How Long Does It Take to Master Laryngeal Visualization Using Flexible Nasolaryngoscopy in Children?
Document Type
Original Report
Disciplines
Higher Education | Medicine and Health Sciences | Otolaryngology
Abstract
Background: To assess when residents become proficient in performing flexible nasolaryngoscopy (FNL) in the pediatric population.
Objective: To objectively evaluate the quality of FNL by year of residency training.
Methods: Ninety-five pediatric FNL’s were performed by otolaryngology residents and pediatric otolaryngology fellows (postgraduate year [PGY] 1 – 6). Three pediatric otolaryngologists rated the FNL videos (anonymized and without sound) using the Modified Cormack-Lehane scoring system (MCLS). Data analysis was performed using two-way ANOVA and Tukey-Kramer adjustment.
Results: Overall, there was a significant difference in the quality of the FNL based on the year of training (p
Conclusion: The quality of pediatric FNL improves after the PGY-1 year. Current training consists of the traditional “see one, do one, teach one” rubric. Future educational goals should focus on developing a curriculum to shorten the time to achieve proficiency in pediatric FNL.
DOI
https://doi.org/10.32873/unmc.dc.gmerj.5.2.001
Keywords
Pediatrics, Otolaryngology, Laryngoscopy
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Recommended Citation
Boochoon, K., Ongkasuwan, J., Ahn, A., Musso, M., , Liu, Y. How Long Does It Take to Master Laryngeal Visualization Using Flexible Nasolaryngoscopy in Children?. Graduate Medical Education Research Journal. 2023 Oct 30; 5(2).
https://digitalcommons.unmc.edu/gmerj/vol5/iss2/2
Modified Cormack-Lehane grading score by level of training
Table 2.docx (13 kB)
P-values of pairwise comparisons for level of training
Table 3.docx (13 kB)
Comparison of FNL timings based on level of experience
Table 4.docx (13 kB)
Average Patient Age Undergoing FNL Based on Level of Training
