Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Aug;128(8):715-720.
doi: 10.1177/0003489419840682. Epub 2019 Apr 2.

Integrated Otolaryngology-Anesthesiology Clinical Skills and Simulation Rotation: A Novel 1-Month Intern Curriculum

Kevin J Kovatch  1 , Rebecca S Harvey  1 , Samuel A Schechtman  2 , David W Healy  2 , Kelly M Malloy  1 , Mark E P Prince  1 , Marc C Thorne  1
Affiliations

Integrated Otolaryngology-Anesthesiology Clinical Skills and Simulation Rotation: A Novel 1-Month Intern Curriculum

Kevin J Kovatch et al. Ann Otol Rhinol Laryngol. 2019 Aug.

Abstract

Objectives: Current Accreditation Council for Graduate Medical Education (ACGME) requirements allow PGY-1 otolaryngology-head and neck surgery (ORL-HNS) residents to spend 6 months on service, prompting reconsideration of educational best practices for the first-year resident experience. The aim of this study was to determine feasibility and value of a 1-month PGY-1 otolaryngology clinical skills rotation integrated with anesthesiology to complement clinical ORL-HNS rotations.

Methods: Our institution developed a 1-month rotation focusing on procedural simulation and airway management as a collaborative effort between ORL-HNS and anesthesiology. Logistics of curriculum design and implementation in the first 2 years are described. Learner outcome measures include pre- and postintervention Likert scale measures of knowledge and confidence. Statistical assessment of curriculum efficacy includes Wilcoxon sign rank test and effect size (Cohen's d).

Results: The described rotation was successfully implemented for 8 entering PGY-1 residents in the 2016-2017 and 2017-1018 academic years. Learners reported significant improvement in knowledge and confidence (5-point Likert scale, all P < .0001) in each of the following grouped domains following the intervention: anesthesia skills (pre 2.79, post 4.02), anesthesia knowledge (pre 2.31, post 3.50), anesthesia overall preparedness (pre 2.75, post 4.04), otolaryngology skills (pre 2.90, post 4.19), otolaryngology scenarios (pre 2.80, post 4.00), and otolaryngology overall preparedness (pre 2.38, post 3.75). Very large effect sizes (Cohen's d, range = 1.6-2.9) were observed.

Conclusion: Changing rotation structure in ORL-HNS training programs provides an opportunity to develop novel rotations with high educational impact. Early outcome data suggest that the described clinical skills rotation is practically feasible and was perceived to have measurable value as part of the PGY-1 curriculum.

Keywords: PGY-1; anesthesiology; boot camp; curriculum development; intern; otolaryngology; simulation.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interests: The authors have no conflicts of interest related to this work.

Figures

Figure 1
Figure 1
Schematic of Curriculum Design and Implementation
See this image and copyright information in PMC

References

    1. Accreditation Council for Graduate Medical Education. 2016. ACGME Program Requirements for Graduate Medical Education in Otolaryngology https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/280_otolary.... Accessed March 15, 2017.
    1. Kovatch KJ, Harvey RS, Prince MEP, Thorne MC. National trends in otolaryngology intern curricula following Accreditation Council for Graduate Medical Education changes. Laryngoscope 2017. [Epub ahead of print]. - PMC - PubMed
    1. Musbahi O, Aydin A, Al Omran Y, Skilbeck CJ, Ahmed K. Current Status of Simulation in Otolaryngology: A Systematic Review. J Surg Educ 2017; 74:203–215. - PubMed
    1. Malekzadeh S Simulation in Otolaryngology. Otolaryngol Clin North Am 2017; 50:xvii–xviii. - PubMed
    1. Chin CJ, Chin CA, Roth K, Rotenberg BW, Fung K. Simulation-based otolaryngology - head and neck surgery boot camp: ‘how I do it’. J Laryngol Otol 2016; 130:284–290. - PubMed