Khan M M, Saeed S R
Manchester Royal Infirmary/The University of Manchester School of Medicine, Manchester, UK.
J Laryngol Otol. 2012 Apr;126(4):340-4. doi: 10.1017/S0022215111003379. Epub 2012 Feb 16.
Despite longstanding concern, provision of undergraduate ENT teaching has not improved in response to the aims of the UK General Medical Council's initiative Tomorrow's Doctors. Previous studies have demonstrated poor representation of ENT within the undergraduate curriculum. We aimed to identify current practice in order to establish undergraduate ENT experience across UK medical schools, a timely endeavour in light of the General Medical Council's new 2011-2013 education strategy.
Questionnaires were sent to ENT consultants, medical school deans and students. All schools with a clinical curriculum were anonymously represented. Our outcome measures were the provision of mandatory or optional ENT placements, and their duration and content.
A compulsory ENT placement was available to over half (53 per cent) of the students. Ten of the 26 participating schools did not offer an ENT attachment. The mean mandatory placement was 8 days. Overall, 38 per cent of students reported a satisfactory compulsory ENT placement. Most ENT consultants questioned considered that newly qualified doctors were not proficient in managing common ENT problems that did not require specialist referral.
Little improvement in the provision of undergraduate ENT teaching was demonstrated. An increase in the proportion of students undertaking ENT training is necessary. Time and curriculum constraints on medical schools mean that optimisation of available resources is required.
尽管长期以来备受关注，但本科耳鼻喉科教学的提供情况并未根据英国医学总会（General Medical Council）“明日医生”倡议的目标得到改善。先前的研究表明，耳鼻喉科在本科课程中的占比很低。我们旨在确定当前的做法，以便了解英国各医学院校本科阶段的耳鼻喉科教学情况，鉴于医学总会2011 - 2013年的新教育战略，这是一项及时的工作。
向耳鼻喉科顾问、医学院院长和学生发放问卷。所有设有临床课程的学校均匿名参与。我们的观察指标是是否提供必修或选修的耳鼻喉科实习安排，以及实习的时长和内容。
超过半数（53%）的学生有必修的耳鼻喉科实习安排。26所参与调查的学校中有10所未提供耳鼻喉科实习机会。必修实习的平均时长为8天。总体而言，38%的学生表示必修的耳鼻喉科实习令人满意。大多数接受调查的耳鼻喉科顾问认为，刚毕业的医生在处理无需转诊至专科医生的常见耳鼻喉科问题方面并不熟练。
本科耳鼻喉科教学的提供情况几乎没有改善。有必要增加接受耳鼻喉科培训的学生比例。医学院校面临的时间和课程限制意味着需要优化现有资源。
