“No drain, no gain”: Validation of novel quinsy simulation model

Abstract

Objectives To test a novel, low‐cost, home‐made model for needle aspiration of PTA. To ascertain whether simulation‐based teaching using this model was superior to lecture‐based teaching in increasing confidence and reducing anxiety relating to PTA aspiration. To assess whether there was an improvement in outcomes for PTA patients at one hospital following the delivery of a simulation‐based training session using our model. Methods We designed two teaching sessions for junior doctors starting work in ENT: a simulation‐based teaching session using a low‐cost home‐made simulation model and a lecture‐based teaching session covering the same content. We asked the participants to complete pre‐ and post‐session surveys regarding confidence and anxiety levels and analyzed this data. We also retrospectively collected data over 3 months for patients referred to ENT with suspected PTA and assessed their outcomes. We assessed patient outcomes before and after the delivery of a simulation‐based training course using our model. Results Simulation‐based teaching using our model was shown to be associated with a statistically significant increase in junior doctors' confidence levels. Reaccumulation and reattendance rates for PTA following aspiration were 16.67% and 22.7% respectively preintervention and 0% and 7.14% respectively postintervention. Conclusion A regular simulation‐based teaching session should be introduced using a PTA aspiration model for junior doctors as it leads to increased confidence levels, and reduced reaccumulation and recurrence rates of PTA. Level of evidence Level 4.

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

“…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.…”

“…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%.…”

“…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.…”

“…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).…”

Thinking Beyond the Temporal Bone Lab: A Systematic Process for Expanding Surgical Simulation in Otolaryngology Training

“…Eight simulators were identified for general otolaryngologic emergent procedures and sleep surgery (Supplemental Table 4). [67][68][69][70][71][72][73][74] Three of these models used adult sized intubation trainers, such as the Laerdal SimMan, to simulate airway foreign body removal, endoscopic diverticulotomy, and laser safety in the operating room. Notably, the endoscopic diverticulotomy model involved inserting a cut surgical glove posteriorly into the esophagus of the SimMan to simulate Zenker's diverticulum.…”