Ng C L, Ong W, Ngo R Y S
Department of Ear, Nose and Throat - Head and Neck Surgery, Ng Teng Fong General Hospital, Singapore.
Yong Loo Lin School of Medicine, National University Health System, Singapore.
J Laryngol Otol. 2020 Mar;134(3):233-240. doi: 10.1017/S0022215120000365. Epub 2020 Mar 2.
The introduction of endoscopic ear surgery has implications for the training of otolaryngology residents.
To report on the status of endoscopic ear surgery and assess the effects of this new technology on otolaryngology training in Singapore, from the residents' perspective.
An anonymous survey was conducted amongst all Singaporean otolaryngology residents. Residents' exposure to, and perceptions of, endoscopic ear surgery were assessed.
Residents from institutions that practise endoscopic ear surgery were more positive regarding its efficacy in various otological surgical procedures. Of residents in programmes with exposure to endoscopic ear surgery, 82.4 per cent felt that its introduction had adversely affected their training, with 88.3 per cent of residents agreeing that faculty members' learning of endoscopic ear surgery had decreased their hands-on surgical load. Both groups expressed desire for more experience with endoscopy.
The majority of residents view endoscopic ear surgery as an expanding field with a potentially negative impact on their training. Mitigating measures should be implemented to minimise its negative impact on residents' training.
耳内镜手术的引入对耳鼻喉科住院医师的培训产生了影响。
从住院医师的角度报告耳内镜手术的现状,并评估这项新技术对新加坡耳鼻喉科培训的影响。
对所有新加坡耳鼻喉科住院医师进行了一项匿名调查。评估住院医师对耳内镜手术的接触情况和看法。
来自开展耳内镜手术机构的住院医师对其在各种耳科手术中的疗效更为肯定。在接触过耳内镜手术的住院医师项目中,82.4%的人认为其引入对他们的培训产生了不利影响,88.3%的住院医师同意教员学习耳内镜手术减少了他们的实际手术量。两组都表示希望有更多的内镜操作经验。
大多数住院医师认为耳内镜手术是一个不断发展的领域,可能对他们的培训产生负面影响。应采取缓解措施,以尽量减少其对住院医师培训的负面影响。