Multimodality education for airway endoscopy skill development.

Authors

Ellen S. Deutsch, Alfred I. duPont Hospital for Children
Thomas Christenson, Jefferson Medical College
Joseph Curry, Jefferson Medical CollegeFollow
Jobayer Hossain, Alfred I. duPont Hospital for ChildrenFollow
Karen Zur, University of Pennsylvania School of Medicine
Ian Jacobs, University of Pennsylvania School of Medicine

Document Type

Article

Publication Date

2-1-2009

Comments

This article has been peer reviewed and was published in Annals of Otology, Rhinology & Laryngology. Volume 118, Issue 2, February 2009, Pages 81-86. Copyright © Annals Publishing Company

Abstract

OBJECTIVES: Airway endoscopy is a difficult skill to master. A unique practicum was designed to help otolaryngology residents develop endoscopy skills. The learning modalities included lectures, an animal laboratory, high-fidelity manikins, virtual bronchoscopy simulation, and standardized patients. This study compares the relative subjective value of these learning modalities for skill development and realism. METHODS: Participants used a Likert scale (1=disagree to 5=agree) and open responses to anonymously rate the efficacy of 5 learning modalities for teaching airway management, endoscopy skills, and clinical leadership and for providing a realistic experience. RESULTS: The results in 2007 were uniformly positive, with mean scores for every category and modality greater than 4 for developing cognitive, psychomotor, and affective skills; managing normal and abnormal conditions; preventing and managing complications; improving endoscopy skills; understanding team process; and experiencing overall and manual "feel" realism. In 2008, the participants were encouraged to more critically evaluate the course. The ratings demonstrated statistically significant differences between the mean scores for 4 of the 9 evaluation categories in 2007 and all 9 categories in 2008. CONCLUSIONS: Specific learning modalities (e.g., lecture, animal laboratory, high-fidelity manikin, virtual bronchoscopy, standardized patient) were perceived to have different values for teaching airway management, developing endoscopy skills, teaching clinical leadership, and providing a realistic experience. We propose that these learning modalities can be used in a complementary manner.

Recommended Citation

Deutsch, Ellen S.; Christenson, Thomas; Curry, Joseph; Hossain, Jobayer; Zur, Karen; and Jacobs, Ian, "Multimodality education for airway endoscopy skill development." (2009). Department of Otolaryngology - Head and Neck Surgery Faculty Papers. Paper 4.
https://jdc.jefferson.edu/otofp/4

PubMed ID

19326756