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Nzisabira J, Nuss S, Candelo E, Oumo EA, Shah KV, Kim EK, Wiedermann J, Masimbi O, Shimelash N, Xu MJ. Low-cost otolaryngology simulation models for early-stage trainees: a scoping review. BMC MEDICAL EDUCATION 2024; 24:483. [PMID: 38693491 PMCID: PMC11062898 DOI: 10.1186/s12909-024-05466-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 04/24/2024] [Indexed: 05/03/2024]
Abstract
BACKGROUND Medical simulation is essential for surgical training yet is often too expensive and inaccessible in low- and middle-income countries (LMICs). Furthermore, in otolaryngology-head and neck surgery (OHNS), while simulation training is often focused on senior residents and specialists, there is a critical need to target general practitioners who carry a significant load of OHNS care in countries with limited OHNS providers. This scoping review aims to describe affordable, effective OHNS simulation models for early-stage trainees and non-OHNS specialists in resource-limited settings and discuss gaps in the literature. METHODS This scoping review followed the five stages of Arksey and O'Malley's Scoping Review Methodology. Seven databases were used to search for articles. Included articles discussed physical models of the ear, nose, or throat described as "low-cost," "cost-effective," or defined as <$150 if explicitly stated; related to the management of common and emergent OHNS conditions; and geared towards undergraduate students, medical, dental, or nursing students, and/or early-level residents. RESULTS Of the 1706 studies screened, 17 met inclusion criteria. Most studies were conducted in HICs. Most models were low-fidelity (less anatomically realistic) models. The most common simulated skills were peritonsillar abscess aspiration and cricothyrotomy. Information on cost was limited, and locally sourced materials were infrequently mentioned. Simulations were evaluated using questionnaires and direct observation. CONCLUSION Low-cost simulation models can be beneficial for early medical trainees and students in LMICs, addressing resource constraints and improving skill acquisition. However, there is a notable lack of contextually relevant, locally developed, and cost-effective models. This study summarizes existing low-cost OHNS simulation models for early-stage trainees and highlights the need for additional locally sourced models. Further research is needed to assess the effectiveness and sustainability of these models.
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Affiliation(s)
- Joselyne Nzisabira
- Global Otolaryngology-Head and Neck Surgery (OHNS) Initiative, Durham, NC, USA.
- School of Medicine, University of Global Health Equity, Butaro, Rwanda.
| | - Sarah Nuss
- Global Otolaryngology-Head and Neck Surgery (OHNS) Initiative, Durham, NC, USA
- Brown University Warren Alpert Medical School, Providence, RI, USA
| | - Estephanía Candelo
- Global Otolaryngology-Head and Neck Surgery (OHNS) Initiative, Durham, NC, USA
- Fundación Valle del Lili, Cali, Colombia
- Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic Florida, Jacksonville, FL, USA
| | - Ernest Aben Oumo
- Global Otolaryngology-Head and Neck Surgery (OHNS) Initiative, Durham, NC, USA
- School of Medicine, University of Global Health Equity, Butaro, Rwanda
| | - Keshav V Shah
- Global Otolaryngology-Head and Neck Surgery (OHNS) Initiative, Durham, NC, USA
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Eric K Kim
- Global Otolaryngology-Head and Neck Surgery (OHNS) Initiative, Durham, NC, USA
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, USA
| | - Joshua Wiedermann
- Global Otolaryngology-Head and Neck Surgery (OHNS) Initiative, Durham, NC, USA
- Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic , Rochester, USA
| | - Ornella Masimbi
- School of Medicine, University of Global Health Equity, Butaro, Rwanda
| | - Natnael Shimelash
- School of Medicine, University of Global Health Equity, Butaro, Rwanda
| | - Mary Jue Xu
- Global Otolaryngology-Head and Neck Surgery (OHNS) Initiative, Durham, NC, USA
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, USA
- National Clinician Scholars Program, University of California, San Francisco, USA
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Yao A, Richards E, Dalton CL. Trainee-perceived benefits of a virtual temporal bone competition. J Laryngol Otol 2024:1-5. [PMID: 38351567 DOI: 10.1017/s0022215124000070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2024]
Abstract
OBJECTIVE To assess the perceived benefits of a novel educational approach for otolaryngology trainees: a virtual reality temporal bone simulator drilling competition. METHODS Regional otolaryngology trainees participated in the competition. Drilling activities using the Voxel-Man TempoSurg simulator were scored by experts. Questionnaires that contained questions covering motivators for attending, perceived learning and enjoyment were sent to participants. Agreement with statements was measured on a 10-point Likert scale (1 = strongly disagree, 10 = strongly agree). RESULTS Eighteen trainees participated. The most cited reason for attending was for learning and/or education (61 per cent), with most attendees (72 per cent) believing that competition encourages more reading and/or practice. Seventeen attendees (94 per cent) believed Voxel-Man TempoSurg-based simulation would help to improve intra-operative performance in mastoidectomy (mean 7.83 ± 1.47, p < 0.001) and understanding of anatomy (mean 8.72 ± 1.13, p < 0.001). All participants rated the competition as 'fun' and 83 per cent believed the competitive element added to this. CONCLUSION The virtual reality temporal bone competition is a novel educational approach within otolaryngology that was positively received by otolaryngology trainees.
