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Related Experiment Videos

Endoscopic sinus surgery: are junior doctors being properly trained?

D J McFerran1, H R Grant, D R Ingrams

  • 1Royal Ear Hospital, Middlesex Hospital Outpatient Department, London.

Annals of the Royal College of Surgeons of England
|December 16, 1998
PubMed
Summary

Endoscopic sinus surgery (ESS) training has significant gaps, with many surgeons starting without adequate preparation. Improving training and accreditation is crucial for patient safety in this common procedure.

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Area of Science:

  • Otorhinolaryngology
  • Surgical Education
  • Minimally Invasive Procedures

Background:

  • Endoscopic sinus surgery (ESS) offers significant benefits for nasal conditions but carries risks.
  • Adequate surgical training is paramount for safe ESS practice.
  • Existing training for ESS may be insufficient.

Purpose of the Study:

  • To assess the current state of ESS training among surgical trainees.
  • To identify discrepancies in training and clinical practice.
  • To gather trainee suggestions for improving ESS education.

Main Methods:

  • A survey was conducted among higher surgical trainees in the North (East) Thames Region.
  • The survey focused on ESS training experiences, including courses and cadaver dissections.

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  • Audit of complications and outcomes was assessed for priority.

    • Main Results:

    • Nearly half of trainees began ESS without prior formal training or cadaveric practice.
    • Significant variations in training and clinical practice were observed.
    • Audit of complications and outcomes was not prioritized.

    Conclusions:

    • There are substantial deficiencies in current ESS training programs.
    • Enhanced training, including courses and cadaveric dissection, is needed.
    • Accreditation for minimally invasive techniques may be necessary for otorhinolaryngology.