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Development and Implementation of an Educational Simulation Workshop in Fiberoptic Laryngoscopy for Radiation Oncology Residents.

Publication ,  Journal Article
Price, JG; Spiegel, DY; Yoo, DS; Moravan, MJ; Mowery, YM; Niedzwiecki, D; Brizel, DM; Salama, JK
Published in: Int J Radiat Oncol Biol Phys
November 1, 2020

PURPOSE: Fiberoptic laryngoscopy (FOL) is a critical tool for the diagnosis, staging, assessment of treatment response, and detection of recurrence for head and neck (H&N) malignancies. No standardized recommendations exist for procedural FOL education in radiation oncology. We therefore implemented a pilot simulation workshop to train radiation oncology residents in pertinent H&N anatomy and FOL technique. METHODS AND MATERIALS: A 2-phase workshop and simulation session was designed. Residents initially received a lecture on H&N anatomy and the logistics of the FOL examination. Subsequently, residents had a practical session in which they performed FOL in 2 simulated environments: a computerized FOL program and mannequin-based practice. Site-specific attending physicians were present to provide real-time guidance and education. Pre- and postworkshop surveys were administered to the participants to determine the impact of the workshop. Subsequently, postgraduate year (PGY)-2 residents were required to complete 6 supervised FOL examinations in clinic and were provided immediate feedback. RESULTS: Annual workshops were performed in 2017 to 2019. The survey completion rate was 14 of 18 (78%). Participants ranged from fourth-year medical students to PGY-2 to PGY-5 residents. All PGY-2 residents completed their 6 supervised FOL examinations. On a 5-point Likert scale, mean H&N anatomy knowledge increased from 2.4 to 3.7 (standard deviation = 0.6, P < .0001). Similarly, mean FOL procedural skill confidence increased from 2.2 to 3.3 (standard deviation = 0.7, P < .0001). These effects were limited to novice (fourth-year medical students to PGY-2) participants. All participants found the exercise clinically informative. CONCLUSIONS: A simulation-based workshop for teaching FOL procedural skills increased confidence and procedural expertise of new radiation oncology residents and translated directly to supervised clinical encounters. Adoption of this type of program may help to improve resident training in H&N cancer.

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Published In

Int J Radiat Oncol Biol Phys

DOI

EISSN

1879-355X

Publication Date

November 1, 2020

Volume

108

Issue

3

Start / End Page

615 / 619

Location

United States

Related Subject Headings

  • Students, Medical
  • Simulation Training
  • Radiation Oncology
  • Oncology & Carcinogenesis
  • Laryngoscopy
  • Internship and Residency
  • Humans
  • Head and Neck Neoplasms
  • Fiber Optic Technology
  • Feasibility Studies
 

Citation

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Price, J. G., Spiegel, D. Y., Yoo, D. S., Moravan, M. J., Mowery, Y. M., Niedzwiecki, D., … Salama, J. K. (2020). Development and Implementation of an Educational Simulation Workshop in Fiberoptic Laryngoscopy for Radiation Oncology Residents. Int J Radiat Oncol Biol Phys, 108(3), 615–619. https://doi.org/10.1016/j.ijrobp.2020.05.009
Price, Jeremy G., Daphna Y. Spiegel, David S. Yoo, Michael J. Moravan, Yvonne M. Mowery, Donna Niedzwiecki, David M. Brizel, and Joseph K. Salama. “Development and Implementation of an Educational Simulation Workshop in Fiberoptic Laryngoscopy for Radiation Oncology Residents.Int J Radiat Oncol Biol Phys 108, no. 3 (November 1, 2020): 615–19. https://doi.org/10.1016/j.ijrobp.2020.05.009.
Price JG, Spiegel DY, Yoo DS, Moravan MJ, Mowery YM, Niedzwiecki D, et al. Development and Implementation of an Educational Simulation Workshop in Fiberoptic Laryngoscopy for Radiation Oncology Residents. Int J Radiat Oncol Biol Phys. 2020 Nov 1;108(3):615–9.
Price, Jeremy G., et al. “Development and Implementation of an Educational Simulation Workshop in Fiberoptic Laryngoscopy for Radiation Oncology Residents.Int J Radiat Oncol Biol Phys, vol. 108, no. 3, Nov. 2020, pp. 615–19. Pubmed, doi:10.1016/j.ijrobp.2020.05.009.
Price JG, Spiegel DY, Yoo DS, Moravan MJ, Mowery YM, Niedzwiecki D, Brizel DM, Salama JK. Development and Implementation of an Educational Simulation Workshop in Fiberoptic Laryngoscopy for Radiation Oncology Residents. Int J Radiat Oncol Biol Phys. 2020 Nov 1;108(3):615–619.
Journal cover image

Published In

Int J Radiat Oncol Biol Phys

DOI

EISSN

1879-355X

Publication Date

November 1, 2020

Volume

108

Issue

3

Start / End Page

615 / 619

Location

United States

Related Subject Headings

  • Students, Medical
  • Simulation Training
  • Radiation Oncology
  • Oncology & Carcinogenesis
  • Laryngoscopy
  • Internship and Residency
  • Humans
  • Head and Neck Neoplasms
  • Fiber Optic Technology
  • Feasibility Studies