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...
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Format: | Article |
Language: | English |
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Elsevier
2022-11-01
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Series: | Brazilian Journal of Otorhinolaryngology |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869422000805 |
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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 |
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