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Learning curve for competency in flexible laryngoscopy
Kulsoom Laeeq1, Vinciya Pandian, Margret Skinner
1Department Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA.
The Laryngoscope
|September 9, 2010
Summary
Medical students need an average of six attempts to master flexible laryngoscopy. This suggests competency can be achieved in a lab setting, benefiting residency training programs.
Area of Science:
- Medical Education
- Otolaryngology
- Medical Simulation
Background:
- Flexible laryngoscopy is a crucial diagnostic tool in otolaryngology.
- Assessing competency in procedural skills is vital for medical training.
Purpose of the Study:
- To determine the average number of attempts required for medical students to achieve competency in flexible laryngoscopy.
Main Methods:
- A prospective study involving 15 medical students performing flexible laryngoscopy on a mannequin.
- Competency was evaluated using a standardized checklist, with two consecutive successful attempts required.
- Performance metrics included attempts, time, and scope-mucosa contact incidents.
Main Results:
- An average of six attempts (range: 2-17) were needed for competency.
- An 80% probability of competency was reached by the 14th attempt.
- Fewer scope-mucosa contacts correlated with a higher probability of competency.
Conclusions:
- Six attempts are typically required for novices to gain flexible laryngoscopy competency.
- This skill can be effectively developed in a simulated laboratory environment, reducing patient risk during training.
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