A low fidelity Peritonsillar Abscess Drainage Simulator—Our experience of feedback from 117 trainees

Chudek, Dorota; Wilson, Imogen; Hogg, Emma; Emerson, Hannah; Heward, Elliot; Yang, Ding; Selwyn, David; Lau, Andrew

doi:10.1111/coa.13632

Cited by 2 publications

(19 citation statements)

References 6 publications

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“…1). Ten articles were included in the final review, five from the US, 11,12,[19][20][21] three from the UK, [22][23][24] and two from Canada. 25,26 Two studies trained participants on both needle aspiration and I&D, 11,19 four studies on I&D only, 12,21,25,26 and four on needle aspiration only.…”

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

“…25,26 Two studies trained participants on both needle aspiration and I&D, 11,19 four studies on I&D only, 12,21,25,26 and four on needle aspiration only. 20,[22][23][24] Of the four needle aspiration studies, one utilized ultrasound guidance during the procedure (Table II). 20 The proportion of junior residents with minimal previous exposure to PTA (≤5 procedures) was indicated in 3 studies and was found to range from 87.5% to 100%.…”

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

“…They, however, varied in terms of the material used. This includes yellow dye added to a hand lotion, [19][20][21][22] color gel, 23 or vanilla pudding. 12,26 The aim of most studies was not only to develop hand-eye coordination and surgical skills needed for aspiration or I&D, but also to imitate real-life procedure and environment with trismus, teeth, and headlamps.…”

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

“…11,19,22,24,26 The majority of experts found these simulators to be realistic (face validity) 19,22 ; however, their usefulness and ability to provide the needed skills (content validation) for training generally received better appreciation and scores than the anatomical mimicry (Table II). 11,19,22,24,26 The confidence level was assessed in seven studies among participants at different stages of training. 12,[20][21][22][23][24][25] In six studies, the confidence level was assessed quantitatively using Likert scales.…”

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

“…11,19,22,24,26 The confidence level was assessed in seven studies among participants at different stages of training. 12,[20][21][22][23][24][25] In six studies, the confidence level was assessed quantitatively using Likert scales. Likert scales were presented as means, and the number of points in each study varied (e.g., 5-, 7-and 10-point Likert scales).…”

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

See 4 more Smart Citations

A Systematic Review of Peritonsillar Abscess Simulators: Enhancing Training and Identifying the Need for Standardization

Marouf,

Doty,

Quereshy

et al. 2023

The Laryngoscope

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ObjectivesTo systematically review the literature regarding previously described peritonsillar abscess (PTA) drainage simulation.Data SourcesPubMed, Scopus, Web of Science, Ovid, and Cochrane.Review MethodsA search of the abovementioned databases was performed in August 2022 using the terms “peritonsillar abscess/quinsy,” “incision/drainage/aspiration,” and “simulation.” No time restrictions were applied. We included studies that clearly described how their PTA models were built and underwent validation from experts and/or evaluation from trainees. Articles describing a model only without any evaluation and reports in languages other than English were excluded.ResultsOur search initially yielded 80 articles after duplicate removal, 10 of which met our criteria and were included. Two studies trained participants on both needle aspiration and incision and drainage (I&D), four studies on I&D only, and four on needle aspiration only. 87.5% to 100% of junior residents reported minimal exposure to PTA prior to simulation. Five studies provided some form of validation to their models. The value of the simulators to train participants on skills received better appreciation than their anatomical fidelity. The perceived confidence level of trainees in managing PTA, which was assessed in 7 studies, substantially improved after training.ConclusionPTA simulation improves the confidence of trainees to perform PTA drainage. There is, however, a lack of standardization and evidence regarding transfer validity among PTA simulators. The development of a standardized PTA simulator could allow for more widespread use and increase resident comfort with this procedure in a pre‐clinical setting.Level of EvidenceNA Laryngoscope, 2023

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Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

Section: Demographics and Tasks (Fig 1 And Table Ii)mentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review of Peritonsillar Abscess Simulators: Enhancing Training and Identifying the Need for Standardization

Marouf,

Doty,

Quereshy

et al. 2023

The Laryngoscope

View full text Add to dashboard Cite

show abstract

A Reproducible Peritonsillar Abscess Incision and Drainage Model for Junior Trainees

Marouf,

Doty,

Quereshy

et al. 2024

Ann Otol Rhinol Laryngol

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Objectives: To describe the design and construction of a reproducible, low-cost, peritonsillar abscess (PTA) incision and drainage simulator and assess its impact on trainees’ confidence. Methods: The 2-part simulator we developed consisted of a manikin head with a fixed, partially open mouth and a modular PTA mold. The mold is created by injecting a lotion and water mixture into plastic bubbles, followed by silicone solidification. Neodymium magnets secure the silicone-abscess packet to the manikin’s palate. The simulator was utilized during an academic otolaryngology residency training program Annual Otolaryngology Boot Camp. A self-assessment Likert scale questionnaire was used to evaluate participants’ confidence before and after simulator training. Fourth-year medical students and junior (first and second year) residents who participated in the boot camp and agreed to complete the evaluation were included. Results: Three medical students, 17 PGY-1, and 10 PGY-2 residents agreed to complete the evaluation. All trainees agreed the model was useful for learning skills. The overall post-training confidence Likert scores of participants, and PGY-1 residents in particular, significantly improved compared to their pre-training scores ( P < .001). Conclusions: Our model offers an affordable and efficient training opportunity for residents to enhance their competence in managing PTAs. This approach, with its simple yet effective design and low production cost, shows potential for scalability on a broader scale.

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A low fidelity Peritonsillar Abscess Drainage Simulator—Our experience of feedback from 117 trainees

Cited by 2 publications

References 6 publications

A Systematic Review of Peritonsillar Abscess Simulators: Enhancing Training and Identifying the Need for Standardization

A Systematic Review of Peritonsillar Abscess Simulators: Enhancing Training and Identifying the Need for Standardization

A Reproducible Peritonsillar Abscess Incision and Drainage Model for Junior Trainees

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