Development of a Low Cost, Renewable Endoscopic Sinus Surgery Skills Trainer (ESSST)

Main Article Content

Ryan Leary Joshua David Feintuch Jeremy Michael Feintuch Nadeem Akbar Waleed Abuzeid I. Martin Levy Marc Gibber

Abstract

While otolaryngology (ORL) bootcamps are being increasingly utilized for resident education, many simulators are prohibitively expensive or complicated to construct. We constructed and validated a novel low cost and low fidelity endoscopic sinus surgery skills trainer (ESSST). After construction, participants were divided into 3 groups based on endoscopic sinus surgery (ESS) experience. The study participants were asked to perform 3 tasks. Their performance was videotaped and subsequently blindly evaluated by two rhinologists. Each task was scored based on performance and economy of motion using a standard scoring sheet. A one-way ANOVA and Post Hoc Tukey Tests were used to determine if there was a significant difference in performance of the 3 groups. The data suggests that skill and experience with ESS directly translates to the simulator, supporting that the ESSST is low cost, validated, renewable and a useful adjunct to higher fidelity simulators.

Article Details

How to Cite
LEARY, Ryan et al. Development of a Low Cost, Renewable Endoscopic Sinus Surgery Skills Trainer (ESSST). Medical Research Archives, [S.l.], v. 10, n. 10, oct. 2022. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3093>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.18103/mra.v10i10.3093.
Section
Research Articles

References

1. Fried MP, Sadoughi B, Gibber MJ, et al. From virtual reality to the operating room: the endoscopic sinus surgery simulator experiment. Otolaryngol Head Neck Surg. 2010;142(2):202-207.
2. Kim DH, Kim Y, Park JS, Kim SW. Virtual Reality Simulators for Endoscopic Sinus and Skull Base Surgery: The Present and Future. Clin Exp Otorhinolaryngol. 2019 Feb; 12(1):12-17.
3. Malekzadeh S, Malloy KM, Chu EE, Tompkins J, Battista A, Deutsch ES. ORL emergencies boot camp: using simulation to onboard residents. Laryngoscope. 2011;121(10):2114-2121.
4. Maran, N.J., & Glavin, R.j. (2003). Low- to high-fidelity simulation-a continuum of medical education? Medical Education, 37,22-28.
5. Yeh DH, Fung K, Malekzadeh S. Boot Camps: Preparing for Residency. Otolaryngol Clin North Am. 2017;50(5):1003-1013.
6. Kneebone RL, Scott W, Darzi A, Horrocks M. Simulation and clinical practice: strengthening the relationship. Med Educ. 2004;38(10):1095-1102.
7. Chin CJ, Chin CA, Roth K, Rotenberg BW, Fung K. Simulation-based otolaryngology - head and neck surgery boot camp: 'how I do it'. The Journal of laryngology and otology. 2016;130(3):284-290.
8. Langhan TS, Rigby IJ, Walker IW, Howes D, Donnon T, Lord JA. Simulation-based training in critical resuscitation procedures improves residents' competence. CJEM. 2009;11(6):535-539.
9. Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: an ethical imperative. Acad Med. 2003;78(8):783-788.
10. Deutsch ES. High-fidelity patient simulation mannequins to facilitate aerodigestive endoscopy training. Arch Otolaryngol Head Neck Surg. 2008;134(6):625-629.
11. Lin HL, Chen CW, Lee WC, et al. Effects of the Emergency Trauma Training Course on the confidence of final-year medical students dealing with trauma patients. Kaohsiung J Med Sci. 2009;25(1):10-15.
12. Deutsch ES, Wiet GJ, Seidman M, Hussey HM, Malekzadeh S, Fried MP. Simulation Activity in Otolaryngology Residencies. Otolaryngol Head Neck Surg. 2015;153(2):193-201.
13. Lee AY, Fried MP, Gibber M. Improving Rhinology Skills with Simulation. Otolaryngol Clin North Am. 2017;50(5):893-901.
14. Malekzadeh S, Malloy KM, Chu EE, Tompkins J, Battista A, Deutsch ES. ORL emergencies boot camp: using simulation to onboard residents. Laryngoscope. 2011;121(10):2114-2121.
15. Malekzadeh S, Pfisterer MJ, Wilson B, Na H, Steehler MK. A Novel Low-Cost Sinus Surgery Task Trainer. Otolaryngology–Head and Neck Surgery. 2011;145(4):530-533.
16. Feintuch, J., Feintuch, J., Kaplan, E., Hollingsworth, M., Yang, C., & Gibber, M. J. (2018). Novel otolaryngology simulation for the management of emergent oropharyngeal hemorrhage. Archives of Otorhinolaryngology-Head & Neck Surgery, 2(1). https://doi.org/10.24983/scitemed.aohns.2018.00068
17. Ossowski KL, Rhee DC, Rubinstein EN, Ferguson BJ. Efficacy of sinonasal simulator in teaching endoscopic nasal skills. Laryngoscope. 2008;118(8):1482-1485.
18. Smith ME, Trinidade A, Tysome JR. The ENT boot camp: an effective training method for ENT induction. Clin Otolaryngol. 2016;41(4):421-424.
19. Reznick RK, Macrae H. Teaching surgical skills-changes in the wind. The New England Journal of Medicine. 2006;355 (25):2664
20. Cheng, A., Lockey, A., Bhanji, F., Lin, Y., Hunt, E. A., & Lang, E. (2015). The use of high-fidelity manikins for advanced life support training—a systematic review and meta-analysis.
21. Finan, E., Bismilla, Z., Whyte, H. E., LeBlanc, V., & McNamara, P. J. (2011). High-fidelity simulator technology may not be superior to traditional low-fidelity equipment for neonatal resuscitation training. Journal of Perinatology, 32(4), 287–292.
22. Nimbalkar, A., Patel, D., Kungwani, A., Phatak, A., Vasa, R., & Nimbalkar, S. (2015). Randomized control trial of high fidelity vs low fidelity simulation for training undergraduate students in neonatal resuscitation. BMC Research Notes, 8(1).
23. Massoth, C., Weiss, R., & Röder, H. (2018). 04 / high-fidelity is not superior to low-fidelity medical simulation and leads to overconfidence in medical students. https://doi.org/10.26226/morressier.5aeb0ace07b0d6001a79a1d3
24. Norman, G., Dore, K., & Grierson, L. (2012). The minimal relationship between simulation fidelity and transfer of learning. Medical Education, 46(7), 636–647.