Acquisition of endoscopic nasal surgery skills with a lamb’s head model

Objectives: To evaluate the acquisition of surgical skills by otolaryngology residents and established the minimum number of dissections of a lamb’s model to be performed before practicing on human patients. Methods: Nineteen second-year otolaryngology residents performed ten dissections each, five...

Full description

Bibliographic Details
Main Authors: Henrique F. de Oliveira, Valdes Roberto Bollela, Wilma Terezinha Anselmo-Lima, Donald Matthew Pianto, Carlos Augusto C.P. de Oliveira, Márcio Nakanishi
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869422000805
_version_ 1797980274670174208
author Henrique F. de Oliveira
Valdes Roberto Bollela
Wilma Terezinha Anselmo-Lima
Donald Matthew Pianto
Carlos Augusto C.P. de Oliveira
Márcio Nakanishi
author_facet Henrique F. de Oliveira
Valdes Roberto Bollela
Wilma Terezinha Anselmo-Lima
Donald Matthew Pianto
Carlos Augusto C.P. de Oliveira
Márcio Nakanishi
author_sort Henrique F. de Oliveira
collection DOAJ
description Objectives: To evaluate the acquisition of surgical skills by otolaryngology residents and established the minimum number of dissections of a lamb’s model to be performed before practicing on human patients. Methods: Nineteen second-year otolaryngology residents performed ten dissections each, five on each nasal cavity, always practicing the same three surgical procedures on the lamb model. Each student’s training lasted 2-months, and the entire training intervention lasted 4-years, over four generations of residents. All dissections were recorded and were selected at random for examination by two independent otolaryngology surgeons, who were otherwise not involved in the research. Assessment of the 190 dissections used an instrument validated for surgical training of medical residents. Results: To a 1% significance level, statistical analysis revealed increased performance and satisfactory results were observed after the sixth dissection. Furthermore, after the eighth dissection, skill acquisition was relevant and sustained. Conclusion: Training in endoscopic nasal surgery on a lamb’s head model improves surgical skills and handling of surgical instruments. Our results showed the relevance of the lamb model for training in otolaryngology surgery, impacting on patient safety. Level of evidence: 2.
first_indexed 2024-04-11T05:52:09Z
format Article
id doaj.art-4e145404c1fa45f6958e53b148b25c44
institution Directory Open Access Journal
issn 1808-8694
language English
last_indexed 2024-04-11T05:52:09Z
publishDate 2022-11-01
publisher Elsevier
record_format Article
series Brazilian Journal of Otorhinolaryngology
spelling doaj.art-4e145404c1fa45f6958e53b148b25c442022-12-22T04:42:02ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-0188S119S125Acquisition of endoscopic nasal surgery skills with a lamb’s head modelHenrique F. de Oliveira0Valdes Roberto Bollela1Wilma Terezinha Anselmo-Lima2Donald Matthew Pianto3Carlos Augusto C.P. de Oliveira4Márcio Nakanishi5Universidade de Brasília (UnB), Faculdade de Medicina, Programa de Pós-Graduação em Ciências Médicas, Brasília, DF, Brazil; Corresponding author.Universidade de São Paulo (USP), Faculdade de Medicina de Ribeirão Preto (FMRP), Departamento de Prática Médica, Ribeirão Preto, SP, Brazil; Foundation for Advancement of International Medical Education and Research, Philadelphia, United StatesUniversidade de São Paulo (USP), Faculdade de Medicina de Ribeirão Preto (FMRP), Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, BrazilUniversidade de Brasília (UnB), Programa de Pós-Graduação em Computação Aplicada, Departamento de Ciência da Computação, Brasília, DF, BrazilUniversidade de Brasília (UnB), Faculdade de Medicina, Departamento de Otorrinolaringologia, Brasília, DF, BrazilUniversidade de Brasília (UnB), Faculdade de Medicina, Departamento de Otorrinolaringologia, Brasília, DF, BrazilObjectives: To evaluate the acquisition of surgical skills by otolaryngology residents and established the minimum number of dissections of a lamb’s model to be performed before practicing on human patients. Methods: Nineteen second-year otolaryngology residents performed ten dissections each, five on each nasal cavity, always practicing the same three surgical procedures on the lamb model. Each student’s training lasted 2-months, and the entire training intervention lasted 4-years, over four generations of residents. All dissections were recorded and were selected at random for examination by two independent otolaryngology surgeons, who were otherwise not involved in the research. Assessment of the 190 dissections used an instrument validated for surgical training of medical residents. Results: To a 1% significance level, statistical analysis revealed increased performance and satisfactory results were observed after the sixth dissection. Furthermore, after the eighth dissection, skill acquisition was relevant and sustained. Conclusion: Training in endoscopic nasal surgery on a lamb’s head model improves surgical skills and handling of surgical instruments. Our results showed the relevance of the lamb model for training in otolaryngology surgery, impacting on patient safety. Level of evidence: 2.http://www.sciencedirect.com/science/article/pii/S1808869422000805Skills acquisitionEndoscopic surgeryLamb modelPatient safetySurgical training
spellingShingle Henrique F. de Oliveira
Valdes Roberto Bollela
Wilma Terezinha Anselmo-Lima
Donald Matthew Pianto
Carlos Augusto C.P. de Oliveira
Márcio Nakanishi
Acquisition of endoscopic nasal surgery skills with a lamb’s head model
Brazilian Journal of Otorhinolaryngology
Skills acquisition
Endoscopic surgery
Lamb model
Patient safety
Surgical training
title Acquisition of endoscopic nasal surgery skills with a lamb’s head model
title_full Acquisition of endoscopic nasal surgery skills with a lamb’s head model
title_fullStr Acquisition of endoscopic nasal surgery skills with a lamb’s head model
title_full_unstemmed Acquisition of endoscopic nasal surgery skills with a lamb’s head model
title_short Acquisition of endoscopic nasal surgery skills with a lamb’s head model
title_sort acquisition of endoscopic nasal surgery skills with a lamb s head model
topic Skills acquisition
Endoscopic surgery
Lamb model
Patient safety
Surgical training
url http://www.sciencedirect.com/science/article/pii/S1808869422000805
work_keys_str_mv AT henriquefdeoliveira acquisitionofendoscopicnasalsurgeryskillswithalambsheadmodel
AT valdesrobertobollela acquisitionofendoscopicnasalsurgeryskillswithalambsheadmodel
AT wilmaterezinhaanselmolima acquisitionofendoscopicnasalsurgeryskillswithalambsheadmodel
AT donaldmatthewpianto acquisitionofendoscopicnasalsurgeryskillswithalambsheadmodel
AT carlosaugustocpdeoliveira acquisitionofendoscopicnasalsurgeryskillswithalambsheadmodel
AT marcionakanishi acquisitionofendoscopicnasalsurgeryskillswithalambsheadmodel