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A low-cost alternative for nasolaryngoscopy simulation training equipment: a randomised controlled trial

Published online by Cambridge University Press:  10 September 2015

D I Johnston ,
V Selimi ,
A Chang  and
M Smith
D I Johnston*
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
V Selimi
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
A Chang
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
M Smith
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
*
Address for correspondence: Mr D I Johnston, ENT Department, Box48, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge CB2 0QQ, UK Fax: +44 1223 217 559 E-mail: [email protected]
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Abstract

Objectives:

Flexible nasolaryngoscopy is a key diagnostic procedure used in many specialities. Simulation-based teaching is beneficial for endoscopy training, but it is expensive. This study assessed whether an inexpensive simulation model is an effective training method for flexible nasolaryngoscopy.

Methods:

A three-armed, randomised, controlled trial was performed. One group received no simulation training, while two others were trained with either a high-cost or a low-cost model. All candidates then performed flexible nasolaryngoscopy on a volunteer. Their ability to perform this task was assessed by the patient discomfort score and time taken by a blinded expert.

Results:

Simulation-based teaching reduced patient discomfort and improved candidate skill level. Low-cost model training did not have a negative effect when compared with high-cost model training.

Conclusion:

Simulated flexible nasolaryngoscopy training may be more accessible with the use of an effective low-cost model.

Keywords

EndoscopyEducation, TrainingCost Control
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 11 , November 2015 , pp. 1101 - 1107
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Nankivell, PC, Pothier, DD. Nasal and instrument preparation prior to rigid and flexible nasendoscopy: a systematic review. J Laryngol Otol 2008;122:1024–8CrossRefGoogle ScholarPubMed
2Sturm, LP, Windsor, JA, Cosman, PH, Cregan, P, Hewett, PJ, Maddern, GJ. A systematic review of skills transfer after surgical simulation training. Ann Surg 2008;248:166–79CrossRefGoogle ScholarPubMed
3Rozman, A, Duh, S, Petrinec-Primozic, M, Triller, N. Flexible bronchoscope damage and repair costs in a bronchoscopy teaching unit. Respiration 2009;77:325–30CrossRefGoogle Scholar
4Zendejas, B, Wang, AT, Brydges, R, Hamstra, SJ, Cook, DA. Cost: the missing outcome in simulation-based medical education research: a systematic review. Surgery 2013;153:160–76CrossRefGoogle ScholarPubMed
5Langeron, A, Mercier, G, Lima, S, Chauleur, C, Golfier, F, Seffert, P et al. A new low-cost webcam-based laparoscopic training model [in French]. Gynecol Obstet Fertil 2012;40:396–401CrossRefGoogle ScholarPubMed
6Andreatta, P, Marzano, DA, Curran, DS, Klotz, JJ, Gamble, CR, Reynolds, RK. Low-hanging fruit: a clementine as a simulation model for advanced laparoscopy. Simul Healthc 2014;9:234–40CrossRefGoogle Scholar
7Trivedi, JN. An economical model for mastering the art of intubation with different video laryngoscopes. Indian J Anaesth 2014;58:394–6CrossRefGoogle ScholarPubMed
8Kiely, DJ, Stephanson, K, Ross, S. Assessing image quality of low-cost laparoscopic box trainers: options for residents training at home. Simul Healthc 2011;6:292–8CrossRefGoogle ScholarPubMed
9Burge, SD, Bunegin, L, Weitzel, EK, McMains, KC. The validation of an endoscopic sinus surgery skills training model: a pilot study. Am J Rhinol Allergy 2012;26:409–13CrossRefGoogle ScholarPubMed
10Smith, ME, Leung, BC, Sharma, R, Nazeer, S, McFerran, DJ. A randomized controlled trial of nasolaryngoscopy training techniques. Laryngoscope 2014;124:2034–8CrossRefGoogle ScholarPubMed
11Benadom, EM, Potter, NL. The use of simulation in training graduate students to perform transnasal endoscopy. Dysphagia 2011;26:352–60CrossRefGoogle ScholarPubMed
12Howes, BW, Repanos, C. A low-cost, endoscopic, digital, still and video photography system for ENT clinics. J Laryngol Otol 2010;124:543–4CrossRefGoogle ScholarPubMed
13Breivik, EK, Bjornsson, GA, Skovlund, E. A comparison of pain rating scales by sampling from clinical trial data. Clin J Pain 2000;16:22–8CrossRefGoogle ScholarPubMed
14Nagendran, M, Gurusamy, KS, Aggarwal, R, Loizidou, M, Davidson, BR. Virtual reality training for surgical trainees in laparoscopic surgery. Cochrane Database Syst Rev 2013;(8):CD006575CrossRefGoogle ScholarPubMed
15Zendejas, B, Brydges, R, Hamstra, SJ, Cook, DA. State of the evidence on simulation-based training for laparoscopic surgery: a systematic review. Ann Surg 2013;257:586–93CrossRefGoogle ScholarPubMed
16Sedlack, RE, Kolars, JC, Alexander, JA. Computer simulation training enhances patient comfort during endoscopy. Clin Gastroenterol Hepatol 2004;2:348–52CrossRefGoogle ScholarPubMed
17Walsh, CM, Sherlock, ME, Ling, SC, Carnahan, H. Virtual reality simulation training for health professions trainees in gastrointestinal endoscopy. Cochrane Database Syst Rev 2012;(6):CD008237CrossRefGoogle ScholarPubMed
18Park, SH, Suh, IH, Chien, JH, Paik, J, Ritter, FE, Oleynikov, D et al. Modeling surgical skill learning with cognitive simulation. Stud Health Technol Inform 2011;163:428–32Google ScholarPubMed