Perception of endoscopic endonasal surgery training by French otolaryngology residents: A STROBE analysis of expectations - 16/03/24

Doi : 10.1016/j.anorl.2023.11.014

S. Bartier ^a,^{^{1
These authors contributed equally to the article.},}⁎ , M. Fieux ^b,^c,^{^{1
These authors contributed equally to the article.}}, F. Carsuzaa ^d, A. Coste ^e, M. Legré ^f, M. Alexandru ^g,^h, V. Favier ^i,^{^{1
These authors contributed equally to the article.}}, L. Fath ^j,^k,^{^{1
These authors contributed equally to the article.}}
^a Service d’ORL, de chirurgie cervico-faciale, hôpital Henri-Mondor, Assistance publique–Hôpitaux de Paris, Créteil, France, université Paris Est Créteil, Inserm, IMRB, CNRS EMR 7000, 94010 Créteil, France
^b Service d’ORL, d’otoneurochirurgie et de chirurgie cervico-faciale, hospices civils de Lyon, centre hospitalier Lyon Sud, 69310 Pierre-Bénite cedex, France
^c Université de Lyon, université Lyon 1, 69003 Lyon, France
^d Service ORL, chirurgie cervico-maxillo-faciale et audiophonologie, centre hospitalier universitaire de Poitiers, laboratoire inflammation tissus épithéliaux et cytokines (LITEC), UR15560, université de Poitiers, 86000 Poitiers, France
^e Service d’ORL, de chirurgie cervico-faciale, centre hospitalier intercommunal de Créteil, université Paris Est Créteil, Inserm, IMRB, CNRS EMR 7000, 94010 Créteil, France
^f Service ORL et chirurgie cervico-faciale, institut Arthur-Vernes, Paris, France
^g Service d’Orl et chirurgie cervico-faciale, hôpital Bicêtre, Assistance publique–Hôpitaux de Paris (AP–HP), université Paris-Saclay, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France
^h Institut national de la santé et de la recherche médicale, France Sorbonne université,UMR_S933, hôpital Armand-Trousseau, 75012 Paris, France
ⁱ Département d’ORL, chirurgie cervico-faciale et maxillo-faciale, centre hospitalier universitaire de Montpellier, hôpital Gui-de-Chauliac, ICAR Research Team, Laboratory of Computer Science, Robotics, Microelectronics of Montpellier (LIRMM), University of Montpellier, French National Centre for Scientific Research (CNRS), Montpellier, France
^j Service d’ORL, de chirurgie cervico-faciale, hôpital de Hautepierre, hôpitaux universitaires de Strasbourg, avenue Molière, 67098 Strasbourg cedex, France
^k Unité Inserm 1121, biomatériaux et bioingénierie, 1, rue Eugène-Boeckel, Strasbourg, France

^*Corresponding author.

Abstract

Objectives

To analyze the perception of endoscopic endonasal surgery training by French otolaryngology residents.

Material and methods

A multicenter retrospective observational study was conducted from March to April 2023. Otolaryngology residents from 7 French regions filled out a 27-item questionnaire on their training in endoscopic endonasal surgery.

Results

Out of 283 residents contacted, 126 (45%) filled out the questionnaire. Seventy-four (59%) had already partially or completely performed the surgeries specified in their diploma course. The level of mastery of the main steps of endonasal surgery and the level of autonomy were higher in the consolidation stage group than in the basic and advanced stages. Seventy residents (56%) felt they had gaps in their level of training. To improve training, 94 (75%) wished for more dissection sessions, surgical skills assessments each semester and simulation sessions. Eighty-nine (71%) felt they needed to find their own teaching aids and other methods to complete their training. One hundred and thirteen (90%) felt that the lack of funding available for congresses and training courses was detrimental.

Conclusion

This study highlighted the overall satisfaction of residents with their training in endoscopic endonasal surgery. They expressed a desire for more dissection, simulation and evaluation.

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Keywords : Teaching, Surgical training, Endoscopic endonasal surgery, French residents, Pedagogy

Plan

Data on endoscopic endonasal surgery training

Residents’ expectations in endoscopic endonasal surgery

Ideas for improvement

Educational alternatives set up by residents

Costs and limitations of self-training

Discussion

Conclusion

Disclosure of interest

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Vol 141 - N° 2

P. 61-67 - mars 2024 Retour au numéro

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Perception of endoscopic endonasal surgery training by French otolaryngology residents: A STROBE analysis of expectations - 16/03/24

Abstract

Objectives

Material and methods

Results

Conclusion

Plan

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