Dhillon Vaninder K, Dailey Seth H, Akst Lee M
Division of Laryngology, Department of Otolaryngology Head and Neck Surgery, Johns Hopkins University, Suburban Hospital, Bethesda MD, Johns Hopkins Hospital, Baltimore, MD, USA.
Section of Laryngology, Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, University of Wisconsin, Madison, WI, USA.
Ann Otol Rhinol Laryngol. 2020 Feb;129(2):101-109. doi: 10.1177/0003489419876290. Epub 2019 Sep 15.
To assess the prevalence of microlaryngeal teaching course in Accreditation Council for Graduate Medical Education (ACGME)-accredited otolaryngology residency programs in an effort to evaluate the nature, perceived value and barriers to implementation of microlaryngeal courses.
A 14-question survey to all ACGME-accredited otolaryngology programs in the United States.
Out of 119 ACGME-accredited otolaryngology programs identified on the ACGME Fellowship and Residency Electronic Interactive Database, responses were received from 67 programs (56%). Although 90% of respondents indicated that instruction courses in one discipline or another existed at their institution for their otolaryngology residents, only 33% indicated that their program offers a hands-on instruction course in microlaryngeal surgery. Of those programs that offered a microlaryngeal surgery course, 100% felt the residents appreciated the course; 95% of those programs that did not have a course felt their residents would appreciate a microlaryngeal course at their institution if they were able to offer one. Among programs without a microlaryngeal teaching course, the largest perceived barriers were cost and availability of appropriate equipment.
Microlaryngeal courses for otolaryngology residency training are limited in availability in the United States, and there is variability in training across the country. All respondents in our survey indicated the value in these courses for microlaryngeal surgical skill training. There is a clear role for increasing availability of low-cost microlaryngeal stations and courses.
评估美国研究生医学教育认证委员会（ACGME）认证的耳鼻喉科住院医师培训项目中微喉教学课程的普及率，以评估微喉课程的性质、感知价值及实施障碍。
对美国所有ACGME认证的耳鼻喉科项目进行一项包含14个问题的调查。
在ACGME奖学金和住院医师电子互动数据库中识别出的119个ACGME认证的耳鼻喉科项目中，有67个项目（56%）回复了调查。尽管90%的受访者表示其所在机构为耳鼻喉科住院医师开设了某一学科或其他学科的教学课程，但只有33%的受访者表示其项目提供微喉手术实践教学课程。在那些提供微喉手术课程的项目中，100%的人认为住院医师喜欢该课程；在那些没有开设该课程的项目中，95%的人认为如果能够开设，其住院医师会喜欢所在机构的微喉课程。在没有微喉教学课程的项目中，最大的感知障碍是成本和合适设备的可用性。
美国用于耳鼻喉科住院医师培训的微喉课程有限，且全国各地的培训存在差异。我们调查中的所有受访者都指出了这些课程对微喉外科技能培训的价值。增加低成本微喉工作站和课程的可用性具有明确的作用。
