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Assessing the Need for Retraining ENT Residents in Fiberoptic Laryngoscopy through Skill Lab Sessions.

Ravi Meher1, Raman Sharma1, Devendra Mishra2

  • 1Department of ENT and Head Neck Surgery, Maulana Azad Medical College, New Delhi, India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|June 12, 2025
PubMed
Summary
This summary is machine-generated.

Otolaryngology residents experience significant skill decay in fiberoptic laryngoscopy after two months without practice. Periodic refresher training is crucial for maintaining competency in this essential ENT procedure.

Keywords:
Fiberoptic laryngoscopyRetrainingSkill

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Area of Science:

  • Medical Education
  • Otolaryngology
  • Medical Simulation

Background:

  • Fiberoptic laryngoscopy is a vital skill for otolaryngology (ENT) residents.
  • Traditional supervised training poses risks; skill lab training is safer but raises concerns about skill retention.
  • Skill decay over time necessitates evaluation of long-term competency.

Purpose of the Study:

  • To assess skill retention in fiberoptic laryngoscopy among ENT residents over a two-month period without practice.
  • To determine the necessity and impact of refresher training for maintaining proficiency.

Main Methods:

  • Prospective study involving 24 ENT residents at Maulana Azad Medical College.
  • Standardized didactic and mannequin-based hands-on training followed by initial proficiency assessment.
  • Reassessment of skills after two months without practice using an objective checklist; statistical analysis included paired t-test and effect size.

Main Results:

  • Mean proficiency scores significantly declined from 15.70 to 13.70 (p < 0.001) over two months, indicating substantial skill decay.
  • A strong effect size (Cohen's d = 1.08) confirmed the clinical significance of the decline.
  • Higher initial proficiency correlated positively with better skill retention (r = 0.79), though some residents experienced significant deterioration.

Conclusions:

  • Fiberoptic laryngoscopy skills deteriorate significantly within two months without practice.
  • Periodic refresher training is essential to mitigate skill loss and ensure long-term competency.
  • Personalized retraining, simulation, and continuing education are recommended strategies to enhance skill maintenance.