Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-25T08:31:05.687Z Has data issue: false hasContentIssue false
  • English
  • Français

Simulation in ENT medical education

Published online by Cambridge University Press:  03 December 2009

K-E A Abou-Elhamd ,
A I Al-Sultan  and
U M Rashad
K-E A Abou-Elhamd*
Affiliation:
Department of Surgery, ENT Section, Al-Ahsa College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia
A I Al-Sultan
Affiliation:
The Dean of the College, and is at Department of Internal Medicine, Al-Ahsa College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia
U M Rashad
Affiliation:
Department of Surgery, ENT Section, Al-Ahsa College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia
*
Address for correspondence: Dr Kamal-Eldin A Abou-Elhamd, ENT Professor, ENT Sector, Department of Surgery, Al-Ahsa College of Medicine, King Faisal University, Al-Ahsa 31982, PO Box 400, Saudi Arabia. Fax: 00966 35801243 E-mail: Kamal375@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

Computer-based medical simulation has recently been adopted as a new method of medical education. This paper reviews the uses of medical simulation within the ENT specialty, and reports how such simulation is used in Al-Ahsa College of Medicine, Saudi Arabia.

Methods:

We review our use of a simulation laboratory in ENT training. Students are taught ENT anatomy using physical models, ear diseases using physical models, and ENT examination by watching video recordings, and are taught the principles of common ENT surgery using a computerised mannequin (for laryngoscopy and bronchoscopy). A haptic temporal bone surgery simulator is used for mastoidectomy and functional endoscopic sinus surgery training, and a mannequin for cricothyrotomy and tracheotomy training.

Conclusion:

The use of such simulation methods has greatly improved our students' perception and comprehension.

Keywords

OtolaryngologySimulationVirtual RealityMedical EducationSaudi Arabia
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 3 , March 2010 , pp. 237 - 241
Copyright
Copyright © JLO (1984) Limited 2009

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.)

References

1Dawson, S. Procedural simulation: a primer. J Vasc Interv Radiol 2006;17:205–13Google Scholar
2Rosen, K. The history of medical simulation. J Crit Care 2008;23:157–66CrossRefGoogle ScholarPubMed
3Zhang, J, Gu, L, Li, X, Fang, M. An advanced hybrid cutting method with an improved state machine for surgical simulation. Comput Med Imaging Graph 2009;33:63–71Google Scholar
4Tavakol, M, Mohagheghi, MA, Dennick, R. Assessing the skills of surgical residents using simulation. J Surg Educ 2008;65:77–83CrossRefGoogle ScholarPubMed
5Maran, NJ, Glavin, RJ. Low-to- high-fidelity simulation-a continuum of medical education? Med Educ 2003;37(suppl 1):22–8CrossRefGoogle ScholarPubMed
6Kneebone, R. Simulation in surgical training: educational issues and practical implications. Med Educ 2003;37:267–77CrossRefGoogle ScholarPubMed
7Martin, JA, Regehr, G, Reznick, R, MacRae, H, Murnaghan, J, Hutchison, C et al. Objective structured of technical skill (OSATS) for surgical residents. Br J Surg 1997;84:273–8Google Scholar
8Holzman, GB. Clinical simulation. In: Coex, KR, Ewan, CE, eds. The Medical Teacher. London: Churchill Livingstone, 1998;240–3Google Scholar
9Fried, MP, Sadoughi, B, Weghorst, S, Zeltsan, M, Cuellar, H, Uribe, J et al. Construct validity of the endoscopic sinus simulator II. Assessment of discriminant validity and expert benchmarking. Arch Otolaryngol Head Neck Surg 2007;133:350–7CrossRefGoogle ScholarPubMed
10San Vicente, G, Buchart, C, Borro, D, Celigueta, JT. Maxillofacial surgery simulation using a mass-spring model derived from continuum and the scaled displacement method. International Journal of Computer Assisted Radiology and Surgery 2009;4:89–98CrossRefGoogle ScholarPubMed
11Xia, J, Philips, C, Gateno, J, Teichgraeber, JF, Christensen, AM, Gliddon, MJ et al. Cost-effectiveness analysis for computer-aided surgical simulation in complex cranio-maxillofacial surgery. J Oral Maxillofac Surg 2006;64:1780–4Google Scholar
12Khalid, AN, Murray, WB. Simulation of the airway. Operative Techniques in Otolaryngology 2007;18:134–9CrossRefGoogle Scholar
13Colt, HG, Crawford, SW, Galbraith, O. Virtual reality bronchoscopy simulation: a revolution in procedural training. Chest 2001;120:1333–9CrossRefGoogle ScholarPubMed
14Ram, B, Oluwole, M, Blair, RL, Mountain, R, Dunkley, P, White, PS. Surgical simulation: an animal tissue model for training in therapeutic and diagnostic bronchoscopy. J Laryngol Otol 1999;113:149–51Google Scholar
15Gardiner, Q, White, PS, Carson, D, Shearer, A, Frizelle, F, Dunkley, P. Technique training: endoscopic percutaneous tracheostomy. Br J Anaesth 1998;81:401–3Google Scholar
16Fried, MP, Satava, R, Weghorst, S, Gallagher, A, Sasaki, C, Ross, D et al. The use of surgical simulators to reduce errors. Advances in Patient Safety 2005;4:165–77Google Scholar
17Solyar, A, Cuellar, H, Sadoughi, B, Olson, TR, Fried, MP. Endoscopic sinus surgery simulator as a teaching tool for anatomy education. Am J Surg 2008;196:120–4CrossRefGoogle ScholarPubMed
18Edmond, CV, Heskamp, D, Sluis, D, Stredney, D, Sessanna, D, Wiet, G et al. ENT endoscopic surgical training simulator. Stud Health Technol Inform 1997;39:518–28Google ScholarPubMed
19Golding-Wood, DG. Temporal bone dissection for display. J Laryngol Otol 1994;108:3–8CrossRefGoogle ScholarPubMed
20Tolsdorff, B, Petersik, A, Pflesser, B, Pommert, A, Tiede, U, Leuwer, R et al. Preoperative simulation of bone drilling in temporal bone surgery. International Journal of Computer Assisted Radiology and Surgery 2007;2(suppl 1):S160–1Google Scholar
21Leuwer, R, Pflesser, B, Urban, M. Stereoscopic simulation of ear surgery intervention with a novel 3D computer models [in German]. Laryngorhinootologie 2001;80:298–302CrossRefGoogle ScholarPubMed
22Pflesser, B, Petersik, A, Tiede, U, Hohne, KH, Leuwer, R. Volume cutting for virtual petrous bone surgery. Comput Aided Surg 2002;7:74–83CrossRefGoogle ScholarPubMed