Septoplasty training revisited

Gupta, Saurabh; Phillips, PS; Salim, Faisal; Hopkins, Claire; Oakley, Richard

doi:10.1308/rcsbull.2014.96.2.e10

Bulletin

2014

DOI: 10.1308/rcsbull.2014.96.2.e10

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Septoplasty training revisited

Saurabh Gupta

PS Phillips

Faisal Salim

et al.

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Cited by 4 publications

(8 citation statements)

References 17 publications

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“…It is a core procedure in otolaryngology and one of the first learned by residents during their training, for it provides an entry to more complex procedures and endoscopic approaches. 3 …”

mentioning

confidence: 99%

“… 5 However, a UK study reported that only 73.3% of senior residents consider themselves prepared to perform a septoplasty independently. 3 According to a study performed in our institution, residents were exposed to a mean of 18 endonasal septoplasties during their training in otolaryngology. 6 Other Chilean institutions report a median of only 12 septoplasties per trainee.…”

mentioning

confidence: 99%

“…It has been proposed that junior residents require at least 20 septoplasties to approximate a more experienced surgeon 5 . However, a UK study reported that only 73.3% of senior residents consider themselves prepared to perform a septoplasty independently 3 . According to a study performed in our institution, residents were exposed to a mean of 18 endonasal septoplasties during their training in otolaryngology 6 .…”

mentioning

confidence: 99%

“…It is a core procedure in otolaryngology and one of the first learned by residents during their training, for it provides an entry to more complex procedures and endoscopic approaches. 3 Regardless of the technique, septoplasty comprises mucosal preservation, flap elevation, and preservation of a cartilage frame to ensure nose stability. 2 There are 3 surgical approaches to septoplasty described in the literature: traditional endonasal, open rhinoseptoplasty, and endoscopic.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Septoplasty Training During the COVID‐19 Era: Development and Validation of a Novel Low‐Cost Simulation Model

et al. 2022

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Objective In a context of increasingly limited surgical exposition, enhanced by the coronavirus disease 2019 (COVID-19) pandemic context, the objective of this article is to explain the development of a novel low-cost and simple replication animal-based septoplasty training model for otolaryngology residents, to assess its face and construct validity, and to validate a specific rating scale for each task. Study Design Experimental study. Setting Surgical simulation laboratory. Methods Septoplasty experts divided the procedure into key tasks. A simulator model to perform tasks was developed using pig ears to imitate human nasal septum cartilage, and a Specific Rating Scale was constructed. Trainees and faculty performed all tasks in the model. The participants were videotaped, and operative time, hand movements, and path length were recorded using a motion sensor device. Two blinded experts evaluated the videos with Global and Specific Rating Scales. All participants answered a satisfaction survey. Results Fifteen subjects were recruited (7 trainees and 8 faculty). Significantly higher Global Rating Scale score, shorter operative time and path length, and fewer hand movements were observed in the faculty group. The satisfaction survey showed high applicability to a real scenario (mean score of 4.6 out of 5). Specific Rating Scale showed construct and concurrent validity and high reliability. Conclusion This simulation model and its specific rating scale can be accurately used as a validated surgical assessment tool for endonasal septoplasty skills. Its low cost and simple replicability make it a potentially useful tool in any otolaryngology surgical training program.

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“…It is a core procedure in otolaryngology and one of the first learned by residents during their training, for it provides an entry to more complex procedures and endoscopic approaches. 3 …”

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Septoplasty Training During the COVID‐19 Era: Development and Validation of a Novel Low‐Cost Simulation Model

et al. 2022

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show abstract

“…Even so, it has been reported that only 73.3% of residents in their final year of otolaryngology training consider themselves adequately trained to perform septoplasty independently. Those residents exposed to septoplasty training tools reported being better prepared than those who were not exposed to such training . For these reasons, new alternative training methods are needed.…”

mentioning

confidence: 99%

Development and validation of a septoplasty training model using 3‐dimensional printing technology

Al-Reefi

Nguyen

Mongeau

et al. 2016

Int Forum Allergy Rhinol

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Correcting for Rater Effects in Operating Room Surgical Skills Assessment

Chou,

Naz,

Boahene

et al. 2024

The Laryngoscope

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ObjectiveTo estimate and adjust for rater effects in operating room surgical skills assessment performed using a structured rating scale for nasal septoplasty.MethodsWe analyzed survey responses from attending surgeons (raters) who supervised residents and fellows (trainees) performing nasal septoplasty in a prospective cohort study. We fit a structural equation model with the rubric item scores regressed on a latent component of skill and then fit a second model including the rating surgeon as a random effect to model a rater‐effects‐adjusted latent surgical skill. We validated this model against conventional measures including the level of expertise and post‐graduation year (PGY) commensurate with the trainee's performance, the actual PGY of the trainee, and whether the surgical goals were achieved.ResultsOur dataset included 188 assessments by 7 raters and 41 trainees. The model with one latent construct for surgical skill and the rater as a random effect was the best. Rubric scores depended on how severe or lenient the rater was, sometimes almost as much as they depended on trainee skill. Rater‐adjusted latent skill scores increased with attending‐estimated skill levels and PGY of trainees, increased with the actual PGY, and appeared constant over different levels of achievement of surgical goals.ConclusionOur work provides a method to obtain rater effect adjusted surgical skill assessments in the operating room using structured rating scales. Our method allows for the creation of standardized (i.e., rater‐effects‐adjusted) quantitative surgical skill benchmarks using national‐level databases on trainee assessments.Level of EvidenceN/A Laryngoscope, 2024

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Septoplasty training revisited

Cited by 4 publications

References 17 publications

Septoplasty Training During the COVID‐19 Era: Development and Validation of a Novel Low‐Cost Simulation Model

Septoplasty Training During the COVID‐19 Era: Development and Validation of a Novel Low‐Cost Simulation Model

Development and validation of a septoplasty training model using 3‐dimensional printing technology

Correcting for Rater Effects in Operating Room Surgical Skills Assessment

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