A low-cost alternative for nasolaryngoscopy simulation training equipment: a randomised controlled trial.
OBJECTIVE
Flexible nasolaryngoscopy is a key diagnostic procedure used in many specialities. Simulation-based teaching is beneficial for endoscopy training, but it is expensive. This study assessed whether an inexpensive simulation model is an effective training method for flexible nasolaryngoscopy.


METHODS
A three-armed, randomised, controlled trial was performed. One group received no simulation training, while two others were trained with either a high-cost or a low-cost model. All candidates then performed flexible nasolaryngoscopy on a volunteer. Their ability to perform this task was assessed by the patient discomfort score and time taken by a blinded expert.


RESULTS
Simulation-based teaching reduced patient discomfort and improved candidate skill level. Low-cost model training did not have a negative effect when compared with high-cost model training.


CONCLUSIONS
Simulated flexible nasolaryngoscopy training may be more accessible with the use of an effective low-cost model.
ENT Department,Addenbrooke's Hospital,Cambridge,UK.
D I
DI
Johnston
ENT Department,Addenbrooke's Hospital,Cambridge,UK.
V
V
Selimi
ENT Department,Addenbrooke's Hospital,Cambridge,UK.
A
A
Chang
ENT Department,Addenbrooke's Hospital,Cambridge,UK.
M
M
Smith
D000328:Adult; D002983:Clinical Competence; D003198:Computer Simulation / Q000191:economics; D003362:Cost-Benefit Analysis; D006801:Humans; D020704:Laryngoscopes / Q000191:economics*; D007828:Laryngoscopy / Q000191:economics* / Q000193:education; D008348:Manikins; D009666:Nose; D010036:Otolaryngology / Q000191:economics* / Q000193:education; D016037:Single-Blind Method
Cost Control; Education; Endoscopy; Training