Trends in Otolaryngology Consultation Patterns at an Academic Quaternary Care Center

Choi, Kevin J.; Kahmke, Russel; Crowson, Matthew G.; Puscas, Liana; Scher, Richard L.

doi:10.1001/jamaoto.2016.4056

Cited by 29 publications

(38 citation statements)

References 21 publications

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“…Emergent ORL-HNS disorders are sensitive and acute and require many consultations for the patients to receive appropriate point-of-care service and follow-up [ 11 ]. We selected the 10 most common emergent ORL-HNS disorders, including foreign body, epistaxis, ear trauma, acute otitis externa, deep neck infection, head and neck cancer and associated complications, acute otitis media, nasal trauma, acute pharyngotonsillitis, and sudden deafness (in descending order based on consultation frequency) among 300 consecutive patients who visited an otolaryngologist in 2004 at our Department of Emergency.…”

Section: Methodsmentioning

confidence: 99%

Mobile Technology in E-Learning for Undergraduate Medical Education on Emergent Otorhinolaryngology–Head and Neck Surgery Disorders: Pilot Randomized Controlled Trial

Lee¹,

Wang²,

Chao³

et al. 2018

JMIR Med Educ

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BackgroundThe use of mobile technology in e-learning (M-TEL) can add new levels of experience and significantly increase the attractiveness of e-learning in medical education. Whether an innovative interactive e-learning multimedia (IM) module or a conventional PowerPoint show (PPS) module using M-TEL to teach emergent otorhinolaryngology–head and neck surgery (ORL-HNS) disorders is feasible and efficient in undergraduate medical students is unknown.ObjectiveThe aim of this study was to compare the impact of a novel IM module with a conventional PPS module using M-TEL for emergent ORL-HNS disorders with regard to learning outcomes, satisfaction, and learning experience.MethodsThis pilot study was conducted at an academic teaching hospital and included 24 undergraduate medical students who were novices in ORL-HNS. The cognitive style was determined using the Group Embedded Figures Test. The participants were randomly allocated (1:1) to one of the two groups matched by age, sex, and cognitive style: the IM group and the PPS group. During the 100-min learning period, the participants were unblinded to use the IM or PPS courseware on a 7-inch tablet. Pretests and posttests using multiple-choice questions to evaluate knowledge and multimedia situational tests to evaluate competence were administered. Participants evaluated their satisfaction and learning experience by the AttrakDiff2 questionnaire, and provided feedback about the modules.ResultsOverall, the participants had significant gains in knowledge (median of percentage change 71, 95% CI 1-100, P<.001) and competence (median of percentage change 25, 95% CI 0-33, P=.007) after 100 min of learning. Although there was no significant difference in knowledge gain between the two groups (median of difference of percentage change 24, 95% CI −75 to 36; P=.55), competence gain was significantly lower in the IM group compared with the PPS group (median of difference of percentage change −41, 95% CI −67 to −20; P=.008). However, the IM group had significantly higher scores of satisfaction (difference 2, 95% CI 2-4; P=.01), pragmatic quality (difference 1.7, 95% CI 0.1-2.7; P=.03), and hedonic stimulation (difference 1.9, 95% CI 0.3-3.1; P=.01) compared with the PPS group. Qualitative feedback indicated that the various games in the IM module attracted the participants’ attention but that the nonlinearly arranged materials affected their learning.ConclusionsUsing M-TEL for undergraduate medical education on emergent ORL-HNS disorders, an IM module seems to be useful for gaining knowledge, but competency may need to occur elsewhere. While the small sample size reduces the statistical power of our results, its design seems to be appropriate to determine the effects of M-TEL using a larger group.Trial RegistrationClinicalTrials.gov NCT02971735; https://clinicaltrials.gov/ct2/show/NCT02971735 (Archived by WebCite at http://www.webcitation.org/6waoOpCEV)

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Section: Methodsmentioning

confidence: 99%

Mobile Technology in E-Learning for Undergraduate Medical Education on Emergent Otorhinolaryngology–Head and Neck Surgery Disorders: Pilot Randomized Controlled Trial

Lee¹,

Wang²,

Chao³

et al. 2018

JMIR Med Educ

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“…Other studies have reported a high frequency of these pathologies in children, 52.72% of children received urgently in the ENT-CFS department of Yopougon University Hospital in Ivory Coast [4] and 11.23% in Antananarivo in Madagascar [5]. Otherwise, pediatric ENT consultations accounted for 26.8% of all ENT-CFS consultations at Duke University Medical Center in North Carolina in the United States [6], and 21% of children under 10 years old. 15 years were received in outpatient ENT consultation at the Clinical Hospital of the University of Chile, Chile [7].…”

