A Prospective Assessment of Nasopharyngolaryngoscope Recording Adaptor Use in Residency Training. (October 2016)

• Record Type: Journal Article
• Authors: Liu, Yuan F.; Kim, Cherine H.; Bailey, Traci W.; Hondorp, Brian M.; Nguyen, Khanh; Krishnan, Miguel; Simental, Alfred A.; Inman, Jared C.
• Is Part Of: Otolaryngology--head and neck surgery. Volume 155:Number 4(2016:Oct.)
• Page Start: 710
• Page End: 713
• Publication Date: 2016-10
• Subjects: endoscopic assessment -- nasopharyngolaryngoscope -- nasopharyngoscopy -- nasopharyngoscope adaptor -- resident education -- patient care delivery -- fiberoptic nasopharyngoscope; Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599816656169
• Languages: English
• ISSNs: 0194-5998

Abstract

Flexible fiberoptic nasopharyngolaryngoscope (FN) examinations are important to the practice of otolaryngology (ENT). We sought to assess whether a portable recording adaptor for the FN can enhance resident learning and improve patient management. The adaptor was used prospectively on consultations by first- and second-year ENT residents, and changes in diagnosis and management were recorded in the patient care workflow. In 43 patients, we found a 23% change in diagnosis, 44% change in management, and 19% change in surgical management after an attending reviewed recorded videos. Residents and attendings reported that discussing the video enhanced learning in 88% and 81% of cases, respectively. A portable FN recording adaptor has the potential to improve resident training and perhaps lead to more prompt health care delivery.