Training tomorrow's laryngologists - head and neck training alone is not sufficient.
BACKGROUND
Diagnostic ability is essential in laryngology. The UK Higher Surgical Training syllabus includes competencies specific to laryngology. This study aimed to identify the factors in training that lead to a consultant level of laryngology-related diagnostic ability.


METHODS
An online test of training experience was constructed using laryngoscopy videos obtained from a specialist UK voice clinic. Participation was aimed at both trainees and trainers via invitation through national ENT forums.


RESULTS
There were 51 complete responses. Trainees with six months of laryngology experience scored significantly higher than those without this experience (p < 0.001). There was no improvement in score demonstrated for those with head and neck specialty experience without laryngology experience. Trainees who had completed 12 months of laryngology, or 6 months of laryngology coupled with 12 months of head and neck training, scored similarly to their consultant trainers.


CONCLUSIONS
It is recommended that all trainees have at least six months of experience in a specialist voice or laryngology placement prior to gaining the Certificate of Completion of Training.
Department of Otorhinolaryngology/Head and Neck Surgery, Royal Sussex County Hospital, Brighton, UK.
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De Zoysa
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Amin
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Harries
D002983:Clinical Competence / Q000592:standards; D003162:Competency-Based Education; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000592:standards; D013502:General Surgery / Q000193:education / Q000592:standards; D006258:Head and Neck Neoplasms / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007828:Laryngoscopy / Q000193:education*; D010036:Otolaryngology / Q000193:education* / Q000592:standards*; D010038:Otorhinolaryngologic Diseases / Q000175:diagnosis* / Q000601:surgery; D013997:Time Factors