Section: Introductionmentioning

confidence: 99%

Clinical Aspects and Management of Children in Otorhinolaryngological Consultation: Case of University Clinics of Lubumbashi (DR Congo)

Sandra¹,

Gray²,

Albert³

et al. 2019

OALib

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Introduction: Otorhinolaryngological pathologies in children are a problem in sub-Saharan Africa because they are frequent and complex, yet poorly described, and their management poses a real challenge. The objective of this study was to describe the clinical and therapeutic characteristics, as well as to establish a diagnostic and topographic grouping of the main ENT diseases in children attending the ENT department of the University Clinics of Lubumbashi (DR Congo). Methods: A cross-sectional and retrospective study was conducted over a period of 2 years, from January 2014 to December 2015, 309 cases of children under 19 years of age were recorded. Results: An overall consultation frequency of 19.05% was noted. The mean age was 7.08 ± 5.37 years and 48.8% of cases were less than 5 years old. 1.9% of cases were referred; 58.3% of cases received initial self-medication before consulting. In the hospital, antibiotic treatment was prescribed in 67.2% of cases, anti-inflammatory in 62.8% of cases and surgery was necessary for 2% of cases. Otitis was the most common (37.7%), followed by tonsillitis (20.7%) and cerumen impaction (20.7%). Otologic complaints dominated with 67.7%; Otalgia and otorrhea were the most common complaints. In the field of rhinology, rhinorrhea and nasal encryption were predominant, while odynophagia and cough dominated complaints in laryngopharyngology and appendices. Conclusion: ENT pathologies in children are frequent and dominated by infectious pathology. Their management is often simple and their evolution generally favorable.

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“…The few studies previously addressing this in our country have looked at consult volume seen over a short time period (1 year) as well as the most common consults seen. 7,8 One previous study has examined otolaryngology consult volume trends outside of the United States and found a 120% increase in consult volume over a 5 year time period within a five hospital health region. 9 In this study, we investigate how the volume of otolaryngology consults has changed over a 4-year time period at a single institution in the United States and specifically examine trends based on the location and time of the consultations.…”

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confidence: 99%

Trends in otolaryngology consult volume at an academic institution from 2014 to 2018

Sher

Nicholas

2020

Laryngoscope Investig Oto

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Objective: To evaluate changes in emergency department and inpatient consult volumes of an otolaryngology service at an academic medical center from 2014 to 2018. Methods: A retrospective review of all otolaryngology consults in the electronic medical record from March 2014 through December 2018 was completed. The total number of consults was recorded to determine changes in consult volume over time. Additional parameters were analyzed including volume of weekday, night and weekend, adult, pediatric, emergency department, and inpatient consults. Results: From 1 March 2014 to 31 December 2018, a total of 8806 consults were seen by the otolaryngology service. In the first year, a total of 990 consults were seen. In the final year of the time period, a total of 2416 consults were seen. This represents a 144% increase in consults over the examined time period. Similar increasing trends were seen when consults were analyzed by weekday, night/weekend, pediatric, adult, emergency department, and inpatient consults. Conclusions: This is one of the first studies examining trends in otolaryngology consult volumes at an academic medical center in the United States. Our data show that the volume of consults has increased by 144% in a 4-year time period, predominantly due to an increase in emergency department consultations. This study demonstrates the increasing burden of emergency department consultations on an otolaryngology service at an academic medical center and highlights a potential role for increasing and improving provider availability.

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Trends in Otolaryngology Consultation Patterns at an Academic Quaternary Care Center

Cited by 29 publications

References 21 publications

Mobile Technology in E-Learning for Undergraduate Medical Education on Emergent Otorhinolaryngology–Head and Neck Surgery Disorders: Pilot Randomized Controlled Trial

Mobile Technology in E-Learning for Undergraduate Medical Education on Emergent Otorhinolaryngology–Head and Neck Surgery Disorders: Pilot Randomized Controlled Trial

Clinical Aspects and Management of Children in Otorhinolaryngological Consultation: Case of University Clinics of Lubumbashi (DR Congo)

Trends in otolaryngology consult volume at an academic institution from 2014 to 2018

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