Manor Hospital, Moat Road, Walsall, WS2 9PS, UK.
Eur Arch Otorhinolaryngol. 2010 Apr;267(4):643-5. doi: 10.1007/s00405-009-1063-z. Epub 2009 Aug 19.
With training time for junior doctors now reduced, it is crucial to optimise training opportunities during elective clinical activities. Teaching ENT examination skills presents unique challenges as often, only the examiner can observe what's going on. We set out to explore the utilisation of microscope and nasendoscope teaching devices for ENT junior doctors. Telephonic survey of 102 English ENT units. ENT junior doctors spent an average of 7 h per week in elective ENT outpatient clinics. 92% of them felt that spending time in outpatient clinics helped improve their confidence in patients' management. 81% of ENT junior doctors stated that being able to observe others or being observed themselves would help to improve their clinical abilities. The availability and utilisation of nasendoscopy and microscopy teaching tools are currently suboptimal. Doctors working in departments that utilised the teaching tools stated that their educational needs were more likely to be met. Most ENT junior doctors found it beneficial to attend elective outpatient clinics although their learning needs were more likely to be met should ENT teaching devices be available. The availability and utilisation of ENT teaching devices are currently suboptimal and needs addressing.
由于现在初级医生的培训时间减少，因此在选修的临床活动中优化培训机会至关重要。教授耳鼻喉科检查技能具有独特的挑战，因为通常只有检查者才能观察到正在发生的情况。我们着手探索显微镜和鼻内镜教学设备在耳鼻喉科初级医生中的应用。对 102 个英国耳鼻喉科单位进行电话调查。耳鼻喉科初级医生平均每周在耳鼻喉科门诊选修课程中花费 7 小时。其中 92%的人认为在门诊花费时间有助于提高他们对患者管理的信心。81%的耳鼻喉科初级医生表示，能够观察他人或被他人观察有助于提高他们的临床能力。鼻内镜和显微镜教学工具的可用性和使用率目前还不理想。在使用教学工具的科室工作的医生表示，他们的教育需求更有可能得到满足。尽管如果有耳鼻喉科教学设备，他们的学习需求更有可能得到满足，但大多数耳鼻喉科初级医生发现参加选修门诊很有益处。耳鼻喉科教学设备的可用性和使用率目前还不理想，需要加以解决。
