Abstract
The sleep medicine has not been previously included in the patient management problem (PMP) exam for otolaryngology residents at Tehran University of Medical Sciences. The aim of this study, is to evaluate the results of this first implementation. This was a cross-sectional study. The examinees included all 62 residents from the 1st to 4th years of the Tehran University of Medical Sciences otolaryngology department. The resident scores obtained in this exam were evaluated and compared by residency year. The overall participant score was low for this part of the PMP. There was no score difference between years 1 and 3, but there was a significant positive change in year 4 (p = 0.007). This score pattern was not evident in other parts of the exam. Otolaryngology residents have insufficient knowledge toward the sleep medicine. The reasons for such scoring patterns may be due to the structure of sleep medicine training within the department which may lead to undesirable consequences.
Similar content being viewed by others
References
Bianchi MT, Alameddine Y, Mojica J (2014) Apnea burden: efficacy versus effectiveness in patients using positive airway pressure. Sleep Med 15(12):1579–1581. https://doi.org/10.1016/j.sleep.2014.07.015
Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ, Nunez CM, Patel SR, Penzel T, Pepin JL, Peppard PE, Sinha S, Tufik S, Valentine K, Malhotra A (2019) Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med 7(8):687–698. https://doi.org/10.1016/S2213-2600(19)30198-5
Cass N, Kominsky A, Cabrera-Muffly C (2017) Otolaryngology sleep medicine curriculum objectives as determined by sleep experts. Am J Otolaryngol 38(2):139–142. https://doi.org/10.1016/j.amjoto.2016.11.009
Bhattacharyya N, Kepnes LJ (2012) Ambulatory office visits and medical comorbidities associated with obstructive sleep apnea. Otolaryngol Head Neck Surg 147(6):1154–1157. https://doi.org/10.1177/0194599812459850
Young T, Palta M, Dempsey J, Peppard PE, Nieto FJ, Hla KM (2009) Burden of sleep apnea: rationale, design, and major findings of the Wisconsin Sleep Cohort study. WMJ 108(5):246–249
Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC (2019) Clinical Practice Guideline: Tonsillectomy in Children (Update)-Executive summary. Otolaryngol Head Neck Surg 160(2):187–205. https://doi.org/10.1177/0194599818807917
Friedman NR, Ruiz AG, Gao D, Jensen A, Mitchell RB (2019) Pediatric obstructive sleep-disordered breathing: updated polysomnography practice patterns. Otolaryngol Head Neck Surg 161(3):529–535. https://doi.org/10.1177/0194599819844786
Ouayoun MC, Chabolle F, De Vito A, Heiser C, Paramasivan VK, Rabelo FAW, Rotenberg B, Suurna MV (2018) International consensus (ICON) on the ENT role in diagnosis of obstructive sleep apnea syndrome. Eur Ann Otorhinolaryngol Head Neck Dis 135(1S):S3–S6. https://doi.org/10.1016/j.anorl.2017.12.012
McCarthy WH, Gonnella JS (1967) The simulated Patient Management Problem: a technique for evaluating and teaching clinical competence. Br J Med Educ 1(5):348–352. https://doi.org/10.1111/j.1365-2923.1967.tb01730.x
Flint PW (2015) Cummings otolaryngology head and neck surgery. Elsevier, Philadelphia, PA
Green ML, Moeller JJ, Spak JM (2018) Test-enhanced learning in health professions education: a systematic review: BEME Guide No. 48. Med Teach 40 (4):337–350. https://doi.org/10.1080/0142159X.2018.1430354
Acknowledgements
The research was fully sponsored by Otorhinolaryngology Research Center of the Tehran, University of Medical Sciences.
Funding
This study received no funding.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Ethical Approval
All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Research Involving Human Participants
All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This manuscript has not been previously published and is not under consideration in the same or substantially similar form in any other peer-reviewed media.
Rights and permissions
About this article
Cite this article
Erfanian, R., Heidari, R., Emami, H. et al. Sleep Medicine Evaluation in the Annual Patient Management Problem (PMP) Exam for Otolaryngology Residents. Indian J Otolaryngol Head Neck Surg 74, 490–493 (2022). https://doi.org/10.1007/s12070-021-02949-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-021-02949-3