Higher Education | Medicine and Health Sciences | Otolaryngology
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 (post-graduate 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<0.0001). Comparing specific years, there was a statistically significant difference between PGY-1 and PGY-2 (p=0.004); however, there was no difference between years of training beyond the PGY-2 year.
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.
Pediatrics, Otolaryngology, Laryngoscopy
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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).