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An endoscopic Ear Trainer for the low-resource setting

Published online by Cambridge University Press:  03 July 2019

M P A Clark ,
D Nakku  and
B D Westerberg
M P A Clark*
Affiliation:
ENT Department, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK
D Nakku
Affiliation:
Department of ENT Surgery, Mbarara University of Science and Technology, Uganda
B D Westerberg
Affiliation:
Department of Surgery, University of British Columbia, BC Rotary Hearing and Balance Centre at St Paul's Hospital, Vancouver, Canada
*
Author for correspondence: Mr Matthew P A Clark, ENT Department, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK E-mail: Matthew.Clark11@nhs.net
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Abstract

Background

Endoscopic ear surgery is a technique that is growing in popularity. It has potential advantages in the low-resource setting for teaching and training, for the relative ease of transporting and storing the surgical equipment and for telemedicine roles. There may also be advantages to the patient, with reduced post-operative pain, facilitating the ability to complete procedures as out-patients.

Methods

Our Ear Trainer has previously been validated for headlight and microscope otology skills, including foreign body removal and ventilation tube insertion, in both the high- and low-resource setting. This study aimed to assess the Ear Trainer for similar training and assessment of endoscopic ear surgery skills in the low-resource setting. The study was conducted in Uganda on ENT trainees.

Results

Despite a lack of prior experience with endoscopes, with limited practice time most participants showed improvements in: efficiency of instrument movement, steadiness of the camera view obtained, overall global rating of the task and performance time (faster task performance).

Conclusion

These results indicate that the Ear Trainer is a useful tool in the training and assessment of endoscopic ear surgery skills.

Keywords

Global HealthEducation, MedicalTeachingSimulation TrainingForeign BodiesTympanostomy Tube InsertionEndoscopyDeveloping CountriesOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 7 , July 2019 , pp. 571 - 574
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr M P A Clark takes responsibility for the integrity of the content of the paper

References

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