Publication:
Office-Based Procedure Training in Laryngology Fellowship Programs

dc.contributor.authorENVER, NECATİ
dc.contributor.authorsEnver, Necati; Ramaswamy, Apoorva; Sulica, Lucian; Pitman, Michael J.
dc.date.accessioned2022-03-12T22:44:33Z
dc.date.available2022-03-12T22:44:33Z
dc.date.issued2021
dc.description.abstractObjective To assess the current practices and challenges of training office-based procedures to laryngology fellows in the United States. Methods An anonymous web-based survey study was distributed to laryngology fellowship program directors, as listed by the American Laryngological Association. The survey was a 19-item questionnaire with free-text, Likert scale, and multiple-choice answers. Results Twenty-two of 27 program directors (81.4%) replied to the survey. Many programs (8/16) have three or more laryngologists and do more than 10 procedures each week (10/16). Sixty-nine percent (11/16) of directors had not been trained for office procedures in their fellowship. The fellows are allowed to be primary surgeon on 68.75% and 75% of vocal fold augmentation and laser procedures, respectively. The expected competencies for these procedures on graduation are average-moderate and moderate. When program directors asked about the methods used for training, a minority of them use simulators (2/16), procedural checklists (2/16), or structured debriefing (2/16). The most commonly used methods were case-based troubleshooting (13/16) and unstructured debriefing (13/16). Patients being awake and patients' expectations are seen as the most important obstacles. Most of the directors thought office-based procedure training could be improved (14/16). The most common suggestions were using step-wise checklists, simulator-labs, and formal debriefings. Conclusion This is the first study evaluating the training of office-based laryngeal procedures during laryngology fellowship. Given the increasing importance of these procedures in practice and the herein identified barriers and need for improvement, fellowships should investigate the use of systematic training tools to improve fellow competency with office-based procedures.Laryngoscope, 2020
dc.identifier.doi10.1002/lary.29170
dc.identifier.eissn1531-4995
dc.identifier.issn0023-852X
dc.identifier.pubmed33043999
dc.identifier.urihttps://hdl.handle.net/11424/236442
dc.identifier.wosWOS:000579040100001
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofLARYNGOSCOPE
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectFellowship
dc.subjectlaryngology
dc.subjectoffice-based laser surgery
dc.subjectoffice-based procedures
dc.subjectvocal fold Injection
dc.subjectoffice surgery
dc.subjectKTP laser
dc.subjectLASER-SURGERY
dc.subjectCOST
dc.subjectVALIDATION
dc.subjectSIMULATION
dc.titleOffice-Based Procedure Training in Laryngology Fellowship Programs
dc.typearticle
dspace.entity.typePublication
local.avesis.id81c84ecc-6cde-49f9-98d3-b524c2a89f3d
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages5
local.journal.quartileQ1
oaire.citation.endPage2058
oaire.citation.issue9
oaire.citation.startPage2054
oaire.citation.titleLARYNGOSCOPE
oaire.citation.volume131
relation.isAuthorOfPublication47e0392d-e1ee-45d3-8f90-9dbccd94970b
relation.isAuthorOfPublication.latestForDiscovery47e0392d-e1ee-45d3-8f90-9dbccd94970b

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