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A low-cost alternative for nasolaryngoscopy simulation training equipment: a randomised controlled trial

Published online by Cambridge University Press:  10 September 2015

D I Johnston*
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
V Selimi
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
A Chang
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
M Smith
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
*
Address for correspondence: Mr D I Johnston, ENT Department, Box48, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge CB2 0QQ, UK Fax: +44 1223 217 559 E-mail: dij23@cam.ac.uk

Abstract

Objectives:

Flexible nasolaryngoscopy is a key diagnostic procedure used in many specialities. Simulation-based teaching is beneficial for endoscopy training, but it is expensive. This study assessed whether an inexpensive simulation model is an effective training method for flexible nasolaryngoscopy.

Methods:

A three-armed, randomised, controlled trial was performed. One group received no simulation training, while two others were trained with either a high-cost or a low-cost model. All candidates then performed flexible nasolaryngoscopy on a volunteer. Their ability to perform this task was assessed by the patient discomfort score and time taken by a blinded expert.

Results:

Simulation-based teaching reduced patient discomfort and improved candidate skill level. Low-cost model training did not have a negative effect when compared with high-cost model training.

Conclusion:

Simulated flexible nasolaryngoscopy training may be more accessible with the use of an effective low-cost model.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

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