Gouveia Christopher J, Kern Robert C, Liu Stanley Yung-Chuan, Capasso Robson
Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A.
Department of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, Stanford, California, U.S.A.
Laryngoscope. 2017 Oct;127(10):2423-2428. doi: 10.1002/lary.26572. Epub 2017 Mar 27.
OBJECTIVES/HYPOTHESIS: Our objectives were to describe otolaryngology residency programs' experience in and attitudes toward sleep surgery, and describe current otolaryngology sleep fellowships and their impact on future academic practice.
E-mail survey.
A survey was e-mailed to program directors of 106 Accreditation Council for Graduate Medical Education-accredited otolaryngology residencies assessing resident sleep medicine experience, program satisfaction, and impact of sleep faculty. A separate survey was sent to directors of the seven sleep medicine otolaryngology fellowships. Frequency of graduates pursuing academic careers was examined.
Forty-six (43.4%) residency programs responded. Thirty-one (67.4%) have a faculty member with any time spent practicing sleep medicine or surgery. Nineteen (41.3%) have a faculty member with >50% dedicated sleep practice and/or who is board certified in sleep medicine. These programs were significantly more likely to respond "extremely" or "very" satisfied with resident sleep exposure than those without (P < .001). Most programs (69.6%) "strongly agreed" or "agreed" their program would benefit from a dedicated sleep surgeon; there was no significant difference in response rates between programs already with and those without dedicated sleep faculty. All fellowship directors responded. In the past 5 years these programs have trained 11 total fellows. Ten (90.9%) have remained in academic practice.
There is significantly increased satisfaction in resident sleep education at otolaryngology programs with dedicated sleep providers. Concurrently, there is strong program interest in sleep surgeons' involvement in resident training. Sleep fellowships are producing surgeons who pursue academic careers. This study provides support to training fellowship-specialized sleep surgeons and encouraging otolaryngology sleep faculty.
NA Laryngoscope, 127:2423-2428, 2017.
目的/假设：我们的目的是描述耳鼻喉科住院医师培训项目在睡眠手术方面的经验和态度，并描述当前耳鼻喉科睡眠医学奖学金项目及其对未来学术实践的影响。
电子邮件调查。
向106个经研究生医学教育认证委员会认证的耳鼻喉科住院医师培训项目的项目主任发送电子邮件调查，评估住院医师的睡眠医学经验、项目满意度以及睡眠医学教员的影响。向七个耳鼻喉科睡眠医学奖学金项目的主任发送了单独的调查问卷。调查了毕业生从事学术职业的频率。
46个（43.4%）住院医师培训项目做出了回应。31个（67.4%）项目有教员曾花费时间从事睡眠医学或手术。19个（41.3%）项目有教员将超过50%的时间用于专门的睡眠实践和/或拥有睡眠医学专业认证。与没有此类教员的项目相比，这些项目对住院医师睡眠接触的满意度更有可能为“极其”或“非常”满意（P <.001）。大多数项目（69.6%）“强烈同意”或“同意”其项目将受益于一名专门的睡眠外科医生；已有专门睡眠教员的项目和没有专门睡眠教员的项目的回应率没有显著差异。所有奖学金项目主任都做出了回应。在过去5年中，这些项目共培养了11名研究员。其中10名（90.9%）仍从事学术工作。
有专门睡眠医学提供者的耳鼻喉科项目对住院医师睡眠教育的满意度显著提高。同时，项目对睡眠外科医生参与住院医师培训有浓厚兴趣。睡眠医学奖学金项目培养出了从事学术职业的外科医生。本研究为培训专门的睡眠外科医生奖学金项目和鼓励耳鼻喉科睡眠医学教员提供了支持。
无 喉镜，127:2423 - 2428，2017年。
