在多机构住院医师教育课程中实施内窥镜鼻窦手术优化术前检查表。

IF 2.5 3区 医学 Q1 OTORHINOLARYNGOLOGY American Journal of Rhinology & Allergy Pub Date : 2024-10-30 DOI:10.1177/19458924241291289
Stephen Leong, Thomas Scharfenberger, Nathan Yang, Amrita Ray, Nadeem Akbar, Patrick M Colley, Anthony Del Signore, Jean Anderson Eloy, Satish Govindaraj, David Gudis, Samuel Helman, Wayne Hsueh, Alfred-Marc Iloreta, Ashutosh Kacker, Seth M Lieberman, Aaron N Pearlman, Madeleine R Schaberg, Abtin A Tabaee, Jonathan B Overdevest
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引用次数: 0

摘要

背景:计算机断层扫描(CT)成像的术前审查有助于内窥镜鼻窦手术(ESS)的规划,而系统化的方法可能会让受训者受益匪浅。此前,我们曾采用迭代修正德尔菲法开发出一种优化的鼻窦 CT 成像术前核对表:在本研究中,我们评估了优化后的术前检查清单对进行ESS的住院医师的实用性:住院医师鼻窦 CT 扫描教育包括干预前调查问卷、18 分钟概述优化术前检查清单的视频和延迟干预后调查问卷;这些问卷通过 Qualtrics 分发给纽约大都会地区 5 个培训项目的耳鼻喉科住院医师。干预前问卷包含25个调查问题和一个225分的鼻窦CT解剖测验;干预后延迟问卷包含同样的25个调查问题和第二个不同的225分测验:共有 74 名住院医师完成了干预前问卷调查,47 名完成了干预后问卷调查,36 名同时完成了干预前和干预后问卷调查。在完成这两份问卷的住院医师中,干预前测验的平均得分是 136.8 ± 24.0,干预后测验的平均得分是 156.0 ± 23.5(P 结论:我们发现,以 "健康 "为中心的教育计划能有效提高住院医师的健康意识:我们发现,以反复优化的ESS术前核对表为中心的教育计划提高了受训者识别关键鼻窦CT结构的能力。进一步整合核对表和教育课程可加强鼻科教育工作,提高外科解剖能力。
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Implementation of an Optimized Preoperative Checklist for Endoscopic Sinus Surgery Within a Multiinstitutional Resident Education Curriculum.

Background: Preoperative review of computed tomography (CT) imaging assists with endoscopic sinus surgery (ESS) planning, where trainees may benefit from a systematic approach. We have previously developed an optimized preoperative checklist for sinus CT imaging using an iterative modified Delphi method.

Objective: In this study, we assess the utility of an optimized preoperative checklist for residents performing ESS.

Methods: Resident sinus CT scan education consisted of a preintervention questionnaire, an 18-min video outlining the optimized preoperative checklist, and a delayed postintervention questionnaire; these were distributed via Qualtrics to otolaryngology residents across 5 training programs in the NY metro area. The preintervention questionnaire contained 25 survey questions and a 225-point quiz on sinus CT anatomy; the delayed postintervention questionnaire contained the same 25 survey questions and a second, distinct 225-point quiz.

Results: In total, 74 residents completed the preintervention questionnaire, 47 completed the postintervention questionnaire, and 36 completed both. Among residents completing both questionnaires, the average preintervention quiz score was 136.8 ± 24.0 and the average postintervention quiz score was 156.0 ± 23.5 (P < .001). Resident habitual utilization of a systematic preoperative CT imaging checklist increased significantly from 21.6% to 72.9% as a result of the curriculum intervention.

Conclusion: We find that an educational program centered on an iteratively optimized preoperative checklist for ESS improves the ability of trainees to identify critical sinus CT structures. Further integration of checklists and educational curricula may enhance rhinology education efforts and improve surgical anatomy competency.

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来源期刊
CiteScore
5.60
自引率
11.50%
发文量
82
审稿时长
4-8 weeks
期刊介绍: The American Journal of Rhinology & Allergy is a peer-reviewed, scientific publication committed to expanding knowledge and publishing the best clinical and basic research within the fields of Rhinology & Allergy. Its focus is to publish information which contributes to improved quality of care for patients with nasal and sinus disorders. Its primary readership consists of otolaryngologists, allergists, and plastic surgeons. Published material includes peer-reviewed original research, clinical trials, and review articles.
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