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Identifying and prioritizing technical procedures in otorhinolaryngology for simulation-based training: a national needs assessment in Denmark

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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

To conduct a national needs assessment using a structured approach to identify and prioritize technical skills and procedures in otorhinolaryngology (ORL) for simulation-based training.

Methods

The study was designed as a national Danish survey of key educational stakeholders in ORL. A Delphi methodology with three rounds was used: the first round constituted a brainstorming phase to identify relevant procedures; the second round was a survey of importance, frequency, number of physicians needed to train, and patient safety/discomfort of the procedures, and feasibility of simulation-based training; and a final third round for prioritization.

Results

A total of 62 key opinion leaders were identified and 50 responded in the first round, constituting our panel. Fifty technical skills and procedures were identified in the brainstorming phase and were sent out for assessment, with responses from 56.5% of still eligible panellists. Thirty-six procedures were found important in ORL residency training by the panel. After final prioritization by the panel (response rate 43.4%), there was broad consensus (> 75%) on the need for simulation-based training of 13 technical skills and procedures, with the most highly ranking procedures being emergency cricothyroidotomy, flexible fibre pharyngo-laryngoscopy, and basic surgical skills.

Conclusions

As educational decisions are increasingly required to be evidence-based, this study represents a structured approach to identifying procedures for simulation-based training in ORL. This information can be valuable in the development and implementation of simulation-based training programmes in the ORL residency training curriculum.

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Authors and Affiliations

  1. Department of Otorhinolaryngology—Head and Neck Surgery, Rigshospitalet, Copenhagen, Denmark

    Steven Arild Wuyts Andersen & Jacob Melchiors

  2. Copenhagen Academy for Medical Education and Simulation (CAMES), The Capital Region of Denmark, Copenhagen, Denmark

    Steven Arild Wuyts Andersen, Leizl Joy Nayahangan, Lars Konge & Jacob Melchiors

  3. Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

    Lars Konge & Jacob Melchiors

Authors
  1. Steven Arild Wuyts Andersen
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  2. Leizl Joy Nayahangan
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  3. Lars Konge
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  4. Jacob Melchiors
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Correspondence to Steven Arild Wuyts Andersen.

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Informed consent was obtained from all individual participants included in the study.

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Andersen, S.A.W., Nayahangan, L.J., Konge, L. et al. Identifying and prioritizing technical procedures in otorhinolaryngology for simulation-based training: a national needs assessment in Denmark. Eur Arch Otorhinolaryngol 276, 1517–1524 (2019). https://doi.org/10.1007/s00405-019-05352-5

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  • DOI: https://doi.org/10.1007/s00405-019-05352-5

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