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Creating a community leadership role for non-complex ENT care.

Cristina Warren1, Camilla Carroll2

  • 1Royal College of Surgeons in Ireland, Dublin, Ireland; and Royal Victoria Eye and Ear Hospital, Dublin, Ireland warren.cris@gmail.com.

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|February 21, 2023
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Summary

A new fellowship program trains GPs in community-based Ear, Nose & Throat (ENT) care to reduce long waiting lists. This initiative aims to improve local access to non-complex ENT services and build a network of community specialists.

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Area of Science:

  • Otolaryngology
  • General Practice
  • Healthcare Management

Background:

  • 68,000 patients face long waits for Ear, Nose & Throat (ENT) outpatient appointments in Ireland.
  • One-third of ENT referrals are for non-complex conditions, indicating potential for community-based care.
  • Barriers exist for community practitioners in delivering specialized care despite training.

Purpose of the Study:

  • To establish a fellowship for ENT skills in the community for newly qualified GPs.
  • To develop community leadership in ENT and provide an alternative referral resource.
  • To foster peer education and advocate for community-based ENT subspecialists.

Main Methods:

  • A fellowship was funded and credentialed by the Royal College of Surgeons in Ireland.
  • The fellow received training in diagnostic and treatment skills for non-operative ENT conditions.
  • Educational activities included publications, webinars, and GP-trainee workshops.

Main Results:

  • The fellow gained experience in diagnosing and treating various ENT conditions in a community setting.
  • Educational initiatives reached approximately 200 healthcare workers per webinar.
  • Positive outcomes secured funding for a second fellowship.

Conclusions:

  • Community-based ENT care delivery shows promise in addressing access issues.
  • Ongoing collaboration between hospital and community services is crucial for success.
  • The fellowship model can be expanded to develop community ENT subspecialists.