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Achievement of competency in endoscopic sinus surgery of otolaryngology residents.
Laryngoscope. 2013 Dec; 123(12):2932-4.L

Abstract

OBJECTIVES/HYPOTHESIS

The goal of our study is to identify the number of Endoscopic Sinus Surgery (ESS) cases required to obtain competency in ESS, using a previously validated assessment tool.

STUDY DESIGN

Prospective observational study.

METHODS

Seventeen residents from Johns Hopkins Otolaryngology-Head & Neck Surgery residency program were evaluated as they performed endoscopic sinus surgery in the operating room. Global and checklist parts of the ESS instrument were used for assessment purposes. Items on the tool were grouped into three different milestones for analysis of data (Milestone 1 = Maxillary Antrostomy + Anterior Ethmoidectomy, Milestone 2 = Posterior Ethmoidectomy + Sphenoidostomy, Milestone 3 = Frontal Sinusotomy). Residents were deemed competent if they achieved a minimum score of 3 on a 5-point Likert scale on each step of the surgery.

RESULTS

A total of 73 evaluations were completed for 17 residents (Postgraduate Level 2-5) by eight evaluators between 2009 and 2011. A 60% probability of achieving competency in performance of all milestones of ESS is obtained with performing 42 ESS procedures and the probability is increased to a 100% with performance of 55 endoscopic sinus surgery procedures. On average it took residents 23 cases to become competent in performance of maxillary antrostomy and anterior ethmoidectomy.

CONCLUSIONS

Our results suggest that it requires 42 ESS procedures to attain a 60% probability of competency in ESS. These results have implications for otolaryngology residency programs when developing curriculum and benchmarks for the training residents.

Authors+Show Affiliations

Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins University, Baltimore, Maryland, U.S.A.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24122507

Citation

Laeeq, Kulsoom, et al. "Achievement of Competency in Endoscopic Sinus Surgery of Otolaryngology Residents." The Laryngoscope, vol. 123, no. 12, 2013, pp. 2932-4.
Laeeq K, Lin SY, Varela DA, et al. Achievement of competency in endoscopic sinus surgery of otolaryngology residents. Laryngoscope. 2013;123(12):2932-4.
Laeeq, K., Lin, S. Y., Varela, D. A., Lane, A. P., Reh, D., & Bhatti, N. I. (2013). Achievement of competency in endoscopic sinus surgery of otolaryngology residents. The Laryngoscope, 123(12), 2932-4. https://doi.org/10.1002/lary.23509
Laeeq K, et al. Achievement of Competency in Endoscopic Sinus Surgery of Otolaryngology Residents. Laryngoscope. 2013;123(12):2932-4. PubMed PMID: 24122507.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Achievement of competency in endoscopic sinus surgery of otolaryngology residents. AU - Laeeq,Kulsoom, AU - Lin,Sandra Y, AU - Varela,David A Diaz Voss, AU - Lane,Andrew P, AU - Reh,Douglas, AU - Bhatti,Nasir I, Y1 - 2013/10/05/ PY - 2012/04/05/accepted PY - 2013/10/15/entrez PY - 2013/10/15/pubmed PY - 2014/3/26/medline KW - Learning curve KW - Level of Evidence: NA KW - endoscopic sinus surgery KW - milestones KW - surgical assessment SP - 2932 EP - 4 JF - The Laryngoscope JO - Laryngoscope VL - 123 IS - 12 N2 - OBJECTIVES/HYPOTHESIS: The goal of our study is to identify the number of Endoscopic Sinus Surgery (ESS) cases required to obtain competency in ESS, using a previously validated assessment tool. STUDY DESIGN: Prospective observational study. METHODS: Seventeen residents from Johns Hopkins Otolaryngology-Head & Neck Surgery residency program were evaluated as they performed endoscopic sinus surgery in the operating room. Global and checklist parts of the ESS instrument were used for assessment purposes. Items on the tool were grouped into three different milestones for analysis of data (Milestone 1 = Maxillary Antrostomy + Anterior Ethmoidectomy, Milestone 2 = Posterior Ethmoidectomy + Sphenoidostomy, Milestone 3 = Frontal Sinusotomy). Residents were deemed competent if they achieved a minimum score of 3 on a 5-point Likert scale on each step of the surgery. RESULTS: A total of 73 evaluations were completed for 17 residents (Postgraduate Level 2-5) by eight evaluators between 2009 and 2011. A 60% probability of achieving competency in performance of all milestones of ESS is obtained with performing 42 ESS procedures and the probability is increased to a 100% with performance of 55 endoscopic sinus surgery procedures. On average it took residents 23 cases to become competent in performance of maxillary antrostomy and anterior ethmoidectomy. CONCLUSIONS: Our results suggest that it requires 42 ESS procedures to attain a 60% probability of competency in ESS. These results have implications for otolaryngology residency programs when developing curriculum and benchmarks for the training residents. SN - 1531-4995 UR - https://www.unboundmedicine.com/medline/citation/24122507/Achievement_of_competency_in_endoscopic_sinus_surgery_of_otolaryngology_residents_ L2 - https://doi.org/10.1002/lary.23509 DB - PRIME DP - Unbound Medicine ER -