Asynchronous learning among otolaryngology residents in the United States

Malka, Ronit; Marinelli, John P.; Newberry, Travis R.; Carlson, Matthew L.; Bowe, Sarah N.

doi:10.1016/j.amjoto.2022.103575

Cited by 6 publications

(4 citation statements)

References 25 publications

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“…If the program director opted to not distribute the survey to its residency programs, the residents would not have been able to complete the survey. Nonetheless, our response rate is comparable to other published nationwide survey studies conducted of otolaryngology residents 33–36 …”

Section: Discussionsupporting

confidence: 86%

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US residents experiences with intraoperative nerve monitoring in thyroid and parathyroid surgery

et al. 2023

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Background Understanding the patterns of IONM use and training among resident otolaryngologists is essential to ensure that the IONM skills and knowledge gained in residency are optimized for successful future practice of IONM. Method An electronic survey was distributed to US‐based OHNS residents. Questions evaluated resident experience, implementation, knowledge and understanding of IONM for endocrine surgeries. Results One hundred and seven OHNS residents participated, spanning all training levels and US geographic locations. The majority of residents received no didactic teaching on IONM (74.5%) nor had a clear troubleshooting algorithm in the event of a loss of signal (69.8%). The majority of residents were uncertain regarding the advantages/disadvantages of continuous versus intermittent IONM. Conclusion The knowledge gap found in our survey study suggests that greater teaching of IONM principles for endocrine head and neck surgeries in OHNS residency programs would help to ensure successful utilization in future practice.

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Section: Discussionsupporting

confidence: 86%

“…Nonetheless, our response rate is comparable to other published nationwide survey studies conducted of otolaryngology residents. [33][34][35][36] Despite its limitations, this study has a number of strengths. This study is the first to date to survey US residents' experience with IONM use.…”

Section: Discussionmentioning

confidence: 99%

US residents experiences with intraoperative nerve monitoring in thyroid and parathyroid surgery

et al. 2023

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“…There has been a growing availability of online educational resources within the field of otolaryngology, such as recorded lectures, surgical videos, and podcasts 1–4 . However, these resources often lack the structure and breadth necessary to comprise a complete residency didactic curriculum.…”

Section: Introductionmentioning

confidence: 99%

“…There has been a growing availability of online educational resources within the field of otolaryngology, such as recorded lectures, surgical videos, and podcasts. [1][2][3][4] However, these resources often lack the structure and breadth necessary to comprise a complete residency didactic curriculum. For didactic learning to be maximally effective, it should engage residents as adult learners and incorporate established principles of adult learning theory that emphasize learners as intrinsically motivated, self-directed, and problem-oriented, with prior experiences that shape their learning.…”

Section: Introductionmentioning

confidence: 99%

Flipping the Otolaryngology Didactics Curriculum: Results of a Novel Resident Course Structure

et al. 2022

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ObjectiveTo assess the impact of a novel flipped‐classroom (FC) otolaryngology resident didactic curriculum on resident learning.MethodsBased on the preferences elicited in a survey of preferred learning styles of residents, a hybrid web‐based and in‐person FC otolaryngology didactic curriculum was implemented over a 6‐month period in 2020–2021.Resident reactions to the new curriculum were assessed via a second survey. Kruskal Wallis tests were used to compare mean stanine scores on the Otolaryngology Training Examination (OTE) exam for topics taught in the new format with topics delivered in the old format.ResultsAfter instituting the curriculum reform, engagement in at least a moderate amount of the pre‐didactic work and synchronous case discussions was reported by 67% and 88% of the residents, respectively. After the curriculum change, residents in years PGY2 and above reported statistically significant increases in self‐reported ability to retain information from didactics, to feel prepared for the OTE, and to feel confident in fund of knowledge (p < 0.001, p = 0.004, and p = 0.004, respectively). Compared to the prior year, mean stanine increased on OTE scores for residents in years PGY2‐PGY5 to a statistically significant degree (5.45 vs. 4.41, p = 0.001) for the topics delivered in the new format compared to topics delivered in the traditional format (5.13 vs. 4.70, p = 0.07).ConclusionBy organizing a didactic curriculum through online modules that incorporate pre‐recorded lectures and external resources, residents reported and demonstrated improved knowledge retention.Level of EvidenceNA Laryngoscope, 133:2129–2134, 2023

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Validation of a 3D‐Printed Silicone‐Based Laryngeal Model for Resident Education

Yousef,

Ostrander,

Lin

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveWe sought to validate a laryngeal simulation model and subsequently demonstrate its efficacy in improving surgical technique.Study DesignPre‐post interventional study.SettingOtolaryngology Program at a Tertiary Care Center.MethodsA low‐cost, high‐fidelity laryngeal model was created using a 3‐dimensional‐printed cast and multilayered silicone to mimic vocal fold lesions. Participants (attendings and trainees) were first given a series of tasks including mucosal vocal fold lesion resection and microflap excision of a submucosal lesion. Trainees were then provided with an instructional video from a laryngologist and asked to repeat the same tasks on the model. Performance data was then assessed using validated surveys and blinded expert reviewers.ResultsEighteen participants completed the simulation. All subjects agreed that the “simulation experience was useful” and 93% agreed “the simulator helped improve my ability to do microsurgical tasks.” In the postinstruction self‐evaluation, trainees reported a significant decrease in mental demand (95% confidence interval [CI]: 0.37‐0.91; P = .038) and significant increase in subjective performance (95% CI: 1.51‐51.89; P = .016) compared to the preinstruction self‐evaluation. On the postinstruction attempt, there was a significant improvement in all domains of the adapted objective structured assessment of technical skills as measured by 3 blinded, expert reviewers.DiscussionThis study demonstrates the usefulness of a silicone larynx model and the value of instructional video in developing laryngeal microsurgical skills. Participants positively reviewed the laryngeal model and trainees saw both a subjective and objective improvement indicating tangible operative benefits from the use of this laryngeal simulation.

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Asynchronous learning among otolaryngology residents in the United States

Cited by 6 publications

References 25 publications

US residents experiences with intraoperative nerve monitoring in thyroid and parathyroid surgery

US residents experiences with intraoperative nerve monitoring in thyroid and parathyroid surgery

Flipping the Otolaryngology Didactics Curriculum: Results of a Novel Resident Course Structure

Validation of a 3D‐Printed Silicone‐Based Laryngeal Model for Resident Education

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