Are trainees being adequately taught myringoplasty? A prospective study of Eastern Deanery otolaryngology trainees' surgical experience.
Reviewing surgical training is an important function of a modern ENT unit, even more so following recent reform of postgraduate medical training in the UK. We have developed a tool to review otology training of Eastern Deanery trainees by constructing a middle ear surgery data base and use a commonly performed procedure, myringoplasty, to illustrate its function. Three hundred and ninety-three myringoplasty operations were identified between March 2002 and March 2006, of which 307 were included in this study as having had a myringoplasty alone uncomplicated by another middle ear procedure. Perforation closure was successful in 83% of these cases with 90% of patients experiencing a beneficial outcome regardless of supervision level. Trainees at all stages of training are being exposed to myringoplasty with an adequate de-escalation of supervision. Myringoplasty outcomes are independent of seniority, if appropriately supervised, implying that otology training in the Eastern Deanery is appropriate.
Wilson
Tom
T
ENT Department, Norfolk and Norwich University Hospital, Norwich, Norfolk, NR4 7UY, UK. t.wilson@doctors.org.uk
Prinsely
Peter
P
Patel
Hemi
H
Tassone
Peter
P
D002983:Clinical Competence; D003162:Competency-Based Education / Q000379:methods*; D003479:Curriculum; D004503:Education, Medical, Graduate; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009225:Myringoplasty / Q000193:education* / Q000379:methods*; D010036:Otolaryngology / Q000193:education; D012189:Retrospective Studies; D013997:Time Factors; D006113:United Kingdom