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Endoscopic sinus surgery training courses: benefit and problems - a multicentre evaluation to systematically improve surgical training.
Rhinology. 2012 Sep; 50(3):246-54.R

Abstract

BACKGROUND

The aim of this multicentre study was to systematically analyse the strengths and weaknesses in the surgical training for endoscopic sinus surgery (ESS) and identify measures that may improve training.

METHODOLOGY

Using a structured questionnaire, 133 participants of ESS courses in seven centres in Germany, Switzerland and Australia were asked about their experiences during their dissection courses and how they perceived their course could be improved.

RESULTS

Gaining confidence in handling of instruments and endoscopes was only a problem for participants with little experience in ESS. The majority of the participants, independent from their level of training, considered infundibulotomy and anterior ethmoidectomy as the easiest dissection steps, whilst surgery of the frontal sinus posed a considerable challenge for many surgeons even those with a higher level of training. Participants with and without ESS experience thought that emphasis on anatomy was the most important improvement that could be made during their surgical training. Virtually all participants stated that the course improved their anatomical knowledge, their surgical skills and their confidence when performing ESS.

CONCLUSIONS

ESS dissection courses are considered beneficial by surgical trainees. Participants felt that more emphasis on sinus anatomy in conjunction with private study is essential to maximize their skills in surgical dissection. For beginners with ESS, an infundibulotomy and anterior ethmoidectomy were thought to be the best initial procedures to help develop endoscopic surgical skills.

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Publisher Full Text

Authors+Show Affiliations

Braun T
Department of Otorhinolaryngology, Ludwig Maximilian University, Munich, Germany. thomas.braun@med.uni-muenchen.de
Betz CS
No affiliation info available
Ledderose GJ
No affiliation info available
Havel M
No affiliation info available
Stelter K
No affiliation info available
Kuhnel T
No affiliation info available
Strauss G
No affiliation info available
Waschke J
No affiliation info available
Kirchner T
No affiliation info available
Briner HR
No affiliation info available
Simmen D
No affiliation info available
Caversaccio M
No affiliation info available
Wormald PJ
No affiliation info available
Jones N
No affiliation info available
Leunig A
No affiliation info available

MeSH

AdultAustraliaCadaverClinical CompetenceCurriculumDissectionEducation, Medical, GraduateEndoscopyFemaleGermanyHumansMaleMiddle AgedOtolaryngologyParanasal SinusesProgram EvaluationSwitzerland

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

22888480

Citation

Braun, T, et al. "Endoscopic Sinus Surgery Training Courses: Benefit and Problems - a Multicentre Evaluation to Systematically Improve Surgical Training." Rhinology, vol. 50, no. 3, 2012, pp. 246-54.
Braun T, Betz CS, Ledderose GJ, et al. Endoscopic sinus surgery training courses: benefit and problems - a multicentre evaluation to systematically improve surgical training. Rhinology. 2012;50(3):246-54.
Braun, T., Betz, C. S., Ledderose, G. J., Havel, M., Stelter, K., Kuhnel, T., Strauss, G., Waschke, J., Kirchner, T., Briner, H. R., Simmen, D., Caversaccio, M., Wormald, P. J., Jones, N., & Leunig, A. (2012). Endoscopic sinus surgery training courses: benefit and problems - a multicentre evaluation to systematically improve surgical training. Rhinology, 50(3), 246-54. https://doi.org/10.4193/Rhino11.266
Braun T, et al. Endoscopic Sinus Surgery Training Courses: Benefit and Problems - a Multicentre Evaluation to Systematically Improve Surgical Training. Rhinology. 2012;50(3):246-54. PubMed PMID: 22888480.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic sinus surgery training courses: benefit and problems - a multicentre evaluation to systematically improve surgical training. AU - Braun,T, AU - Betz,C S, AU - Ledderose,G J, AU - Havel,M, AU - Stelter,K, AU - Kuhnel,T, AU - Strauss,G, AU - Waschke,J, AU - Kirchner,T, AU - Briner,H R, AU - Simmen,D, AU - Caversaccio,M, AU - Wormald,P J, AU - Jones,N, AU - Leunig,A, PY - 2012/8/14/entrez PY - 2012/8/14/pubmed PY - 2013/2/13/medline SP - 246 EP - 54 JF - Rhinology JO - Rhinology VL - 50 IS - 3 N2 - BACKGROUND: The aim of this multicentre study was to systematically analyse the strengths and weaknesses in the surgical training for endoscopic sinus surgery (ESS) and identify measures that may improve training. METHODOLOGY: Using a structured questionnaire, 133 participants of ESS courses in seven centres in Germany, Switzerland and Australia were asked about their experiences during their dissection courses and how they perceived their course could be improved. RESULTS: Gaining confidence in handling of instruments and endoscopes was only a problem for participants with little experience in ESS. The majority of the participants, independent from their level of training, considered infundibulotomy and anterior ethmoidectomy as the easiest dissection steps, whilst surgery of the frontal sinus posed a considerable challenge for many surgeons even those with a higher level of training. Participants with and without ESS experience thought that emphasis on anatomy was the most important improvement that could be made during their surgical training. Virtually all participants stated that the course improved their anatomical knowledge, their surgical skills and their confidence when performing ESS. CONCLUSIONS: ESS dissection courses are considered beneficial by surgical trainees. Participants felt that more emphasis on sinus anatomy in conjunction with private study is essential to maximize their skills in surgical dissection. For beginners with ESS, an infundibulotomy and anterior ethmoidectomy were thought to be the best initial procedures to help develop endoscopic surgical skills. SN - 0300-0729 UR - https://www.unboundmedicine.com/medline/citation/22888480/Endoscopic_sinus_surgery_training_courses:_benefit_and_problems___a_multicentre_evaluation_to_systematically_improve_surgical_training_ L2 - https://www.rhinologyjournal.com/Abstract.php?id=1101 DB - PRIME DP - Unbound Medicine ER -