Head and neck ultrasound training improves the diagnostic performance of otolaryngology residents
Abstract Objective Surgeon‐performed head and neck ultrasound (US) is increasingly used among otolaryngologists in office‐based and surgical settings. However, it is unknown how formal US training affects otolaryngology residents' diagnostic workup of patients with cervical pathology. This stud...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-02-01
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| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.1201 |
| _version_ | 1797299350279290880 |
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| author | Jens Jessen Warm Jacob Melchiors Tina Toft Kristensen Kristine Aabenhus Birgitte Wittenborg Charabi Kristine Eberhard Lars Konge Christian vonBuchwald Tobias Todsen |
| author_facet | Jens Jessen Warm Jacob Melchiors Tina Toft Kristensen Kristine Aabenhus Birgitte Wittenborg Charabi Kristine Eberhard Lars Konge Christian vonBuchwald Tobias Todsen |
| author_sort | Jens Jessen Warm |
| collection | DOAJ |
| description | Abstract Objective Surgeon‐performed head and neck ultrasound (US) is increasingly used among otolaryngologists in office‐based and surgical settings. However, it is unknown how formal US training affects otolaryngology residents' diagnostic workup of patients with cervical pathology. This study examined how a formal US course for residents affected their outpatient clinic US performance and diagnostic accuracy. Methods We conducted a randomized cross‐over trial, where 13 otolaryngology residents participated in a 6‐h formal US course. Participants were randomized to perform head and neck US on four patient cases before and after completing the course. Eight patients with and without neck pathology were invited to participate as test cases. The ultrasound examinations were video recorded and anonymized before two consultants rated the US performance using the Objective Structured Assessment of Ultrasound Skills (OSAUS) scale. Otolaryngology residents wrote an ultrasound report with a diagnosis based on their US examination, which was used to calculate the specificity and sensitivity. Results We found a statistically significant difference in the OSAUS score before compared to after the hands‐on training (p = .035). The diagnostic accuracy also increased from 62% before the course to 75% after the course (p = .02). Specificity increased from 54% prior to the course to 62% following the course, and sensitivity increased from 64% prior to the course to 79% following the course. The intraclass correlation coefficient with “absolute agreement” was 0.63. Conclusion This study demonstrates that short, formal ultrasound training can improve otolaryngology residents' ultrasound skills and diagnostic accuracy in an outpatient clinic setting. Lay summary This study looks at the change of otolaryngology residents' diagnostic workup of patients after they take a formal ultrasound course and shows that they get better at using ultrasound and make more accurate diagnoses if they take a formal course. Level of Evidence Level 2. |
| first_indexed | 2024-03-07T22:48:23Z |
| format | Article |
| id | doaj.art-41bad5877c6e444e90ba63d2fb6f7439 |
| institution | Directory Open Access Journal |
| issn | 2378-8038 |
| language | English |
| last_indexed | 2024-03-07T22:48:23Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj.art-41bad5877c6e444e90ba63d2fb6f74392024-02-23T12:00:37ZengWileyLaryngoscope Investigative Otolaryngology2378-80382024-02-0191n/an/a10.1002/lio2.1201Head and neck ultrasound training improves the diagnostic performance of otolaryngology residentsJens Jessen Warm0Jacob Melchiors1Tina Toft Kristensen2Kristine Aabenhus3Birgitte Wittenborg Charabi4Kristine Eberhard5Lars Konge6Christian vonBuchwald7Tobias Todsen8Department of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Copenhagen University Hospital Copenhagen DenmarkAbstract Objective Surgeon‐performed head and neck ultrasound (US) is increasingly used among otolaryngologists in office‐based and surgical settings. However, it is unknown how formal US training affects otolaryngology residents' diagnostic workup of patients with cervical pathology. This study examined how a formal US course for residents affected their outpatient clinic US performance and diagnostic accuracy. Methods We conducted a randomized cross‐over trial, where 13 otolaryngology residents participated in a 6‐h formal US course. Participants were randomized to perform head and neck US on four patient cases before and after completing the course. Eight patients with and without neck pathology were invited to participate as test cases. The ultrasound examinations were video recorded and anonymized before two consultants rated the US performance using the Objective Structured Assessment of Ultrasound Skills (OSAUS) scale. Otolaryngology residents wrote an ultrasound report with a diagnosis based on their US examination, which was used to calculate the specificity and sensitivity. Results We found a statistically significant difference in the OSAUS score before compared to after the hands‐on training (p = .035). The diagnostic accuracy also increased from 62% before the course to 75% after the course (p = .02). Specificity increased from 54% prior to the course to 62% following the course, and sensitivity increased from 64% prior to the course to 79% following the course. The intraclass correlation coefficient with “absolute agreement” was 0.63. Conclusion This study demonstrates that short, formal ultrasound training can improve otolaryngology residents' ultrasound skills and diagnostic accuracy in an outpatient clinic setting. Lay summary This study looks at the change of otolaryngology residents' diagnostic workup of patients after they take a formal ultrasound course and shows that they get better at using ultrasound and make more accurate diagnoses if they take a formal course. Level of Evidence Level 2.https://doi.org/10.1002/lio2.1201competency‐based assessmentdiagnostic accuracyhead and neck ultrasonographyotolaryngologysurgeon‐performed ultrasonography |
| spellingShingle | Jens Jessen Warm Jacob Melchiors Tina Toft Kristensen Kristine Aabenhus Birgitte Wittenborg Charabi Kristine Eberhard Lars Konge Christian vonBuchwald Tobias Todsen Head and neck ultrasound training improves the diagnostic performance of otolaryngology residents Laryngoscope Investigative Otolaryngology competency‐based assessment diagnostic accuracy head and neck ultrasonography otolaryngology surgeon‐performed ultrasonography |
| title | Head and neck ultrasound training improves the diagnostic performance of otolaryngology residents |
| title_full | Head and neck ultrasound training improves the diagnostic performance of otolaryngology residents |
| title_fullStr | Head and neck ultrasound training improves the diagnostic performance of otolaryngology residents |
| title_full_unstemmed | Head and neck ultrasound training improves the diagnostic performance of otolaryngology residents |
| title_short | Head and neck ultrasound training improves the diagnostic performance of otolaryngology residents |
| title_sort | head and neck ultrasound training improves the diagnostic performance of otolaryngology residents |
| topic | competency‐based assessment diagnostic accuracy head and neck ultrasonography otolaryngology surgeon‐performed ultrasonography |
| url | https://doi.org/10.1002/lio2.1201 |
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