How Was Your Otology Training? A Survey of Recent Otolaryngology Residents

Montague, Phillip; Bennett, Donald R.; Kellermeyer, Brian

doi:10.1097/mao.0000000000001601

Cited by 7 publications

(7 citation statements)

References 12 publications

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“…This national survey study is one of the first to objectively assess and describe the contemporary pain management strategies and opioid prescribing practices among head and neck endocrine surgeons. Furthermore, we observed relatively high survey response (34%) and completion (100%) rates compared to RR of 7.7%‐24% reported in other recently published Otolaryngology‐specific surveys, and this is a major strength of the present study. The results reveal that a majority of surgeons utilize postoperative opioids and that the associated prescribing practices vary substantially.…”

Section: Discussionsupporting

confidence: 49%

Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons

et al. 2019

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Background: There is currently a lack of evidence-based guidelines regarding postoperative opioids after thyroid and parathyroid surgery. This study aimed to objectively characterize contemporary postoperative pain management practices via a national survey of head and neck endocrine surgeons. Methods: A standardized electronic survey was distributed to the membership of the American Head and Neck Society's Endocrine section. Results: A total of 102 surgeons completed the survey representing a 34% response rate. In all, 65.7% of respondents utilize opioids with wide variations in the total morphine equivalents prescribed. Practice environment (χ 2 = 10.0; P = 0.04) and performing preoperative pain counseling (χ 2 = 9.7; P = 0.002) were significantly associated with a decreased likelihood of prescribing postoperative opioids. Utilization of non-opioid pain management strategies was common and significantly associated with performing outpatient surgery (χ 2 = 6.2; P = 0.013) and preoperative pain counseling (χ 2 = 4.5; P = 0.034). Conclusions: Pain management practice patterns vary significantly among head and neck endocrine surgeons which further emphasize the need for evidence-based guidelines. K E Y W O R D Shead and neck endocrine surgery, opioid prescribing, parathyroid surgery, postoperative pain, thyroid surgery

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Section: Discussionsupporting

confidence: 49%

Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons

et al. 2019

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“…The greatest is the non‐response bias implicit in data obtained by surveys. Though we did have a fair response rate (survey response rates in otolaryngology literature range from 8% to >70%), 16,34–36 this data does not represent the opinions of every female practicing otolaryngology. The AAO‐HNS estimates that >90% of practicing otolaryngologists are members of their society; thus, it is likely that the WIO membership is a fairly accurate representation of women in otolaryngology nationwide.…”

Section: Discussionmentioning

confidence: 86%

Women in Otolaryngology: Experiences of Being Female in the Specialty

et al. 2020

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Objectives A broad survey of women otolaryngologists on the current state of the field, including opportunities for advancement, support of family leave, and prevalence of harassment, has not been performed since 1998. An update on the experiences of female otolaryngologists is vital to continue to advance the specialty. Study Design Anonymous web‐based survey. Methods Survey of members of the Women in Otolaryngology (WIO) section of the American Academy of Otolaryngology–Head and Neck Surgery (all members of the AAO‐HNS that identify as female are automatically members of this section). Distributed via AAO‐HNS. Results Five hundred thirty‐five responses out of 2303 total WIO members (response rate of 23.2%). Respondents ranged in age from 25 to >65 years. Respondents reported that in the residency programs they attended, 29% of residents, 13% of faculty, and 7% of department leaders were women. Forty‐four percent disagreed that their department leaders and 39% disagreed that their male co‐residents were supportive of women starting families in training. Younger respondents were more likely to feel that their department leaders were supportive of female residents, maternity leave, etc. Harassment in the current work environment did not differ by age; 53% reported harassment‐free, 31% subtle undertones, 8% noticeable tones, 2% significant harassment. Harassment in the workplace varied by region; the greatest level of harassment was in the Midwest. Conclusions Women otolaryngologists continue to experience harassment in the workplace. It is encouraging that younger otolaryngologists feel more supported by their departments in both their careers and their personal lives. This survey highlights critical areas for continued growth within our specialty. Level of Evidence IV Laryngoscope, 131:E380–E387, 2021

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“…30 A survey in the United States showed an average of 4.5 years before trainees felt able to perform tympanoplasty or mastoidectomy independently. 31 Data from the United Kingdom suggested that trainees in the last two years of training may still have suboptimal outcomes from tympanoplasty 32 and be unable to perform mastoidectomy independently. 33 One should note that such trainees are learning all aspects of ear, nose and throat surgery, not only otological surgery.…”

Section: Middle-ear Surgerymentioning

confidence: 99%

Training for hearing care providers

Bhutta

Muñoz

et al. 2019

Bull. World Health Organ.

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The lack of an appropriately trained global hearing-care workforce is recognized as a barrier to developing and implementing services to treat ear and hearing disorders. In this article we examine some of the published literature on the current global workforce for ear and hearing care. We outline the status of both the primary-care workforce, including community health workers, and specialist services, including audiologists, ear, nose and throat specialists, speech and language therapists, and teachers of the deaf. We discuss models of training health workers in ear and hearing care, including the role of task-sharing and the challenges of training in low and middle-income countries. We structure the article by the components of ear and hearing care that may be delivered in isolation or in integrated models of care: primary care assessment and intervention; screening; hearing tests; hearing rehabilitation; middle-ear surgery; deaf services; and cochlear implant programmes. We highlight important knowledge gaps and areas for future research and reporting.

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How Was Your Otology Training? A Survey of Recent Otolaryngology Residents

Abstract: Early exposure to ON surgeries may aid in residents' decision to pursue a fellowship in ON. The presence of fellows appears to facilitate residents' ON experience.

Cited by 7 publications

References 12 publications

Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons

Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons

Women in Otolaryngology: Experiences of Being Female in the Specialty

Training for hearing care providers

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