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Evaluation of a novel high‐fidelity epistaxis task trainer
Author(s) -
Scott Grace M.,
Roth Kathryn,
Rotenberg Brian,
Sommer Doron D.,
Sowerby Leigh,
Fung Kevin
Publication year - 2016
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.25652
Subject(s) - otorhinolaryngology , trainer , nasal packing , task (project management) , medicine , cohort , nose , certification , cadaveric spasm , prospective cohort study , curriculum , medical physics , medical education , physical therapy , surgery , psychology , computer science , engineering , pedagogy , programming language , systems engineering , law , political science
Objectives/Hypothesis To assess the efficacy of a novel high‐fidelity epistaxis simulator in teaching epistaxis management to junior otolaryngology head and neck surgery residents. Study Design Prospective cohort study. Methods A novel high‐fidelity epistaxis task trainer was developed using a cadaver head, intravenous tubing, and a food coloring‐filled saline bag to emulate blood. Learners were instructed on two techniques of nasal packing (formal nasal pack and nasal tampon) for the management of epistaxis using the task trainer. Learners were videotaped attempting to pack the nose of the task trainer pre‐ and postintervention (verbal instruction, and practice time with task trainer). Five board‐certified otolaryngologists (blinded to pre‐ and postintervention status) evaluated the packing technique using standardized subjective outcome measures. Results There were 13 junior otolaryngology residents enrolled in the study. This cohort showed a statistically significant increase in global rating scores ( P < 0.05) in all items measured for both packing methods. Conclusion This novel cadaveric epistaxis simulator has been successful in teaching and the practical application of various skills in epistaxis management. This task trainer appears to confer an educational benefit in technical skills acquisition in novice learners. Further studies are needed to determine long‐term skill retention. Simulation is a promising educational adjunct that effectively enhances epistaxis management skills acquisition while maximizing patient safety. Level of Evidence NA. Laryngoscope , 126:1501–1503, 2016