Otolaryngology-specific emergency room as a model for resident training.

Citation:

Sethi RKV, Kozin ED, Remenschneider AK, Lee DJ, Gliklich RE, Shrime MG, Gray ST. Otolaryngology-specific emergency room as a model for resident training. Laryngoscope. 2015;125 (1) :99-104.

Date Published:

2015 Jan

Abstract:

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.