Validation of a new ENT emergencies course for first-on-call doctors

J Laryngol Otol. 2017 Feb;131(2):106-112. doi: 10.1017/S002221511601001X. Epub 2017 Jan 10.

Abstract

Background: First-on-call ENT cover is often provided by junior doctors with limited ENT experience; yet, they may have to manage life-threatening emergencies. An intensive 1-day simulation course was developed to teach required skills to junior doctors.

Methods: A prospective, single-blinded design was used. Thirty-seven participants rated their confidence before the course, immediately following the course and after a two-month interval. Blinded assessors scored participant performance in two video-recorded simulated scenarios before and after the course.

Results: Participant self-rated confidence was increased in the end-of-course survey (score of 27.5 vs 53.0; p < 0.0001), and this was maintained two to four months after the course (score of 50.5; p < 0.0001). Patient assessment and management in video-recorded emergency scenarios was significantly improved following course completion (score of 9.75 vs 18.75; p = 0.0093).

Conclusion: This course represents an effective method of teaching ENT emergency management to junior doctors. ENT induction programmes benefit from the incorporation of a simulation component.

Keywords: Airway Management; Education; Emergencies; Medical; Otolaryngology.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Airway Obstruction
  • Clinical Competence
  • Curriculum
  • Emergencies*
  • Epistaxis
  • Female
  • Foreign Bodies
  • Humans
  • Male
  • Medical Staff, Hospital / education*
  • Middle Aged
  • Neck Injuries
  • Otolaryngology / education*
  • Postoperative Complications
  • Prospective Studies
  • Respiratory Sounds
  • Respiratory System
  • Simulation Training / methods*
  • Single-Blind Method
  • Tracheostomy
  • Young Adult