Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-29T19:20:02.791Z Has data issue: false hasContentIssue false
  • English
  • Français

A survey of ENT undergraduate teaching in the UK

Published online by Cambridge University Press:  17 June 2020

A W Mayer ,
K A Smith ,
S Carrie  and
Collaborative Authors
A W Mayer*
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, UK
K A Smith
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, UK
S Carrie
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, UK
*
Author for correspondence: Dr Alasdair W Mayer, Redland Hospital, Weippin Street, Cleveland, Queensland4163, Australia E-mail: [email protected] Fax: +61 7348 83585
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

ENT presentations are prevalent in clinical practice but feature little in undergraduate curricula. Consequently, most medical graduates are not confident managing common ENT conditions. In 2014, the first evidence-based ENT undergraduate curriculum was published to guide medical schools.

Objective

To assess the extent that current UK medical school learning outcomes correlate with the syllabus of the ENT undergraduate curriculum.

Method

Two students from each participating medical school independently reviewed all ENT-related curriculum documents to determine whether learning outcomes from the suggested curriculum were met.

Results

Sixteen of 34 curricula were reviewed. Only a minority of medical schools delivered teaching on laryngectomy or tracheostomy, nasal packing or cautery, and ENT medications or surgical procedures.

Conclusion

There is wide variability in ENT undergraduate education in UK medical schools. Careful consideration of which topics are prioritised, and the teaching modalities utilised, is essential. In addition, ENT learning opportunities for undergraduates outside of the medical school curriculum should be augmented.

Keywords

OtolaryngologyTeachingCurriculumEducationStudents
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 6 , June 2020 , pp. 553 - 557
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Collaborative authors included: A Hundle, A Ridha, D A Fernando, E Y M Lau, E Hunter, E C Mills, F Gaba, H Cornwall, J Tan, J Sanchez, J Nicoletti, J L Frazer, J McQuillian, J Y Lim, J Atley, J Sealy, J Parekh, K Khan, K Wcislo, K Aiken, K Paramjothy, K Joshi, L Uthayanan, O Emanuel, P Robertson, P Ravichandran, R White, S Sriranganathan, S Patel, V Mberu and Y Nikookam

