: one for all and all for one? Surgery 2005;137:293–7CrossRefGoogle ScholarPubMed
2Black, J. Carpe diem. Ann R Coll Surg Engl (Suppl) 2009;91:42–3CrossRefGoogle Scholar
3Vasani, S, Whittaker, M, Sharma, P, Wong, G, Patel, S, Choa, DI. Impact of modernising medical careers on operative training in otolaryngology. Clin Otolaryngol 2010;35:255–6CrossRefGoogle ScholarPubMed
4Tami, TA. Special features topic: the effects of limited work hours on surgical training in otolaryngology-head and neck surgery. Curr Opin Otolaryngol Head Neck Surg 2004;12:217–21CrossRefGoogle ScholarPubMed
5Joint Committee on Surgical Training. In: http://www.jcst.org/quality_assurance/Docs/cct_guidelines_ent [14 November 2012]Google Scholar
6ISCP otolaryngology curriculum. In: https://www.iscp.ac.uk/documents/syllabus_OTO_2012.pdf [12 November 2012]Google Scholar
7Pothier, DD, Toll, EC, Grant, DG, Giddings, CE. Trends in operative training opportunities for junior and senior trainees in otolaryngology. Clin Otolaryngol 2009;34:179–84CrossRefGoogle ScholarPubMed
8Varley, I, Keir, J, Fagg, P. Changes in caseload and the potential impact on surgical training: a retrospective review of one hospital's experience. BMC Med Educ 2006;6:6CrossRefGoogle ScholarPubMed
9SurveyGizmo. In: http://www.surveygizmo.com/ [10 November 2012]Google Scholar
10National Otolaryngology (ENT) ST3 - Round 1. In: http://www.yorksandhumberdeanery.nhs.uk/specialty_recruitment_2012/specialties/ent/round_1.aspx [14 November 2012]Google Scholar
11The Research Design Service (RDS). In: http://www.rds-sw.nihr.ac.uk/ [13 November 2012]Google Scholar
12Holbrook, A, Krosnick, J, Pfent, A. The causes and consequences of response rates in surveys by the news media and government contractor survey research firms. In: Lepkowski, JM, Tucker, C, Brick, JM, de Leeuw, E, Japec, L, Lavrakas, PJ et al. eds. Advances in Telephone Survey Methodology. Hoboken, NJ: John Wiley & Sons, 2008;499–679Google Scholar
13Chikwe, J, de Souza, AC, Pepper, JR. No time to train the surgeons. BMJ 2004;328:418–19CrossRefGoogle ScholarPubMed