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Affiliation(s)
- Alexander Yao
- ENT Department, Worcester Royal Hospital, Worcester, UK
| | - Emma Richards
- ENT Department, Princess Royal Hospital, Telford, UK
| | - C Lucy Dalton
- ENT Department, Queen Elizabeth Hospital, Birmingham, UK
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Nzisabira J, Nuss S, Candelo E, Oumo EA, Shah KV, Kim EK, Wiedermann J, Masimbi O, Shimelash N, Xu MJ. Low-Cost Otolaryngology Simulation Models for Early-Stage Trainees: A Scoping Review. RESEARCH SQUARE 2023:rs.3.rs-3673832. [PMID: 38106212 PMCID: PMC10723536 DOI: 10.21203/rs.3.rs-3673832/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2023]
Abstract
Importance There is a notable lack of low-cost OHNS simulation models that are relevant for early medical trainees and students. By conducting this study, we will understand the current landscape of low-cost otolaryngology-head and neck surgery simulation for early medical trainees and students. Objectives Medical simulation is essential for surgical training yet is often too expensive and inaccessible in low- and middle-income countries (LMICs). Furthermore, in otolaryngology-head and neck surgery (OHNS), while simulation training is often focused on senior residents and specialists, there is a critical need to target general practitioners who carry a significant load of OHNS care in countries with limited OHNS providers. This scoping review aims to describe affordable, effective OHNS simulation models for early-stage trainees and non-OHNS specialists in resource-limited settings and discuss gaps in the literature. Evidence Review This scoping review followed the five stages of Arksey and O'Malley's Scoping Review Methodology. Seven databases were used to search for articles. Included articles discussed physical models of the ear, nose, or throat described as "low-cost," "cost-effective," or defined as <$150 if explicitly stated; related to the management of common and emergent OHNS conditions; and geared towards undergraduate students, medical, dental, or nursing students, and/or early-level residents. Findings Of the 1706 studies screened, 17 met the inclusion criteria. Most studies were conducted in HICs. Most models were low fidelity (less anatomically realistic) models. The most common simulated skills were peritonsillar abscess aspiration and cricothyrotomy. Information on cost was limited, and locally sourced materials were infrequently mentioned. Simulations were evaluated using questionnaires and direct observation. Conclusion and Relevance Low-cost simulation models can be beneficial for early medical trainees and students in LMICs, addressing resource constraints and improving skill acquisition. However, there is a notable lack of contextually relevant, locally developed, and cost-effective models. This study summarizes existing low-cost OHNS simulation models for early-stage trainees and highlights the need for additional locally sourced models. Further research is needed to assess the effectiveness and sustainability of these models.
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Affiliation(s)
| | - Sarah Nuss
- Brown University Warren Alpert Medical School
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Corvetto MA, Altermatt FR, Belmar F, Escudero E. Health Care Simulation as a Training Tool for Epidemic Management: A Systematic Review. Simul Healthc 2023; 18:382-391. [PMID: 36881436 DOI: 10.1097/sih.0000000000000716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Abstract
SUMMARY STATEMENT The objective of this research was to identify and review studies that have evaluated the impact of simulation-based training on health care professionals during epidemics.All studies in health care simulation-based training published during the last 5 epidemics with a global impact (SARS-CoV, H1N1, MERS, Ebola, SARS-CoV-2; through July 2021) were selected from a systematic search of PUBMED, EMBASE, and key journals.The search strategy identified 274 studies; 148 met the inclusion criteria and were included. Most of the studies were developed in response to SARS-CoV-2 infection (n = 117, 79.1%), used a descriptive approach (n = 54, 36.5%), and were used to train technical skills (n = 82, 55.4%).This review demonstrates a growing interest in publications related to health care simulation and epidemics. Most of the literature is marked by limited study designs and outcome measurements, although there is a trend toward the use of more refined methodologies in the most recent publications. Further research should seek the best evidence-based instructional strategies to design training programs in preparation for future outbreaks.
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Affiliation(s)
- Marcia A Corvetto
- From the Department of Anesthesiology (M.A.C., F.R.A.), Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Experimental Surgery and Simulation Center (M.A.C., F.B.), Department of Digestive Surgery, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; and Comité Académico de Fundación Garrahan (E.E.), Buenos Aires, Argentina
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