Endoscopic ear examination improves self-reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopy

Objectives: Handheld otoscopy is the standard tool used to teach ear examination in undergraduate and postgraduate medical education. Previous studies have shown that the undergraduate teaching of ear examination with handheld otoscopes is inadequate, resulting in low self-reported levels of student...

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Main Authors: Bassiouni, Mohamed, Ahmed, Duha G., Zabaneh, Samira Ira, Dommerich, Steffen, Olze, Heidi, Arens, Philipp, Stölzel, Katharina
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2022-02-01
Series:GMS Journal for Medical Education
Subjects:
Online Access:http://www.egms.de/static/en/journals/zma/2022-39/zma001524.shtml
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author Bassiouni, Mohamed
Ahmed, Duha G.
Zabaneh, Samira Ira
Dommerich, Steffen
Olze, Heidi
Arens, Philipp
Stölzel, Katharina
author_facet Bassiouni, Mohamed
Ahmed, Duha G.
Zabaneh, Samira Ira
Dommerich, Steffen
Olze, Heidi
Arens, Philipp
Stölzel, Katharina
author_sort Bassiouni, Mohamed
collection DOAJ
description Objectives: Handheld otoscopy is the standard tool used to teach ear examination in undergraduate and postgraduate medical education. Previous studies have shown that the undergraduate teaching of ear examination with handheld otoscopes is inadequate, resulting in low self-reported levels of student confidence in their diagnostic skills. With the increase in popularity of endoscopic ear surgery, an increasing number of otolaryngologists are using endoscopes for office examinations of the ear due to the method’s superior visualization and excellent image qualities. However, medical students usually do not receive exposure to endoscopic ear examination during their undergraduate curriculum. The aim of this study is to assess our preliminary experience with teaching endoscopic ear examination to undergraduate medical students.Methods: A two-hour-long pilot practical course on basic ear examination was administered to undergraduate medical students with little to no previous experience with ear examination. The course was designed to minimize the duration of campus attendance and patient contact during the COVID-19 pandemic. The course included theoretical didactics, exemplary digital endoscopic images and peer physical practice of ear examination with both a handheld otoscope and a 0-degree endoscope. At the end of the course, the students completed a survey questionnaire consisting of eight questions mainly relating to their subjective confidence level with ear examination using either handheld otoscopes or endoscopes and their overall preference for either examination tool.Results: Most students expressed a preference for ear examination with endoscopes over that with handheld otoscopes and reported an improved confidence level in their diagnostic ability with the former technique. The vast majority of students supported the teaching of endoscopic ear examination to future medical students.Conclusion: The findings of this pilot project report and survey study support the early exposure of novice medical learners to endoscopic ear examination, which may help improve the confidence and diagnostic skill of medical students with regard to ear examination. The findings may have implications for the undergraduate teaching of ear examination in the post-COVID-19 era.
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spelling doaj.art-3fdde3645512459f87a4469f2fb1ae8c2022-12-21T17:25:07ZdeuGerman Medical Science GMS Publishing HouseGMS Journal for Medical Education2366-50172022-02-01391Doc310.3205/zma001524Endoscopic ear examination improves self-reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopyBassiouni, Mohamed0Ahmed, Duha G.1Zabaneh, Samira Ira2Dommerich, Steffen3Olze, Heidi4Arens, Philipp5Stölzel, Katharina6Charité – Universitätsmedizin Berlin, Campus Charité Mitte, Department of Otorhinolaryngology, Berlin, GermanyCharité – Universitätsmedizin Berlin, Campus Charité Mitte, Department of Otorhinolaryngology, Berlin, GermanyCharité – Universitätsmedizin Berlin, Campus Charité Mitte, Department of Otorhinolaryngology, Berlin, GermanyCharité – Universitätsmedizin Berlin, Campus Charité Mitte, Department of Otorhinolaryngology, Berlin, GermanyCharité – Universitätsmedizin Berlin, Campus Charité Mitte, Department of Otorhinolaryngology, Berlin, GermanyCharité – Universitätsmedizin Berlin, Campus Charité Mitte, Department of Otorhinolaryngology, Berlin, GermanyCharité – Universitätsmedizin Berlin, Campus Charité Mitte, Department of Otorhinolaryngology, Berlin, GermanyObjectives: Handheld otoscopy is the standard tool used to teach ear examination in undergraduate and postgraduate medical education. Previous studies have shown that the undergraduate teaching of ear examination with handheld otoscopes is inadequate, resulting in low self-reported levels of student confidence in their diagnostic skills. With the increase in popularity of endoscopic ear surgery, an increasing number of otolaryngologists are using endoscopes for office examinations of the ear due to the method’s superior visualization and excellent image qualities. However, medical students usually do not receive exposure to endoscopic ear examination during their undergraduate curriculum. The aim of this study is to assess our preliminary experience with teaching endoscopic ear examination to undergraduate medical students.Methods: A two-hour-long pilot practical course on basic ear examination was administered to undergraduate medical students with little to no previous experience with ear examination. The course was designed to minimize the duration of campus attendance and patient contact during the COVID-19 pandemic. The course included theoretical didactics, exemplary digital endoscopic images and peer physical practice of ear examination with both a handheld otoscope and a 0-degree endoscope. At the end of the course, the students completed a survey questionnaire consisting of eight questions mainly relating to their subjective confidence level with ear examination using either handheld otoscopes or endoscopes and their overall preference for either examination tool.Results: Most students expressed a preference for ear examination with endoscopes over that with handheld otoscopes and reported an improved confidence level in their diagnostic ability with the former technique. The vast majority of students supported the teaching of endoscopic ear examination to future medical students.Conclusion: The findings of this pilot project report and survey study support the early exposure of novice medical learners to endoscopic ear examination, which may help improve the confidence and diagnostic skill of medical students with regard to ear examination. The findings may have implications for the undergraduate teaching of ear examination in the post-COVID-19 era.http://www.egms.de/static/en/journals/zma/2022-39/zma001524.shtmlotoscopyotolaryngologydigital teachingexamination practicalear pathology
spellingShingle Bassiouni, Mohamed
Ahmed, Duha G.
Zabaneh, Samira Ira
Dommerich, Steffen
Olze, Heidi
Arens, Philipp
Stölzel, Katharina
Endoscopic ear examination improves self-reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopy
GMS Journal for Medical Education
otoscopy
otolaryngology
digital teaching
examination practical
ear pathology
title Endoscopic ear examination improves self-reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopy
title_full Endoscopic ear examination improves self-reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopy
title_fullStr Endoscopic ear examination improves self-reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopy
title_full_unstemmed Endoscopic ear examination improves self-reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopy
title_short Endoscopic ear examination improves self-reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopy
title_sort endoscopic ear examination improves self reported confidence in ear examination skills among undergraduate medical students compared with handheld otoscopy
topic otoscopy
otolaryngology
digital teaching
examination practical
ear pathology
url http://www.egms.de/static/en/journals/zma/2022-39/zma001524.shtml
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