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Teaching and assessing endoscopic sinus surgery skills on a validated low-cost task trainer.
Laryngoscope. 2013 Apr; 123(4):841-4.L

Abstract

OBJECTIVES/HYPOTHESIS

To evaluate a previously validated low-cost sinus surgery task trainer as a means of acquiring basic endoscopic sinus surgery skills and as an objective structured assessment of technical skills (OSATS) to determine procedural competency.

STUDY DESIGN

Prospective blinded study.

METHODS

Medical students (N = 52) with no sinus surgery experience learned to perform nasal endoscopy and five specific sinus surgery tasks using the validated task trainer. Training included regimented expert instruction, peer instruction/observation, and experienced-based learning. Pre- and post-training video recordings of nasal endoscopy and five sinus surgery skills were obtained. Two blinded expert otolaryngologists compared pre- and post-training performance using a checklist and global rating scale.

RESULTS

Medical student post-training performance was significantly better than pre-training performance for each checklist item and global rating scale as calculated by paired t test (P < .001). Interrater reliability and internal consistency were confirmed by Kendall's coefficient of concordance and Cronbach's α calculations, respectively.

CONCLUSIONS

The sinus surgery task trainer provides an effective means of teaching and evaluating nasal endoscopy and basic sinus surgery skills for novice surgeons. With repeated practice, there was significant improvement in performance. An OSATS using the sinus surgery task trainer suggests that we can effectively measure endoscopic sinus surgery ability with the potential to reliably determine competency outside the operating room.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Steehler MK
Department of Otolaryngology-Head and Neck Surgery, Georgetown University Hospital, Washington, DC 20007, USA. mattsteehler@yahoo.com
Chu EE
No affiliation info available
Na H
No affiliation info available
Pfisterer MJ
No affiliation info available
Hesham HN
No affiliation info available
Malekzadeh S
No affiliation info available

MeSH

Clinical CompetenceEducational MeasurementEndoscopyHumansParanasal SinusesProspective StudiesSingle-Blind Method

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23288689

Citation

Steehler, Matthew K., et al. "Teaching and Assessing Endoscopic Sinus Surgery Skills On a Validated Low-cost Task Trainer." The Laryngoscope, vol. 123, no. 4, 2013, pp. 841-4.
Steehler MK, Chu EE, Na H, et al. Teaching and assessing endoscopic sinus surgery skills on a validated low-cost task trainer. Laryngoscope. 2013;123(4):841-4.
Steehler, M. K., Chu, E. E., Na, H., Pfisterer, M. J., Hesham, H. N., & Malekzadeh, S. (2013). Teaching and assessing endoscopic sinus surgery skills on a validated low-cost task trainer. The Laryngoscope, 123(4), 841-4. https://doi.org/10.1002/lary.23849
Steehler MK, et al. Teaching and Assessing Endoscopic Sinus Surgery Skills On a Validated Low-cost Task Trainer. Laryngoscope. 2013;123(4):841-4. PubMed PMID: 23288689.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Teaching and assessing endoscopic sinus surgery skills on a validated low-cost task trainer. AU - Steehler,Matthew K, AU - Chu,Eugenia E, AU - Na,Hana, AU - Pfisterer,Michael J, AU - Hesham,Hosai N, AU - Malekzadeh,Sonya, Y1 - 2013/01/03/ PY - 2012/04/16/received PY - 2012/08/07/revised PY - 2012/10/01/accepted PY - 2013/1/5/entrez PY - 2013/1/5/pubmed PY - 2013/6/19/medline SP - 841 EP - 4 JF - The Laryngoscope JO - Laryngoscope VL - 123 IS - 4 N2 - OBJECTIVES/HYPOTHESIS: To evaluate a previously validated low-cost sinus surgery task trainer as a means of acquiring basic endoscopic sinus surgery skills and as an objective structured assessment of technical skills (OSATS) to determine procedural competency. STUDY DESIGN: Prospective blinded study. METHODS: Medical students (N = 52) with no sinus surgery experience learned to perform nasal endoscopy and five specific sinus surgery tasks using the validated task trainer. Training included regimented expert instruction, peer instruction/observation, and experienced-based learning. Pre- and post-training video recordings of nasal endoscopy and five sinus surgery skills were obtained. Two blinded expert otolaryngologists compared pre- and post-training performance using a checklist and global rating scale. RESULTS: Medical student post-training performance was significantly better than pre-training performance for each checklist item and global rating scale as calculated by paired t test (P < .001). Interrater reliability and internal consistency were confirmed by Kendall's coefficient of concordance and Cronbach's α calculations, respectively. CONCLUSIONS: The sinus surgery task trainer provides an effective means of teaching and evaluating nasal endoscopy and basic sinus surgery skills for novice surgeons. With repeated practice, there was significant improvement in performance. An OSATS using the sinus surgery task trainer suggests that we can effectively measure endoscopic sinus surgery ability with the potential to reliably determine competency outside the operating room. SN - 1531-4995 UR - https://www.unboundmedicine.com/medline/citation/23288689/Teaching_and_assessing_endoscopic_sinus_surgery_skills_on_a_validated_low_cost_task_trainer_ L2 - https://doi.org/10.1002/lary.23849 DB - PRIME DP - Unbound Medicine ER -