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Validation of a new ENT emergencies course for first-on-call doctors

Published online by Cambridge University Press:  10 January 2017

C Swords ,
M E Smith ,
J D Wasson ,
A Qayyum  and
J R Tysome
C Swords*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge
M E Smith
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge
J D Wasson
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge
A Qayyum
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Peterborough City Hospital, UK
J R Tysome
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Addenbrooke's Hospital, Cambridge
*
Address for correspondence: Miss Chloe Swords, Department of Otolaryngology, Addenbrooke's Hospital, Hills Road, Cambridge CB2 0QQ, UK E-mail: [email protected]
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Abstract

Background:

First-on-call ENT cover is often provided by junior doctors with limited ENT experience; yet, they may have to manage life-threatening emergencies. An intensive 1-day simulation course was developed to teach required skills to junior doctors.

Methods:

A prospective, single-blinded design was used. Thirty-seven participants rated their confidence before the course, immediately following the course and after a two-month interval. Blinded assessors scored participant performance in two video-recorded simulated scenarios before and after the course.

Results:

Participant self-rated confidence was increased in the end-of-course survey (score of 27.5 vs 53.0; p < 0.0001), and this was maintained two to four months after the course (score of 50.5; p < 0.0001). Patient assessment and management in video-recorded emergency scenarios was significantly improved following course completion (score of 9.75 vs 18.75; p = 0.0093).

Conclusion:

This course represents an effective method of teaching ENT emergency management to junior doctors. ENT induction programmes benefit from the incorporation of a simulation component.

Keywords

OtolaryngologyEducationMedicalEmergenciesAirway Management
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 2 , February 2017 , pp. 106 - 112
Copyright
Copyright © JLO (1984) Limited 2017 

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