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What is the role of surgical simulation on operative opportunity for the trainee ENT surgeon?

Published online by Cambridge University Press:  23 November 2020

E J R Noon*
Affiliation:
Department of Otolaryngology, Salford Royal Hospital, Manchester, UK
A Singh
Affiliation:
Department of Otolaryngology, Northwick Park Hospital, Harrow, UK
A Hall
Affiliation:
Department of Otolaryngology, Great Ormond Street Hospital, London, UK
*
Author for correspondence: Mr Edward J R Noon, Department of Otolaryngology, Salford Royal Hospital, Stott Lane, Salford, ManchesterM6 8HD, UK E-mail: edward.noon@doctors.org.uk

Abstract

Objective

This study sought to assess the impact of simulation training in influencing trainees’ initial surgical participation as perceived by experienced surgeon trainers.

Methods

Twenty ENT surgeons assessed how much of a given procedure they would expect to allow a trainee to perform for their first time. Responses were provided for trainees who had undergone a relevant simulation course and those who had not, and scored according to the eLogbook levels of involvement in surgery. This was completed for simulated procedures with validated models, across four grades of junior doctors.

Results

A total of 1120 judgements on the trainees’ intended level of involvement were made. The median involvement score was higher in the simulation group versus the non-simulation group (Mann–Whitney U, p = 0.0001), corresponding to a translation in surgical opportunity from a primarily assisting role to an active role.

Conclusion

Trainer perception of a relevant ENT simulation course appears to positively impact on the initial surgical opportunities afforded to the trainee.

Type
Main Articles
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Mr E J R Noon takes responsibility for the integrity of the content of the paper

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