OBJECTIVE

This study investigates the evolution of educational practices among otolaryngologists (ENTs) in the United States over the past decade, emphasizing podcast use.

METHODS

A mixed-methods approach was employed. Initially, a 20-question quantitative survey identified trends in educational resources and outcomes, specifically evaluating the BackTable ENT podcast's influence on clinical practice, patient outcomes, and knowledge acquisition. Subsequently, semi-structured qualitative interviews explored ENT specialists' experiences with educational resources, continuous learning challenges, motivations for podcast usage, and perspectives on future educational directions. Qualitative data underwent thematic analysis following COREQ guidelines.

RESULTS

Among 151 survey respondents, predominantly aged 31-50 (66%), male (57%), and affiliated with academic institutions (64%), the most frequently used educational resources in daily practice were internet searches (90%), journal articles (87%), surgical videos (62%), and podcasts (56%). Textbook usage significantly declined from 94% to 48% over the past 10 years ( < 0.001). For board examinations, 72% utilized textbooks, whereas only 43% did for surgical preparations ( < 0.001). The BackTable ENT podcast was used by 81% ( = 122) of respondents, with the majority acknowledging its positive impact on clinical practice (87%), clinical knowledge (92%), and effectiveness as a learning tool (82%). Interview analyses revealed three main themes: (1) hybrid educational approaches integrating traditional and innovative resources, (2) podcast-driven accessibility and engagement, and (3) the necessity of active learning for foundational knowledge. Subthemes included personalized education, modern educational delivery, knowledge accessibility, idea exchange, foundational knowledge concerns with non-traditional tools, and peer-based learning. Podcasts were valued for accessibility and clinical insights but raised concerns regarding the depth of foundational knowledge.

CONCLUSION

Podcasts significantly enrich ENT education. Future strategies should balance traditional and innovative resources to sustain comprehensive foundational knowledge and ultimately enhance patient care outcomes.Level of Evidence: 3.