Meher Ravi, Sharma Raman, Mishra Devendra, Kumar Dinesh
Department of ENT and Head Neck Surgery, Maulana Azad Medical College, New Delhi, India.
Department of Pediatrics, Maulana Azad Medical College, New Delhi, India.
Indian J Otolaryngol Head Neck Surg. 2025 Jul;77(7):2449-2453. doi: 10.1007/s12070-025-05494-5. Epub 2025 May 13.
Fiberoptic laryngoscopy is a critical skill for ENT residents, especially in cases where conventional laryngoscopy is ineffective. Although hands-on training under faculty supervision is common, it carries risks such as patient discomfort and complications. Skill lab training mitigates these risks, but skill decay over time remains a concern. This study evaluates skill retention in fiberoptic laryngoscopy over a two-month period without practice and the necessity of retraining. A prospective study was conducted at Maulana Azad Medical College with 24 ENT residents. After ethical approval, participants underwent a standardized didactic session and hands-on mannequin-based training. Proficiency was assessed using an objective checklist. After two months without practice, skill retention was reassessed without retraining. A paired t-test and effect size analysis were used for statistical evaluation. The mean proficiency score declined from 15.70 (SD ± 2.95) to 13.70 (SD ± 2.80) ( < 0.001), demonstrating significant skill decay. A strong effect size (Cohen's d = 1.08) highlighted the clinical relevance of this decline. While some residents maintained proficiency, others showed substantial deterioration, with five residents losing 4-6 points. A strong positive correlation ( = 0.79) between initial and follow-up scores suggested that higher initial proficiency predicted better retention. Fiberoptic laryngoscopy skills decline significantly over two months, underscoring the need for periodic refresher training. Personalized retraining, simulation-based learning, and structured continuing education could help mitigate skill loss and enhance long-term competency.
The online version contains supplementary material available at 10.1007/s12070-025-05494-5.
纤维喉镜检查是耳鼻喉科住院医师的一项关键技能，尤其是在传统喉镜检查无效的情况下。尽管在教员监督下进行实践培训很常见，但它存在患者不适和并发症等风险。技能实验室培训可降低这些风险，但随着时间的推移技能衰退仍是一个问题。本研究评估了在两个月不练习的情况下纤维喉镜检查技能的保持情况以及再培训的必要性。在莫拉纳·阿扎德医学院对24名耳鼻喉科住院医师进行了一项前瞻性研究。在获得伦理批准后，参与者接受了标准化的理论课程和基于人体模型的实践培训。使用客观检查表评估熟练程度。在两个月不练习后，在没有再培训的情况下重新评估技能保持情况。采用配对t检验和效应量分析进行统计学评估。平均熟练程度得分从15.70（标准差±2.95）降至13.70（标准差±2.80）（<0.001），表明技能有显著衰退。强大的效应量（科恩d值=1.08）突出了这种衰退的临床相关性。虽然一些住院医师保持了熟练程度，但另一些则出现了明显下降，有5名住院医师下降了4 - 6分。初始得分与随访得分之间存在强正相关（=0.79），表明初始熟练程度越高，技能保持越好。纤维喉镜检查技能在两个月内显著下降，强调了定期复习培训的必要性。个性化再培训、基于模拟的学习和结构化继续教育有助于减轻技能损失并提高长期能力。
在线版本包含可在10.1007/s12070-025-05494-5获取的补充材料。
