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Related Experiment Videos

Examining the ear: clinical teaching

M J Donnelly1, M A Walsh, S Hone

  • 1Department of Otolaryngology, Beaumont Hospital, Dublin, Ireland.

Medical Education
|July 1, 1996
PubMed
Summary
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General practitioners (GPs) showed improved otoscopy skills after a 2-hour workshop. This training enhances their ability to manage ear, nose, and throat (ENT) conditions and refer patients effectively.

Area of Science:

  • Medical Education
  • Otolaryngology
  • Primary Care Medicine

Background:

  • Otolaryngology (ENT) constitutes a significant portion of general practitioners' (GPs) workload.
  • Undergraduate medical curricula inadequately cover clinical teaching for ENT disorders.
  • GPs express a demand for further ENT training, especially in small group settings.

Purpose of the Study:

  • To assess the effectiveness of a 2-hour workshop designed to enhance GPs' diagnostic skills in otoscopy.
  • To improve GPs' ability to recognize and manage common otological conditions.
  • To evaluate the impact of targeted training on GPs' confidence and referral accuracy for ENT issues.

Main Methods:

  • A group of 27 GPs participated in a 2-hour otoscopy teaching session.

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  • Skills were assessed objectively by ENT surgeons and subjectively via questionnaire before and after the workshop.
  • Assessment focused on external ear examination, speculum selection, otoscope/pinna handling, tympanic membrane description, and diagnostic accuracy.

    • Main Results:

    • Significant improvements were observed in objective scores for external ear assessment, speculum size selection, tympanic membrane description, and diagnostic ability.
    • No significant changes were noted in the techniques for holding the otoscope or pinna.
    • The majority of participating GPs found the workshop beneficial for their practice.

    Conclusions:

    • Postgraduate training in specialist diagnostic skills like otoscopy is valuable for GPs.
    • Enhanced otoscopy skills can lead to more confident management of ENT problems in primary care.
    • Improved diagnostic accuracy facilitates appropriate patient referrals to ENT specialists.