Montague Phillip, Bennett Donald, Kellermeyer Brian
*West Virginia University Department of Otolaryngology-Head and Neck Surgery†West Virginia University School of Medicine, Morgantown, West Virginia.
Otol Neurotol. 2017 Dec;38(10):1535-1539. doi: 10.1097/MAO.0000000000001601.
To survey graduating residents or recent graduates of otolaryngology residency programs to evaluate their Otology/Neurotology (ON) experience in residency and discern if they had received adequate training in time to decide whether to pursue a fellowship in Otology or Neurotology.
Internet-based survey.
A survey was distributed to all US otolaryngology residency programs to distribute to 5th year residents and recent graduates in last 4 years. The survey assessed satisfaction in ON experience, presence of ON fellows, adequacy of experience to decide on ON fellowship, post-graduate year (PGY) year at which residents observed, performed, and proficiently performed five procedures (tympanoplasty, mastoidectomy, ossiculoplasty, stapedectomy, and cochlear implant), and plan for performing these surgeries in practice.
89/106 (84%) of respondents felt they had adequate training in Otology in time to decide whether or not to pursue a fellowship and were found to observe and perform surgeries significantly earlier in training by PGY including: mastoidectomy (observed PGY 1.9 versus PGY 2.3, performed PGY 2.9 versus PGY 3.5), ossiculoplasty (observed 2.1 versus 3.0, performed 3.6 versus 4.3), stapedectomy (observed 2.3 versus 3.0, performed 3.9 versus 4.5), and cochlear implant (observed 2.1 versus 2.8, performed 3.4 versus 4.1) all p < 0.05. There were 19/106 (17.9%) respondents who came from programs with fellowships and 78.9% thought fellows were beneficial to their ON experience.
Early exposure to ON surgeries may aid in residents' decision to pursue a fellowship in ON. The presence of fellows appears to facilitate residents' ON experience.
对耳鼻喉科住院医师培训项目的即将毕业的住院医师或刚毕业的学生进行调查，以评估他们在住院医师培训期间的耳科学/神经耳科学（ON）经验，并确定他们是否及时接受了足够的培训，从而决定是否要攻读耳科学或神经耳科学的 fellowship。
基于互联网的调查。
向美国所有耳鼻喉科住院医师培训项目发放调查问卷，分发给五年级住院医师和过去四年内的刚毕业学生。该调查评估了对 ON 经验的满意度、ON 专科医师的存在情况、决定是否攻读 ON fellowship 的经验是否充足、住院医师观察、实施和熟练实施五项手术（鼓室成形术、乳突切除术、听骨成形术、镫骨切除术和人工耳蜗植入术）的研究生年级（PGY），以及在实践中实施这些手术的计划。
89/106（84%）的受访者认为他们在耳科学方面及时接受了足够的培训，从而能够决定是否攻读 fellowship，并且发现他们在培训中观察和实施手术的时间明显早于 PGY，包括：乳突切除术（观察时间 PGY 1.9 对 PGY 2.3，实施时间 PGY 2.9 对 PGY 3.5）、听骨成形术（观察时间 观测时间 2.1 对 3.0，实施时间 3.6 对 4.3）、镫骨切除术（观察时间 2.3 对 3.0，实施时间 3.9 对 4.5）和人工耳蜗植入术（观察时间 2.1 对 2.8，实施时间 3.4 对 4.1），所有 p<0.05。19/106（17.9%）的受访者来自设有 fellowship 的项目，78.9%的人认为专科医师对他们的 ON 经验有益。
早期接触 ON 手术可能有助于住院医师决定是否攻读 ON fellowship。专科医师的存在似乎有助于住院医师积累 ON 经验。
