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Use of simulation-based training of surgical technical skills among ENTs: an international YO-IFOS survey

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Abstract

Purpose

The aim of this study was to investigate and compare the use of simulation-based technical skills training (SBTST) in the otolaryngology curriculum in different countries, and to explore the needs and opinions about the use of simulation among young otolaryngologists.

Methods

An e-survey conducted among Young Otolaryngologists of the International Federation of Oto-rhino-laryngological Societies (Yo-IFOS) members.

Results

139 Yo-IFOS members from 51 countries completed the survey. During residency training, 82.7% of respondents have used SBTST on cadavers, 51.8% on physical simulators, and 43.8% on virtual reality simulators. High costs (65.5%), lack of availability (49.2%) and lack of time (25.5%) were the main barriers limiting the practice of SBTST. These barriers also limited teaching using simulation. Sinonasal surgery (72.7%), temporal bone surgery (67.6%), and head/neck surgery (44.6%) were significantly more frequently taught using SBTST than suspension microlaryngoscopy (25.9%) and pediatric surgery (22.3%) (p < 0.001). The procedures rated as the most important to learn through SBTST were tracheotomy (50.4%), emergency cricothyroidotomy (48.9%), and rigid bronchoscopy (47.5%). On an analogic visual scale (0–100) for the question “how important will simulation be for future ENTs in surgical training?”, the mean score was 79.5/100 (± 23.3), highlighting the positive attitude toward the use of SBTST in otorhinolaryngology training.

Conclusion

SBTST is an attractive learning and teaching method in otorhinolaryngology, but associated costs, lack of access, and lack of time are the main barriers limiting its use. Emergency procedures are key technical skills to be learned using simulation but in some cases, lack relevant simulators for training.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, University Hospital of Montpellier, 80 Avenue Augustin Fliche, 34000, Montpellier, France

    Valentin Favier & Fabian Blanc

  2. Montpellier Laboratory of Informatics, Robotics and Microelectonics (LIRMM), ICAR Team, French National Centre for Scientific Research (CNRS), Montpellier University, Montpellier, France

    Valentin Favier

  3. Young-Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO-IFOS), Paris, France

    Tareck Ayad & Nicolas Fakhry

  4. Division of Otolaryngology-Head & Neck Surgery, Centre Hospitalier de l’Université de Montréal, Université de Montréal, Montreal, Canada

    Tareck Ayad

  5. Department of Otorhinolaryngology, Head & Neck Surgery, APHM, Aix Marseille University, La Conception University Hospital, Marseille, France

    Nicolas Fakhry

  6. Department of Otorhinolaryngology, Head & Neck Surgery, Rigshospitalet, Copenhagen, Denmark

    Steven Arild Wuyts Andersen

  7. Center for HR & Education, RegionH, Copenhagen Academy for Medical Education and Simulation, Copenhagen, Denmark

    Steven Arild Wuyts Andersen

Authors
  1. Valentin Favier
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  2. Tareck Ayad
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  4. Nicolas Fakhry
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  5. Steven Arild Wuyts Andersen
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by VF and TA. The first draft of the manuscript was written by VF, FB, and SAWA. A critical review of the manuscript was performed by TA and NF. All authors read and approved the final manuscript.

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Correspondence to Valentin Favier.

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Favier, V., Ayad, T., Blanc, F. et al. Use of simulation-based training of surgical technical skills among ENTs: an international YO-IFOS survey. Eur Arch Otorhinolaryngol 278, 5043–5050 (2021). https://doi.org/10.1007/s00405-021-06846-x

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  • DOI: https://doi.org/10.1007/s00405-021-06846-x

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