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Using learning-by-concordance to develop reasoning in epistaxis management with online feedback: A pilot study.

Benjamin Verillaud1, Marine Veleur1, Romain Kania1

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Summary
This summary is machine-generated.

This study shows that the Learning-by-Concordance tool effectively trains Otolaryngology-Head and Neck Surgery residents in managing epistaxis. Residents reported improved clinical reasoning and knowledge after using this educational approach.

Keywords:
Epistaxisconcordance trainingexpert panelfeedbackreasoning

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Area of Science:

  • Medical Education
  • Otolaryngology
  • Surgical Training

Background:

  • Epistaxis (nosebleeds) frequently requires emergency department visits.
  • Effective management of epistaxis necessitates strong clinical reasoning skills in Otolaryngology-Head and Neck Surgery (OHNS) residents.
  • The Learning-by-Concordance (LbC) tool offers simulated clinical scenarios with expert feedback.

Purpose of the Study:

  • To evaluate the feasibility and perceived value of the LbC tool for training OHNS residents in epistaxis management.
  • To assess the impact of LbC on residents' clinical reasoning and knowledge acquisition.

Main Methods:

  • A qualitative study involving OHNS surgeons and residents.
  • Development of LbC scenarios by faculty and residents.
  • Online platform delivery of the LbC tool with feedback from a panel of OHNS faculty.
  • Assessment of resident feedback via an online questionnaire.

Main Results:

  • 25 out of 37 (68%) residents completed the training.
  • High satisfaction reported: 88% appreciated the method, 92% desired repeat use.
  • Significant improvements noted in clinical reasoning (92%) and epistaxis knowledge (96%) among residents.

Conclusions:

  • The LbC approach is a valuable educational method for OHNS residents.
  • This tool enhances clinical reasoning and knowledge for managing complex conditions like epistaxis.
  • Panelist feedback within the LbC framework is beneficial for surgical training.