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Office-Based Procedure Training in Laryngology Fellowship Programs.

Necati Enver1,2,3, Apoorva Ramaswamy4, Lucian Sulica2

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Summary

Laryngology fellowship programs face challenges in training fellows for office-based procedures. Most directors desire improved training methods, suggesting simulators and checklists to enhance competency.

Keywords:
FellowshipKTP laserlaryngologyoffice surgeryoffice-based laser surgeryoffice-based proceduresvocal fold Injection

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Area of Science:

  • Otolaryngology
  • Medical Education
  • Surgical Training

Background:

  • Office-based procedures are increasingly vital in laryngology practice.
  • Current training for these procedures during fellowship may be suboptimal.
  • Fellowship programs require evaluation of their training methodologies.

Purpose of the Study:

  • To assess current practices and challenges in training laryngology fellows on office-based procedures in the United States.
  • To identify barriers and areas for improvement in fellowship training for these procedures.

Main Methods:

  • An anonymous web-based survey was distributed to laryngology fellowship program directors in the U.S.
  • The survey comprised 19 questions covering training methods, challenges, and perceived competency.
  • Data from 22 program directors were analyzed.

Main Results:

  • A significant majority of program directors (69%) reported not receiving formal training in office procedures during their own fellowships.
  • While fellows perform procedures, expected competencies are moderate.
  • Current training relies heavily on case-based troubleshooting and unstructured debriefing, with limited use of simulators or checklists.

Conclusions:

  • This study highlights a critical need to enhance the training of office-based laryngeal procedures in laryngology fellowships.
  • Identified barriers include patient factors and the lack of systematic training tools.
  • Fellowships should adopt structured training methods, such as simulators and checklists, to improve fellow competency.