title: A Prospective Assessment of Nasopharyngolaryngoscope Recording Adaptor Use in Residency Training.
abstract: Flexible fiberoptic nasopharyngolaryngoscope (FN) examinations are important to the practice of otolaryngology (ENT). We sought to assess whether a portable recording adaptor for the FN can enhance resident learning and improve patient management. The adaptor was used prospectively on consultations by first- and second-year ENT residents, and changes in diagnosis and management were recorded in the patient care workflow. In 43 patients, we found a 23% change in diagnosis, 44% change in management, and 19% change in surgical management after an attending reviewed recorded videos. Residents and attendings reported that discussing the video enhanced learning in 88% and 81% of cases, respectively. A portable FN recording adaptor has the potential to improve resident training and perhaps lead to more prompt health care delivery.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA yfangl09@gmail.com.
authors.forename: Yuan F
authors.initials: YF
authors.lastname: Liu
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
authors.forename: Cherine H
authors.initials: CH
authors.lastname: Kim
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
authors.forename: Traci W
authors.initials: TW
authors.lastname: Bailey
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
authors.forename: Brian M
authors.initials: BM
authors.lastname: Hondorp
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
authors.forename: Khanh
authors.initials: K
authors.lastname: Nguyen
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
authors.forename: Miguel
authors.initials: M
authors.lastname: Krishnan
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
authors.forename: Alfred A
authors.initials: AA
authors.lastname: Simental
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
authors.forename: Jared C
authors.initials: JC
authors.lastname: Inman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence; D004503:Education, Medical, Graduate; D005336:Fiber Optic Technology; D006801:Humans; D007223:Infant; D007396:Internship and Residency; D007828:Laryngoscopy / Q000295:instrumentation*; D008875:Middle Aged; D010036:Otolaryngology / Q000193:education*; D011446:Prospective Studies; D014741:Video Recording; D057188:Workflow
keywords: endoscopic assessment; fiberoptic nasopharyngoscope; nasopharyngolaryngoscope; nasopharyngoscope adaptor; nasopharyngoscopy; patient care delivery; resident education