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Comprehensive Otolaryngology

(275) Interactive Otolaryngologic Bedside Procedure Training with Emergency Room Providers Outcomes

Monday, October 2, 2023
2:45 PM – 3:45 PM East Coast USA Time
Has Audio
Disclosure(s):
Lane Donaldson, MD: No relevant relationships to disclose.
Madeline Goosmann, MD: No relevant relationships to disclose.


Introduction: The purpose of this project is to assess how an otolaryngology bootcamp specifically augments education and confidence around flexible laryngoscopy and peritonsillar abscess drainage for non-otolaryngology providers. The goal is to assess the utility of simulation for Emergency Department provider learning, the impact on work hours and consult volume for otolaryngology residents, and ultimately serve as a stepping stone towards a curriculum to teach Emergency Departments without otolaryngology coverage to decrease transfers to facilities with otolaryngology coverage.

Methods: A didactic was organized along with pre-test, immediate post-test, and 6-month post-test at a single academic institution, level one trauma center. The didactic consisted of a lecture portion and interactive stations with supplemental handout summary sheets. Stations consisted of a peritonsillar incision and drainage simulation, flexible laryngoscopy on volunteers, and a supplemental image-based presentation on common airway findings on laryngoscopy. Inclusion criteria included emergency medicine residents who participated in the didactic, pre-test, and post-tests. Those who did not complete these were excluded. This study was institutional review board approved.

Results: Overall, average pre-test score was 73% (SD=0.18); this increased to 94% (SD=0.11) on post-test (p < 0.0001; 95% CI –29.5 to –12.5).
Pre-test confidence levels about performing laryngoscopy were 29/100. This increased to 59/100 on post-test (p < 0.0001; 95% CI –42.3 to –16.0). Pre-test confidence levels about performing peritonsillar abscess drainage were 22/100. This increased to 62/100 post-test (p < 0.0001; 95% CI –49.1 to –29.9).
The 6-month post-test has not yet been completed.

Conclusions: Interactive bedside otolaryngologic procedure education is a useful resource in training the non-otololaryngologic provider with results showing improved knowledge and self-reported comfort and skill. This education can reduce cost incurred to the patient and consult burden to the Otolaryngology provider.