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Audit-derived guidelines for training in endoscopic sinonasal surgery (ESS)--protecting patients during the learning
M L Montague1, A Kishore, G W McGarry
1Department of Otolaryngology, Glasgow Royal Infirmary, Glasgow, UK.
Clinical Otolaryngology and Allied Sciences
|September 13, 2003
Summary
Safe endoscopic sinonasal surgery (ESS) training is achievable with structured guidelines. A 5-year audit of 500 patients found no major complications, demonstrating that trainee involvement need not compromise patient safety.
Area of Science:
- Otolaryngology
- Surgical Education
Background:
- Endoscopic sinonasal surgery (ESS) training requires careful consideration of patient safety.
- Establishing clear guidelines is crucial for effective surgical education.
Purpose of the Study:
- To propose guidelines for safe practice in teaching centers during endoscopic sinonasal surgery (ESS) training.
- To ensure that trainee involvement does not compromise patient safety.
Main Methods:
- A prospective audit of complications from ESS procedures over a 5-year period (January 1996-December 2000).
- Analysis of 500 ESS procedures, with trainees as the main surgeon in 45% under supervision.
Main Results:
- An overall complication rate of 1.2% (6 minor complications out of 500 patients).
- A procedure-specific complication rate of 0.7% (6 minor complications out of 815 procedures).
- No major complications were recorded in any of the 500 patients.
Conclusions:
- Phased and structured training programs can ensure patient safety during ESS training.
- Guidelines are proposed for safe and effective ESS training, including minimum requirements for training units.
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