Time to Competency: Reliability of Flexible Transnasal Laryngoscopy by Resident Training Level

Autor: Avner Aliphas, Michael P. Platt, Christopher D. Brook, Howard Cabral, Jacob P. Noordzij, Gregory A. Grillone, Kimberly Russell
Rok vydání: 2014
Předmět:
Zdroj: Otolaryngology–Head and Neck Surgery. 151
ISSN: 1097-6817
0194-5998
DOI: 10.1177/0194599814541629a56
Popis: ObjectiveTo determine the progression of flexible transnasal laryngoscopy reliability and competency in otolaryngology residency training.Study DesignProspective case control study.SettingAcademic otolaryngology department.SubjectsMedical students, otolaryngology residents, and otolaryngology attending physicians.MethodsFourteen otolaryngology residents from PGY-1 to PGY-5 and 3 attending otolaryngologists viewed 25 selected and digitally recorded flexible transnasal laryngoscopies. The evaluators were asked to rate 13 items relating to abnormalities in the oropharynx, hypopharynx, larynx, and subglottis. The level of concern and level of comfort with the diagnosis were assessed. Intraclass correlations were calculated for each topic and by level of training to determine reliability within each class and compare competency versus attending interpretations.ResultsIntraclass correlation of residents compared to attending physicians demonstrated significant improvements by year for left and right vocal fold ...
Databáze: OpenAIRE
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