Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, Ireland.
Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin, Ireland.
Ir J Med Sci. 2022 Feb;191(1):475-477. doi: 10.1007/s11845-021-02581-8. Epub 2021 Mar 8.
Otolaryngology (ENT) is a craft surgical specialty, which presents significant challenges for the novice surgical trainee (NST), when managing patients with potentially life-threatening conditions. We assess current evidence behind intensive, simulation-rich training programmes or "boot camps". We outline an ENT emergency-safe boot camp for NSTs and the impact this can have on trainees' competence when dealing with ENT emergencies.
We designed a standardized "ENT emergency-safe boot camp", aimed at NSTs with a view to up-skilling them in the management of 3 critical clinical scenarios namely post-thyroidectomy haematoma, post-tonsillectomy haemorrhage and epistaxis. All core surgical trainees (CSTs) (n = 54) on the National Surgical Training programme at the Royal College of Surgeons (RCSI) were enrolled on the boot camp. A pre- and post-boot camp anonymised self-assessment was completed by all participants.
Trainees' self-assessment demonstrated an increase in median competence scores from 3/5 to 4/5 for management of post-thyroidectomy haematoma and epistaxis. There was a greater increase in self-assessed competence scores from 2/5 to 4/5 for the management of post-tonsillectomy haemorrhage. Ninety-two percent of respondents said the course added to their previous knowledge, 70% of respondents said it improved their technical skills and 85% of participants said the course gave them more confidence with handling ENT related on-call problems.
Study participants expressed an increase in confidence when dealing with specific ENT emergencies, following boot camp training. This correlates with published data. Patient safety should be enhanced, as a result of participation in this dedicated ENT emergency-safe boot camp.
耳鼻喉科（ENT）是一门精细的外科专业，对于新手外科受训者（NST）来说，在处理可能危及生命的疾病患者时，具有很大的挑战性。我们评估了针对密集、模拟丰富的培训计划或“训练营”背后的现有证据。我们概述了一种针对 NST 的 ENT 紧急安全训练营，以及这对受训者处理 ENT 紧急情况时的能力产生的影响。
我们设计了一种标准化的“ENT 紧急安全训练营”，旨在为 NST 提供技能提升，使其能够处理 3 种关键临床情况，即甲状腺切除术后血肿、扁桃体切除术后出血和鼻出血。所有参加皇家外科医学院（RCSI）国家外科培训计划的核心外科受训者（CST）（n=54）都参加了训练营。所有参与者都完成了训练营前后的匿名自我评估。
学员的自我评估显示，在处理甲状腺切除术后血肿和鼻出血方面，其能力的中位数评分从 3/5 增加到 4/5。在处理扁桃体切除术后出血方面，自我评估的能力评分从 2/5 增加到 4/5 的人数更多。92%的受访者表示该课程增加了他们以前的知识，70%的受访者表示它提高了他们的技术技能，85%的参与者表示该课程使他们在处理 ENT 相关的随叫随到问题时更有信心。
训练营培训后，研究参与者在处理特定 ENT 紧急情况时表示增加了信心。这与已发表的数据相关。由于参加了这个专门的 ENT 紧急安全训练营，患者的安全性应该会得到提高。
