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Otolaryngology‐specific emergency room as a model for resident training
Author(s) -
Sethi Rosh K. V.,
Kozin Elliott D.,
Remenschneider Aaron K.,
Lee Daniel J.,
Gliklich Richard E.,
Shrime Mark G.,
Gray Stacey T.
Publication year - 2015
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24766
Subject(s) - otorhinolaryngology , medicine , peritonsillar abscess , incision and drainage , general surgery , debridement (dental) , surgery , abscess
Objectives/Hypothesis There is a paucity of data on junior resident training in common otolaryngology procedures such as ear debridement, nasal and laryngeal endoscopy, epistaxis management, and peritonsillar abscess drainage. These common procedures represent a critical aspect of training and are necessary skills in general otolaryngology practice. We sought to determine how a dedicated otolaryngology emergency room (ER) staffed by junior residents and a supervising attending provides exposure to common otolaryngologic procedures. Study Design Retrospective review. Methods Diagnostic and procedural data for all patients examined in the Massachusetts Eye and Ear Infirmary ER between January 2011 and September 2013 were evaluated. Results A total of 12,234 patients were evaluated. A total of 5,673 patients (46.4%) underwent a procedure. Each second‐year resident performed over 450 procedures, with the majority seen Monday through Friday (75%). The most common procedures in our study included diagnostic nasolaryngoscopy (52.0%), ear debridement (34.4%), and epistaxis control (7.0%) Conclusions An otolaryngology‐specific ER provides junior residents with significant diagnostic and procedural volume in a concentrated period of time. This study demonstrates utility of a unique surgical education model and provides insight into new avenues of investigation for otolaryngology training. Level of Evidence 4. Laryngoscope , 125:99–104, 2015