Hostname: page-component-848d4c4894-2xdlg Total loading time: 0 Render date: 2024-06-29T10:36:24.213Z Has data issue: false hasContentIssue false
  • English
  • Français

Training tomorrow's laryngologists – head and neck training alone is not sufficient

Published online by Cambridge University Press:  25 September 2013

N De Zoysa ,
N Amin  and
M Harries
N De Zoysa
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Royal Sussex County Hospital, Brighton, UK
N Amin*
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Royal Sussex County Hospital, Brighton, UK
M Harries
Affiliation:
Department of Otorhinolaryngology/Head and Neck Surgery, Royal Sussex County Hospital, Brighton, UK
*
Address for correspondence: Mr N Amin, 34 Wykeham Rd, Kenton HA3 8LJ, UK E-mail: n.amin@doctors.org.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Diagnostic ability is essential in laryngology. The UK Higher Surgical Training syllabus includes competencies specific to laryngology. This study aimed to identify the factors in training that lead to a consultant level of laryngology-related diagnostic ability.

Method:

An online test of training experience was constructed using laryngoscopy videos obtained from a specialist UK voice clinic. Participation was aimed at both trainees and trainers via invitation through national ENT forums.

Results:

There were 51 complete responses. Trainees with six months of laryngology experience scored significantly higher than those without this experience (p < 0.001). There was no improvement in score demonstrated for those with head and neck specialty experience without laryngology experience. Trainees who had completed 12 months of laryngology, or 6 months of laryngology coupled with 12 months of head and neck training, scored similarly to their consultant trainers.

Conclusion:

It is recommended that all trainees have at least six months of experience in a specialist voice or laryngology placement prior to gaining the Certificate of Completion of Training.

Keywords

LaryngologyLaryngoscopyTrainingCurriculumCompetency-Based Education
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 1001 - 1006
Copyright
Copyright © JLO (1984) Limited 2013 

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

1Morris-Stiff, GJ, Sarasin, S, Edwards, P, Lewis, WG, Lewis, MH. The European Working Time Directive: one for all and all for one? Surgery 2005;137:293–7CrossRefGoogle ScholarPubMed
2Black, J. Carpe diem. Ann R Coll Surg Engl (Suppl) 2009;91:42–3CrossRefGoogle Scholar
3Vasani, S, Whittaker, M, Sharma, P, Wong, G, Patel, S, Choa, DI. Impact of modernising medical careers on operative training in otolaryngology. Clin Otolaryngol 2010;35:255–6CrossRefGoogle ScholarPubMed
4Tami, TA. Special features topic: the effects of limited work hours on surgical training in otolaryngology-head and neck surgery. Curr Opin Otolaryngol Head Neck Surg 2004;12:217–21CrossRefGoogle ScholarPubMed
5Joint Committee on Surgical Training. In: http://www.jcst.org/quality_assurance/Docs/cct_guidelines_ent [14 November 2012]Google Scholar
6ISCP otolaryngology curriculum. In: https://www.iscp.ac.uk/documents/syllabus_OTO_2012.pdf [12 November 2012]Google Scholar
7Pothier, DD, Toll, EC, Grant, DG, Giddings, CE. Trends in operative training opportunities for junior and senior trainees in otolaryngology. Clin Otolaryngol 2009;34:179–84CrossRefGoogle ScholarPubMed
8Varley, I, Keir, J, Fagg, P. Changes in caseload and the potential impact on surgical training: a retrospective review of one hospital's experience. BMC Med Educ 2006;6:6CrossRefGoogle ScholarPubMed
9SurveyGizmo. In: http://www.surveygizmo.com/ [10 November 2012]Google Scholar
10National Otolaryngology (ENT) ST3 - Round 1. In: http://www.yorksandhumberdeanery.nhs.uk/specialty_recruitment_2012/specialties/ent/round_1.aspx [14 November 2012]Google Scholar
11The Research Design Service (RDS). In: http://www.rds-sw.nihr.ac.uk/ [13 November 2012]Google Scholar
12Holbrook, A, Krosnick, J, Pfent, A. The causes and consequences of response rates in surveys by the news media and government contractor survey research firms. In: Lepkowski, JM, Tucker, C, Brick, JM, de Leeuw, E, Japec, L, Lavrakas, PJ et al. eds. Advances in Telephone Survey Methodology. Hoboken, NJ: John Wiley & Sons, 2008;499–679Google Scholar
13Chikwe, J, de Souza, AC, Pepper, JR. No time to train the surgeons. BMJ 2004;328:418–19CrossRefGoogle ScholarPubMed