Oh Melissa S, Sethna Anita B, Henriquez Oswaldo A
Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia.
Craniomaxillofac Trauma Reconstr. 2019 Jun;12(2):134-140. doi: 10.1055/s-0038-1660442. Epub 2018 Jun 22.
This article aimed to assess the depth and volume of craniomaxillofacial (CMF) trauma exposure and education in otolaryngology residency training in the United States. This is a cross-sectional survey. A 15-question web-based survey was distributed to program directors of 106 Accreditation Council for Graduate Medical Education (ACGME)-approved otolaryngology residency programs to inquire about program size and demographics, trauma coverage, case volume, and education. Responses were collected anonymously. A total of 77 responses were received, representing 73% of residency programs. Seventy-five programs (97%) reported that their residents rotated at a level 1 trauma center, and 72 (94%) covered CMF trauma. Sixty-one programs (79%) included pediatric CMF trauma. The majority of programs (76%) allocated less than 10% of residency-dedicated didactic lecture time to CMF trauma. Residents in all programs typically logged at least 11 to 20 cases before graduation with 24% of programs averaging more than 50 cases per resident. Ninety percent of respondents described the training as "somewhat" to "very adequate." CMF coverage by the otolaryngology department, number of cases, and dedicated didactic lecture time to CMF trauma were significant factors on the perception of adequate training. The majority of program directors felt that the training in CMF trauma was adequate. Reasons for this may include that most residents rotate at level 1 trauma centers, have exposure to pediatric trauma, encounter an adequate volume of cases, and have dedicated didactic time to CMF education.
本文旨在评估美国耳鼻咽喉科住院医师培训中颅颌面（CMF）创伤暴露和教育的深度与广度。这是一项横断面调查。我们向106个经研究生医学教育认证委员会（ACGME）批准的耳鼻咽喉科住院医师培训项目的项目主任发放了一份包含15个问题的网络调查问卷，以询问项目规模和人口统计学信息、创伤覆盖情况、病例数量以及教育情况。问卷回复采用匿名收集。共收到77份回复，占住院医师培训项目的73%。75个项目（97%）报告称其住院医师在一级创伤中心轮转，72个项目（94%）涵盖CMF创伤。61个项目（79%）包括小儿CMF创伤。大多数项目（76%）将住院医师专用教学讲座时间的不到10%分配给CMF创伤。所有项目的住院医师在毕业前通常记录至少11至20例病例，24%的项目平均每位住院医师超过50例。90%的受访者将培训描述为“有点”到“非常充分”。耳鼻咽喉科对CMF的覆盖、病例数量以及CMF创伤专用教学讲座时间是影响对充分培训认知的重要因素。大多数项目主任认为CMF创伤培训是充分的。原因可能包括大多数住院医师在一级创伤中心轮转、接触小儿创伤、遇到足够数量的病例以及有CMF教育的专用教学时间。
