Competency‐based assessment in surgeon‐performed head and neck ultrasonography: A validity study

Todsen, Tobias; Melchiors, Jacob; Charabi, Birgitte; Henriksen, Birthe Merete; Ringsted, Charlotte; Konge, Lars; Buchwald, Christian von

doi:10.1002/lary.26841

Cited by 23 publications

(25 citation statements)

References 45 publications

(81 reference statements)

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“…Head and neck ultrasound (HNU) is the accepted diagnostic modality of choice for a multitude of condi-tions in otorhinolaryngology [1][2][3][4][5][6]. Contributing factors are the high availability, the safe applicability for all patients and in particular the autonomous use by the treating head and neck surgeon [7][8][9]. While performing ultrasound is taught widely throughout medical school and residency, these efforts are usually not well structured and dependent upon the academic teacher or consultant in charge.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of optimal education level to implement structured reporting into ultrasound training

et al. 2020

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Aims: Reporting of head and neck ultrasound (HNU) has been outlined to be a major obstacle during ultrasound training due to a lack of standardized structure, content and terminology. Consequently, overall report quality differs significantly between various examiners posing a severe risk factor for information loss and miscommunication. Therefore, the present study’s purpose is to compare the overall quality of free text reports (FTR) and structured reports (SR) of HNU at various stages of training in order to determine the optimal educational level to implement SR.Material and methods: Typical pathologies in HNU were reported upon using SR and FTR by medical students, junior residents and senior residents. The reports were assessed for overall quality, time efficiency and readability. Additionally, user satisfaction was determined using a questionnaire.Results: SRs exhibited a significantly superior report quality (93.1% vs. 45.6%, p<0.001) at all training levels. Overall time efficiency was significantly better for SRs, especially at the stages of medical school and early residency (89.4 s vs. 160.2 s., p<0.001). Using structured reporting also increased user satisfaction significantly (VAS 8.6 vs. 3.9, p<0.001).Conclusions: Implementing structured reporting of HNU results in a superior report quality at all training stages. Greatest benefits for time efficiency are achieved by implementation during medical school. Therefore, structured reporting of HNU should be implemented early on in the training of HNU.

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Section: Introductionmentioning

confidence: 99%

Evaluation of optimal education level to implement structured reporting into ultrasound training

et al. 2020

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“…2013, Todsen et al . 2015, 2018). A major limitation of the included studies was the use of a single‐operator design and absent reliability assessment.…”

Section: Discussionmentioning

confidence: 99%

Utility of ultrasound in the assessment of swallowing and laryngeal function: A rapid review and critical appraisal of the literature

Allen

Clunie

Slinger

et al. 2020

Intl J Lang & Comm Disor

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Background: Ultrasound (US) is not widely used as part of the speech and language therapy (SLT) clinical toolkit. The COVID-19 pandemic has intensified interest in US as an alternative to SLT instrumental tools such as the videofluoroscopic swallowing study (VFSS), fibreoptic endoscopic evaluation of swallowing (FEES) and endoscopic evaluation of the larynx (EEL) as a non-invasive, non-aerosol-generating procedure that can be delivered at the bedside to assess swallowing and/or laryngeal function. To establish the appropriacy of routine US use, and in response to a national professional body request for a position statement, a group of expert SLTs conducted a rapid review of the literature. Aim: To explore critically the clinical utility of US as an assessment tool for swallowing and laryngeal function in adults. Methods & Procedures: A rapid review of four databases was completed to identify articles using US to assess swallowing and/or laryngeal function in adults compared with reference tests (VFSS/FEES/EEL/validated outcome measure). Screening was completed according to predefined inclusion/exclusion criteria and 10% of abstracts were rescreened to assess reliability. Data were extracted from full texts using a predeveloped form. The QUADAS-2 tool was used for quality ratings. Information from included studies was summarized using narrative synthesis and visual illustration. Outcomes & Results: Ten papers used US to assess swallowing, and 13 to assess laryngeal function. All were peerreviewed primary studies across a range of clinical populations and with a wide geographical spread. Four papers had an overall low risk of bias, but the remaining 19 had at least one domain where risk of bias was judged as high or unclear. Applicability concerns were identified in all papers. The papers that used US to assess swallowing varied widely in terms of the anatomical structures assessed and methodology employed. The papers assessing laryngeal function were more homogenous in their methodology. Sensitivity and specificity data were provided for 12 of the laryngeal function papers with ranges of 64.3-100% and 48.5-100%, respectively. Conclusions & Implications: There is burgeoning evidence to support the use of US as an adjunct to SLT clinical assessment of swallowing and laryngeal function. However, the current literature does not support its use as a

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“…However, point-of-care ultrasound is a very user-dependent image modality, requiring both technical and image interpretation skills by the physician [ 24 , 25 ]. It is therefore unknown if our initial results can be generalized to other settings with physicians’ without intraoral ultrasound experience, and further studies are needed to assess the learning curves [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

A Novel Technique for Intraoral Ultrasound-Guided Aspiration of Peritonsillar Abscess

2018

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Peritonsillar abscess (PTA) is a common complication to acute tonsillitis. The treatment is drainage of the abscess, but many needle aspirations are unsuccessful due to a low diagnostic accuracy based on oral examination only. In this article, we describe how intraoral ultrasound can be added to improve the diagnostic work-up of PTA and present a novel technique for ultrasound-guided aspiration of PTA, using a small pencil-shaped transducer. We present our first clinical experiences with this technique and describe how it could be integrated in a clinical setting to guide safe and successful needle aspirations of PTA.

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Competency‐based assessment in surgeon‐performed head and neck ultrasonography: A validity study

Abstract: NA. Laryngoscope, 128:1346-1352, 2018.

Cited by 23 publications

References 45 publications

Evaluation of optimal education level to implement structured reporting into ultrasound training

Evaluation of optimal education level to implement structured reporting into ultrasound training

Utility of ultrasound in the assessment of swallowing and laryngeal function: A rapid review and critical appraisal of the literature

A Novel Technique for Intraoral Ultrasound-Guided Aspiration of Peritonsillar Abscess

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