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Is undergraduate medical education working for ENT surgery? A survey of UK medical school graduates

  • J Powell (a1), F A H Cooles (a2), S Carrie (a1) and V Paleri (a1)

Abstract

Background:

Despite the patient numbers and scope of ENT surgery, it is under-represented in most undergraduate medical curricula.

Method:

An online questionnaire was e-mailed, at National Health Service trust level, to 3544 newly qualified doctors from 30 UK medical schools. Undergraduate ENT exposure, confidence and educational value were measured on a Likert scale.

Results:

We received 444 eligible responses. The mean undergraduate ENT exposure was 3.4 days of pre-clinical teaching plus 5.0 days of ENT departmental experience. However, 15.8 per cent of respondents reported no formal departmental ENT experience, and 65.8 per cent would have liked further undergraduate experience. Teaching modalities with a lower perceived educational value were generally offered more frequently than those with a higher perceived educational value. Graduates felt significantly less confident with ENT history-taking, examination and management, compared with their cardiology clinical competencies (p < 0.001).

Conclusion:

These results highlight the lack of UK ENT undergraduate education, and the significant effect this has on junior doctors’ clinical confidence. In addition, commonly used teaching methods may not be optimally effective.

Copyright

Corresponding author

Address for correspondence: Mr J Powell, Department of Otolaryngology-Head and Neck Surgery, Freeman Hospital, Freeman Road, High Heaton, Newcastle upon Tyne, NE7 7DN, UK Fax: +44 (0)191 223 1246 E-mail: jason.powell@doctors.org.uk

References

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1Fisher, E, Pfleiderer, A. Is undergraduate otoscopy teaching adequate? An audit of clinical teaching. J R Soc Med 1992;85:23–5
2Doshi, J, Carrie, S. A survey of undergraduate otolaryngology experience at Newcastle University Medical School. J Laryngol Otol 2006;120:770–3
3Mace, AD, Narula, AA. Survey of current undergraduate otolaryngology training in the United Kingdom. J Laryngol Otol 2004;118:217–20
4Chawdhary, G, Ho, EC, Minhas, SS. Undergraduate ENT education: what students want. Clin Otolaryngol 2009;34:577–88
5Department of Health. Medical and Dental Workforce Census. London: Department of Health, 2009
6Donnelly, MJ, Quraishi, MS, McShane, DP. ENT and general practice: a study of paediatric ENT problems seen in general practice and recommendations for general practitioner training in ENT in Ireland. Irish J Med Sci 1995;164:209–11
7Griffiths, E. Incidence of ENT problems in general practice. J R Soc Med 1979;72:740–2
8Access to care: ear, nose and throat and audiology services. In: http://www.audit-commission.gov.uk/SiteCollectionDocuments/AuditCommissionReports/NationalStudies/AccessToCare [accessed 10 June 2010]
9Clamp, PJ, Gunasekaran, S, Pothier, DD, Saunders, MW. ENT in general practice: training, experience and referral rates. J Laryngol Otol 2007;121:580–3
10Sharma, A, Machen, K, Clarke, B, Howard, D. Is undergraduate otorhinolaryngology teaching relevant to junior doctors working in accident and emergency departments? J Laryngol Otol 2006;120:949–51
11Blanch-Hartigan, D. Medical students' self-assessment of performance: results from three meta-analyses. Patient Educ Couns. 2011;84:39
12Fitzgerald, JT, White, CB, Gruppen, LD. A longitudinal study of self-assessment accuracy. Med Educ 2003;37:645–9

Keywords

Is undergraduate medical education working for ENT surgery? A survey of UK medical school graduates

  • J Powell (a1), F A H Cooles (a2), S Carrie (a1) and V Paleri (a1)

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