title: Validation of a new ENT emergencies course for first-on-call doctors.
abstract: BACKGROUND
  First-on-call ENT cover is often provided by junior doctors with limited ENT experience; yet, they may have to manage life-threatening emergencies. An intensive 1-day simulation course was developed to teach required skills to junior doctors.
  
  
  METHODS
  A prospective, single-blinded design was used. Thirty-seven participants rated their confidence before the course, immediately following the course and after a two-month interval. Blinded assessors scored participant performance in two video-recorded simulated scenarios before and after the course.
  
  
  RESULTS
  Participant self-rated confidence was increased in the end-of-course survey (score of 27.5 vs 53.0; p < 0.0001), and this was maintained two to four months after the course (score of 50.5; p < 0.0001). Patient assessment and management in video-recorded emergency scenarios was significantly improved following course completion (score of 9.75 vs 18.75; p = 0.0093).
  
  
  CONCLUSIONS
  This course represents an effective method of teaching ENT emergency management to junior doctors. ENT induction programmes benefit from the incorporation of a simulation component.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery,Addenbrooke's Hospital,Cambridge.
authors.forename: C
authors.initials: C
authors.lastname: Swords
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery,Addenbrooke's Hospital,Cambridge.
authors.forename: M E
authors.initials: ME
authors.lastname: Smith
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery,Addenbrooke's Hospital,Cambridge.
authors.forename: J D
authors.initials: JD
authors.lastname: Wasson
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery,Peterborough City Hospital,UK.
authors.forename: A
authors.initials: A
authors.lastname: Qayyum
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery,Addenbrooke's Hospital,Cambridge.
authors.forename: J R
authors.initials: JR
authors.lastname: Tysome
mesh_terms: D000328:Adult; D000402:Airway Obstruction; D002983:Clinical Competence; D003479:Curriculum; D004630:Emergencies; D004844:Epistaxis; D005260:Female; D005547:Foreign Bodies; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education*; D008875:Middle Aged; D019838:Neck Injuries; D010036:Otolaryngology / Q000193:education*; D011183:Postoperative Complications; D011446:Prospective Studies; D012135:Respiratory Sounds; D012137:Respiratory System; D000066908:Simulation Training / Q000379:methods*; D016037:Single-Blind Method; D014139:Tracheostomy; D055815:Young Adult
keywords: Airway Management; Education; Emergencies; Medical; Otolaryngology