Abstract
Purpose
Evaluate perception of preparedness for independent practice following the Otorhinolaryngology-Head and Neck Surgery residency program of Université de Montréal.
Methods
Cross-sectional survey of graduates from the past 10 years. Participants were asked about their level of confidence at the end of their residency for various procedures using a 5-point Likert scale.
Results
7 out of 27 procedures were mastered by most physicians at the end of residency. The highest confidence level was in head and neck surgery (4 out of 5 procedures with a mean confidence level of 4 or higher) and lowest in laryngology and otology (both having 3 procedures with a median confidence level of 2 or less). The lowest confidence level was seen in ossiculoplasty and thyroplasty, being the only procedures to have a mean confidence level below 2. The highest scores were seen in superficial parotidectomy, direct microlaryngoscopy and trans-oral drainage of an abscess. These latter were the only procedures in which 100% of the respondent had a confidence level of 4 or 5.
Discussion
It has recently been suspected that these fields were potential weaknesses, so adjustments were made. This study provides new information to improves the curriculum. Recent and incoming change’s impact on resident’s confidence will be assessed in the future.
Conclusion
This study highlights procedures and Otorhinolaryngology-Head and Neck Surgery subspecialties in which more surgical exposure or curriculum changes could increase resident’s confidence and skills as part of a comprehensive Otorhinolaryngology practice.
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Availability of data and materials
All data generated and analyzed during this study are included in this published article.
Code availability
Not applicable.
Abbreviations
- ORL-HNS:
-
Otorhinolaryngology-Head and Neck Surgery
- ORL:
-
Otorhinolaryngology
- UdeM:
-
Université de Montréal
- CBD:
-
Competency by design
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Acknowledgements
The authors acknowledge Stephania Payen for sending the survey to participants.
Funding
No funding was received for conducting this study.
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SB wrote the protocol, completed documents for IRB approval, collected the data, completed the statistical analysis and was a major contributor in writing the manuscript. PL supervised the study and edited the manuscript. PL, TA and FL selected the procedures to include in the survey. All authors reviewed and approved the final manuscript.
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Conflict of interest
TA is presently the program director of the evaluated program. Otherwise, the authors have no competing interests to declare that are relevant to this study.
Ethics approval
IRB approval (IRB00002087) for this study was obtained by Centre intégré universitaire de santé et de services sociaux de l'Est-de-l'Île-de-Montréal.
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Participants red the consent form prior to completing the survey, therefore their consent to participate was given by completing and returning the survey.
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Participants red the consent form prior to completing the survey, therefore their consent for publication was given by completing and returning the survey.
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Bérubé, S., Ayad, T., Lavigne, F. et al. Resident’s preparedness for independent practice following Otorhinolaryngology-Head and Neck Surgery residency program: a cross-sectional survey. Eur Arch Otorhinolaryngol 278, 4551–4556 (2021). https://doi.org/10.1007/s00405-021-06828-z
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DOI: https://doi.org/10.1007/s00405-021-06828-z