Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-27T15:41:18.876Z Has data issue: false hasContentIssue false
  • English
  • Français

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 ,
A Singh  and
A Hall
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: [email protected]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Simulation TrainingSurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 11 , November 2020 , pp. 1010 - 1013
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

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

References

Nakazato, T, Callahan, Z, Kuchta, K, Linn, JG, Joehl, RJ, Ujiki, MB. A 1-day simulation-based boot camp for incoming general surgery residents improves confidence and technical skills. Surgery 2019;166:572–9CrossRefGoogle ScholarPubMed
Feins, RH, Burkhart, HM, Conte, JV, Coore, DN, Fann, JI, Hicks, GL et al. Simulation-based training in cardiac surgery. Ann Thorac Surg 2017;103:312–21CrossRefGoogle ScholarPubMed
COPMeD. Guidance and principles for managing extensions to training during COVID-19. In: https://www.copmed.org.uk/images/docs/ARCP/COVID-19_Managing_Extensions_to_Training.pdf [7 October 2020]Google Scholar
ENT UK Working Group. A Graduated Return to Elective ENT Within the COVID-19 Pandemic. In: https://fssa.org.uk/_userfiles/pages/files/covid19/a_graduated_return_to_elective_ent.pdf [2020]Google Scholar
Royal College of Surgeons of England. The Implementation of the Working Time Directive, and its Impact on the NHS and Health Professionals. Report of the Independent Working Time Regulations Taskforce to the Department of Health. London: Royal College of Surgeons of England, 2014Google Scholar
Douglas, JA, Senior, AJ, Scott, A. The Telford tonsillectomy tie trainer: an AirSim model modification. Ann R Coll Surg Engl 2014;96:634CrossRefGoogle ScholarPubMed
Chiesa Estomba, CM, Meléndez García, JM, Hamdam Zavarce, MI, Betances Reinoso, FA. The Vigo grommet trainer. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132:53–5CrossRefGoogle ScholarPubMed
Khemani, S, Arora, A, Singh, A, Tolley, N, Darzi, A. Objective skills assessment and construct validation of a virtual reality temporal bone simulator. Otol Neurotol 2012;33:1225–31CrossRefGoogle ScholarPubMed
Foulad, A, Bui, P, Dailey, SH, Verma, SP. VOCALSS: versatile optimally constructed aid for laryngeal surgery simulation. Laryngoscope 2015;125:1169–71CrossRefGoogle ScholarPubMed
Alrasheed, AS, Nguyen, LHP, Mongeau, L, Funnell, WRJ, Tewfik, MA. Development and validation of a 3D-printed model of the ostiomeatal complex and frontal sinus for endoscopic sinus surgery training. Int Forum Allergy Rhinol 2017;7:837–41CrossRefGoogle ScholarPubMed
Botto F, Sacco, Ingrassia, PL, Donato, P, Garzaro, M, Aluffi, P, Gentilli, S et al. Manufacture of a multi-purpose low-cost animal bench-model for teaching tracheostomy. J Vis Exp 2019;(147)Google Scholar
Cate, OT. A primer on entrustable professional activities. Korean J Med Educ 2018;30:1–10CrossRefGoogle ScholarPubMed
Ten Cate, O. Entrustment as assessment: recognizing the ability, the right, and the duty to act. J Grad Med Educ 2016;8:261–2CrossRefGoogle Scholar
Choo, KJ, Arora, VM, Barach, P, Johnson, JK, Farnan, JM. How do supervising physicians decide to entrust residents with unsupervised tasks? A qualitative analysis. J Hosp Med 2014;9:169–75CrossRefGoogle ScholarPubMed
Hirsh, DA, Holmboe, ES, Ten Cate, O. Time to trust: longitudinal integrated clerkships and entrustable professional activities. Acad Med 2014;89:201–4CrossRefGoogle ScholarPubMed
Hamour, AF, Mendez, AI, Harris, JR, Biron, VL, Seikaly, H, Côté, DWJ. A high-definition video teaching module for thyroidectomy surgery. J Surg Educ 2018;75:481–8CrossRefGoogle ScholarPubMed