Experience with key indicator cases among otolaryngology residents
Open Access
- 17 July 2019
- journal article
- research article
- Published by Wiley in Laryngoscope Investigative Otolaryngology
- Vol. 4 (4), 387-392
- https://doi.org/10.1002/lio2.274
Abstract
Objective To describe the resident experience with respect to key indicator cases for each year of training. Study Design Multi-institution, cross-sectional assessment. Methods Using an electronic survey, current otolaryngology residents were solicited to complete a survey regarding their experiences with the key indicator cases to that point. The survey was sent to this cohort in the winter of 2017–2018. Results Three hundred and three residents responded, with 293 completing the survey. Twenty-three percent were PGY1, 19% PGY2, 21% PGY3, 18% PGY4, and 19% PGY5 or higher. The majority of residents progress from resident assistant as a PGY2, to resident surgeon as a PGY3 and self-assessed competent surgeon as a PGY4 for the majority of the key indicator cases. Less than 50% of the surveyed PGY5 residents had reached independent practice in all the key indicator cases, with stapedectomy (16%), rhinoplasty (18%), and paramedian forehead flap (14.5%) being the cases least frequently performed independently. Ninety-five percent of the respondent residents felt their program provided adequate training, but 20% of the respondents were either unsure or believed that they would be unable to perform all the key indicator cases by the completion of their training. Conclusions The majority of otolaryngology residents feel confident in their training, but experience with certain cases lags behind and may not currently be taught as resident level cases. These findings raise the question of whether the current key indicator cases are the best option for assessing breadth and depth of residency training. Level of Evidence NAKeywords
This publication has 24 references indexed in Scilit:
- The Ottawa Surgical Competency Operating Room Evaluation (O-SCORE)Academic Medicine, 2012
- Validated Assessment Tools for Pediatric Airway Endoscopy SimulationOtolaryngology -- Head and Neck Surgery, 2012
- General Surgery and Otolaryngology Resident Perspectives on Obtaining Competency in Thyroid SurgeryJournal of Surgical Education, 2012
- Assessment of competence and progressive independence in postgraduate clinical trainingMedical Education, 2009
- A summative, Objective, Structured, Clinical Examination in ENT used to assess postgraduate doctors after one year of ENT training, as part of the Diploma of Otorhinolaryngology, Head and Neck SurgeryThe Journal of Laryngology & Otology, 2009
- Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics supportJournal of Biomedical Informatics, 2008
- Objective assessment of surgical competency - ENT traineesClinical Otolaryngology, 2007
- Viewpoint: Competency-Based Postgraduate Training: Can We Bridge the Gap between Theory and Clinical Practice?Academic Medicine, 2007
- Impact of Educational Intervention on Confidence and Competence in the Performance of a Simple Surgical TaskThe Journal of Bone & Joint Surgery, 2005
- Clinical skills in junior medical officers: a comparison of self-reported confidence and observed competenceMedical Education, 2004