Cass Nathan, Kominsky Alan, Cabrera-Muffly Cristina
Department of Otolaryngology, University of Colorado School of Medicine, 12631 E 17th Ave, Suite 3001, Aurora, CO 80045-2527, United States.
Head and Neck Institute, Cleveland Clinic, 9500 Euclid Ave A71, Cleveland, OH 44106, United States.
Am J Otolaryngol. 2017 Mar-Apr;38(2):139-142. doi: 10.1016/j.amjoto.2016.11.009. Epub 2016 Nov 23.
(1) Ascertain the most important concepts and topics for otolaryngology resident education in sleep medicine and surgery, as determined by faculty who teach sleep medicine to otolaryngology residents. (2) Create learning objectives within the area of otolaryngologic sleep medicine in order to design a sleep medicine curriculum for otolaryngology residents.
Two web-based surveys were sent to 163 academic otolaryngologists who teach sleep medicine. The first survey determined the topics, and their relative importance, considered most vital to learn during otolaryngology training. Using the Delphi method, the second clarified questions regarding topics determined by the first survey. Sleep medicine learning objectives for residents were ascertained from responses.
The response rate of first and second surveys were 24.5% and 19%, respectively. Topics ranked most important for resident education included upper airway anatomy, polysomnogram interpretation, and understanding the range of medical and surgical therapies used to treat sleep disorders. Respondents listed surgical therapy as the most critical topic that most residents do not understand well. The second survey clarified the specific anatomic features, surgical techniques, and polysomnography data points deemed most critical for resident learning.
Academic otolaryngology sleep experts hold opinions regarding relative value of different topics for teaching sleep medicine, which is useful in creating a curriculum for otolaryngology residents. Otolaryngology learning objectives related to sleep medicine identified during this study are being used to create an online curriculum to supplement resident education.
(1)确定由向耳鼻喉科住院医师讲授睡眠医学的教员所认定的,对于耳鼻喉科住院医师睡眠医学及外科教育而言最重要的概念和主题。(2)在耳鼻喉科睡眠医学领域制定学习目标,以便为耳鼻喉科住院医师设计睡眠医学课程。
向163名讲授睡眠医学的学术型耳鼻喉科医生发送了两项基于网络的调查问卷。第一项调查确定了在耳鼻喉科培训期间认为学习起来最为重要的主题及其相对重要性。采用德尔菲法,第二项调查对第一项调查确定的主题相关问题进行了澄清。从回复中确定了住院医师的睡眠医学学习目标。
第一项和第二项调查的回复率分别为24.5%和19%。对住院医师教育而言排名最重要的主题包括上气道解剖、多导睡眠图解读,以及了解用于治疗睡眠障碍的医学和外科治疗方法的范围。受访者将手术治疗列为大多数住院医师理解欠佳的最关键主题。第二项调查澄清了对于住院医师学习而言被认为最为关键的具体解剖特征、手术技术和多导睡眠图数据点。
学术型耳鼻喉科睡眠专家对睡眠医学教学中不同主题的相对价值持有看法,这对于为耳鼻喉科住院医师创建课程很有用。本研究中确定的与睡眠医学相关的耳鼻喉科学习目标正被用于创建在线课程,以补充住院医师教育。