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Peritonsillar Abscess Simulator: A Low-Cost, High-Fidelity Trainer.
Chad R Keller1, Ivanna Nebor1, David Choi1
1University of Cincinnati College of Medicine, Department of Otolaryngology Head and Neck Surgery, Cincinnati, OH.
Journal of Education & Teaching in Emergency Medicine
|July 19, 2023
Summary
A new, low-cost peritonsillar abscess (PTA) simulator effectively trains emergency medicine residents. This reusable tool provides high-fidelity simulation for needle aspiration, enhancing trainee confidence and patient safety in managing this common head and neck infection.
Area of Science:
- Medical Education
- Surgical Simulation
- Emergency Medicine Training
Background:
- Peritonsillar abscess (PTA) is a common deep head and neck infection managed by emergency medicine physicians.
- Simulation training is increasingly recognized for improving resident education and patient safety.
- Effective PTA management requires precise needle aspiration to avoid complications.
Purpose of the Study:
- To develop and evaluate a reusable, low-cost peritonsillar abscess (PTA) simulator.
- To assess the simulator's fidelity and educational value for emergency medicine (EM) and otolaryngology (OTL) trainees.
- To improve trainee confidence and dexterity in performing PTA needle aspiration.
Main Methods:
- Fabrication of a low-cost PTA simulator using silicone molds and readily available materials.
- Evaluation of the simulator using The Michigan Standard Simulation Experience Scale (MiSSES) with 21 EM and OTL participants.
- Statistical analysis comparing participant ratings based on training level, specialty, and experience.
Main Results:
- The simulator received high fidelity ratings (4.6/5) and teaching quality scores (4.9/5) on the MiSSES.
- Participants reported increased confidence and found the simulator valuable for learning PTA needle aspiration.
- No statistically significant differences were found between groups, indicating broad applicability.
Conclusions:
- The developed PTA simulator offers a high-fidelity, low-cost training solution for EM residency programs.
- This reusable tool can enhance procedural skills and confidence in managing peritonsillar abscesses.
- Widespread adoption of this simulator can improve patient outcomes through better-trained physicians.
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