Assessment of Phonomicrosurgical Training in Otolaryngology Residencies: A Resident Survey

作者：Shah Manish D; Johns Michael M III; Statham Melissa; Klein Adam M^*

来源：Laryngoscope, 2013, 123(6): 1474-1477.

DOI：10.1002/lary.23763

• Phonomicrosurgery
• resident
• training

Objectives/Hypothesis: The primary objective of this study is to assess the adequacy of clinical and laboratory-based phonomicrosurgical training in otolaryngology residency programs using a self-report survey. The study aims to establish whether there is a need and desire for focused surgical training in phonomicrosurgery.
Study Design: Self-report Internet-based questionnaire.
Methods: An anonymous survey was sent to all current residents in otolaryngology training programs in the United States and Canada. For portions of the analysis, the residents were categorized into two groups-junior (R2 and R3) and senior (R4 and R5).
Results: One hundred ninety-one residents responded to the survey (USA: 166; Canada: 25), representing a 34.3% response rate. Approximately one-half of residents stated that their residency program includes a rotation during which the main emphasis is laryngology. Only 18.8% of residents were "very" satisfied with the phonomicrosurgery experience that their program offers and 21.6% of senior residents felt "very" comfortable performing a phonomicrosurgical removal of a vocal fold lesion. Whereas the vast majority of respondents found temporal bone laboratory training to be helpful, 82% had never performed laboratory training in phonomicrosurgery. The majority (87.4%) felt that their comfort level with phonomicrosurgery would increase if they had access to laboratory-based training.
Conclusion: Our study suggests that there is a lack of emphasis on clinical and laboratory-based training in phonomicrosurgery and that there is a need and desire for focused surgical training in phonomicrosurgery.

• 出版日期2013-6