Harvey Morgan, Bowe Sarah N, Laury Adrienne M
Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.
Department of Otolaryngology-Head and Neck Surgery, San Antonio Uniformed Services Health Education Consortium, Ft Sam Houston, Texas, USA.
Otolaryngol Head Neck Surg. 2016 Sep;155(3):373-5. doi: 10.1177/0194599816655145. Epub 2016 Jun 21.
The American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) has just released an update to the clinical practice guideline (CPG) on otitis media with effusion. This common condition is frequently managed by primary care providers; however, their awareness and utilization of the AAO-HNSF CPGs are unknown. We performed a cross-sectional survey to assess familiarity with otologic diagnoses, evaluation skills, and guidelines. Only 38.5% of respondents use pneumatic otoscopy, and roughly 50% utilize a CPG for management of otitis media or for referral for tympanostomy tube insertion. Providers predominantly use the acute otitis media guideline from the American Academy of Pediatrics. In this single-institution study, providers are largely unaware of the AAO-HNSF CPGs and could benefit from additional training, including workshops taught by otolaryngologists within individual health care systems or development of a national otolaryngology medical student curriculum. A more immediate option includes referencing our CPGs on specialty societies' websites or newsletters.
美国耳鼻咽喉-头颈外科基金会（AAO-HNSF）刚刚发布了关于中耳积液的临床实践指南（CPG）的更新内容。这种常见病症通常由初级保健提供者进行管理；然而，他们对AAO-HNSF CPG的知晓度和使用情况尚不清楚。我们进行了一项横断面调查，以评估对耳科诊断、评估技能和指南的熟悉程度。只有38.5%的受访者使用气耳镜检查，约50%的人在管理中耳炎或转诊进行鼓膜置管插入时使用CPG。提供者主要使用美国儿科学会的急性中耳炎指南。在这项单机构研究中，提供者大多不了解AAO-HNSF CPG，可能会从额外的培训中受益，包括在各个医疗保健系统内由耳鼻喉科医生举办的研讨会，或制定全国性的耳鼻喉科医学生课程。一个更直接的选择包括在专业协会的网站或时事通讯中参考我们的CPG。