Dr A W Mayer takes responsibility for the integrity of the content of the paper

References

Ferguson, GR, Bacila, IA, Swamy, M. Does current provision of undergraduate education prepare UK medical students in ENT? A systematic literature review. BMJ Open 2016;6:e010054CrossRefGoogle ScholarPubMed
Wilmot, VV, Davis, JP, Carrie, S. National ENT workforce planning in the United Kingdom; an increasing cause for concern? Clin Otolaryngol 2019;44:213–18CrossRefGoogle ScholarPubMed
Griffiths, E. Incidence of ENT problems in general practice. J R Soc Med 1979;72:740–2CrossRefGoogle ScholarPubMed
Donnelly, MJ, Quraishi, MS, McShane, DP. ENT and general practice: a study of paediatric ENT problems seen in general practice and recommendations for general practitioner training in ENT in Ireland. Ir J Med Sci 1995;164:209–11CrossRefGoogle ScholarPubMed
Davies, KL, Elhassan, HA. Clinical ear, nose and throat training as a percentage of the undergraduate medical curriculum. Clin Otolaryngol 2012;37:500–1CrossRefGoogle ScholarPubMed
SFO, UK. Undergraduate Curriculum. In: https://sfo.entuk.org/services/undergraduate-curriculum [25 October 2019]Google Scholar
Lloyd, S, Tan, Z, Taube, M, Doshi, J. Development of an ENT undergraduate curriculum using a Delphi survey. Clin Otolaryngol 2014;39:281–8CrossRefGoogle ScholarPubMed
de Villiers, M, de Villiers, P, Kent, A. The Delphi technique in health sciences education research. Med Teach 2005;27:639–43CrossRefGoogle ScholarPubMed
Medical Schools Council. Medical schools. In: https://www.medschools.ac.uk/studying-medicine/medical-schools [15 October 2018]Google Scholar
Seymour, N. How effective are common ENT operations? J Laryngol Otol 2015;129:622–6CrossRefGoogle ScholarPubMed
Doshi, J, Carrie, S. A survey of undergraduate otolaryngology experience at Newcastle University Medical School. J Laryngol Otol 2006;120:770–3CrossRefGoogle ScholarPubMed
Davis, C, Toll, E, Bates, A, Cole, M, Smith, F. Surgical and procedural skills training at medical school – a national review. Int J Surg 2014;12:877–82CrossRefGoogle ScholarPubMed
Peel, JK, Schlachta, CM, Alkhamesi, NA. A systematic review of the factors affecting choice of surgery as a career. Can J Surg 2018;61:58–67CrossRefGoogle ScholarPubMed
von Brevern, M, Radtke, A, Lezius, F, Feldmann, M, Ziese, T, Lempert, T et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007;78:710–15CrossRefGoogle ScholarPubMed
Mehta, N, Stevens, K, Smith, M, Williams, R, Ellis, M, Hardman, J et al. National prospective observational study of inpatient management of adults with epistaxis – a National Trainee Research Collaborative delivered investigation. Rhinology 2019;57:180–9Google Scholar
Hall, A, Blanchford, H, Chatrath, P, Hopkins, C. A multi-centre audit of epistaxis management in England: is there a case for a national review of practice? J Laryngol Otol 2015;129:454–7CrossRefGoogle Scholar
Pabla, L, Jindal, M, Latif, K. The management of otitis externa in UK general practice. Eur Arch Otorhinolaryngol 2011;269:753–6CrossRefGoogle ScholarPubMed
Dolk, F, Pouwels, K, Smith, D, Robotham, J, Smieszek, T. Antibiotics in primary care in England: which antibiotics are prescribed and for which conditions? J Antimicrob Chemother 2018;73:ii2–10CrossRefGoogle ScholarPubMed
Smieszek, T, Pouwels, K, Dolk, F, Smith, D, Hopkins, S, Sharland, M et al. Potential for reducing inappropriate antibiotic prescribing in English primary care. J Antimicrob Chemother 2018;73:ii36–43CrossRefGoogle ScholarPubMed
Pouwels, K, Dolk, F, Smith, D, Robotham, J, Smieszek, T. Actual versus ‘ideal’ antibiotic prescribing for common conditions in English primary care. J Antimicrob Chemother 2018;73:19–26CrossRefGoogle ScholarPubMed
Williams, M, Greene, G, Naik, G, Hughes, K, Butler, C, Hay, A. Antibiotic prescribing quality for children in primary care: an observational study. Br J Gen Pract 2018;68:e90–6CrossRefGoogle ScholarPubMed
Darr, A, Dhanji, K, Doshi, J. Tracheostomy and laryngectomy survey: do front-line emergency staff appreciate the difference? J Laryngol Otol 2012;126:605–8CrossRefGoogle ScholarPubMed
Mayer, A, Carrie, S. Improving clinical undergraduate experience in otolaryngology: an audit of practice. J Laryngol Otol 2019;133:960–5CrossRefGoogle Scholar
Tarpada, SP, Hsueh, WD, Gibber, MJ. Resident and student education in otolaryngology: a 10-year update on e-learning. Laryngoscope 2017;127:E219–24CrossRefGoogle ScholarPubMed
Steven, RA, Mires, GJ, Lloyd, SKW, McAleer, S. An undergraduate otolaryngology curriculum comparison in the United Kingdom using a curriculum evaluation framework. Clin Otolaryngol 2017;42:963–8CrossRefGoogle ScholarPubMed
Gough, AT, Biggs, TC, Bird, J, Kane, T, Patel, NN. An ENT emergency crash course for the hospital at night team. Ann R Coll Surg Engl (Suppl) 2013;95:342–4Google Scholar
Elloy, M, Sama, A. Does an ENT introductory course improve junior doctors' confidence in managing ENT emergencies? Ann R Coll Surg Engl (Suppl) 2010;92:1–5CrossRefGoogle Scholar
Powell, J, Cooles, FAH, Carrie, S, Paleri, V. Is undergraduate medical education working for ENT surgery? A survey of UK medical school graduates. J Laryngol Otol 2011;125:896–905CrossRefGoogle ScholarPubMed