2019 HSC Section 2 - Practice Management

D. Fellowship role in otolaryngology Wilson MN, Vila PM, Cohen DS, et al. The pursuit of otolaryngology subspecialty fellowships. Otolaryngol Head Neck Surg . 2016; 154(6):1027-1033. EBM level 4...............................175-181 Summary : Data from the AAO-HNS annual survey of residents and fellows from 2008-2014 was examined to determine factors that influence interest in fellowship training. A total of 2,422 residents were surveyed. In this time period, senior residents were less interested in fellowship training than junior residents. Age, educational debt, and practice setting preferences predicted interest in fellowship training; gender did not. E. Equipment infection control in the outpatient setting Sowerby LJ, Rudmik L. The cost of being clean: a cost analysis of nasopharyngoscope reprocessing techniques. Laryngoscope . 2018; 128(1):64-71. EBM level 2......................182-189 Yalamanchi P, Yu J, Chandler L, Mirza N. High-level disinfection of otorhinolaryngology clinical instruments: an evaluation of the efficacy and cost-effectiveness of instrument storage. Otolaryngol Head Neck Surg . 2018; 158(1):163-166. EBM level 2...................................190-193 Summary : The article compares positive culture rates of otolaryngology clinic instruments between sterilization and peel-packing and high-level disinfection and cohabitation in cabinet drawers. The study showed no difference in positive culture rates in these two groups, despite the much higher cost of individual peel-packed processing. Gunderson K, Sullivan S, Warner-Hillard C, et al. Examining the impact of using the SIMPL application on feedback in surgical education. J Surg Educ . 2018; 75(6):e246-e254. EBM level 2....................................................................................................................................194-202 Summary : This article demonstrates the effectiveness of a simple smartphone-based app to provide feedback to surgical residents. This method was shown to be equally effective to in-person feedback, and may provide a useful alternative to formalized in-person feedback. Summary : This is an excellent review of techniques for providing feedback to residents and other learners. Although this article comes from the pathology literature, the strategies and techniques discussed here are widely applicable in all medical fields. B. Role of simulation in life-long learning Roberts J, Sawyer T, Foubare D, et al. Simulation to assist in the selection process of new airway equipment in a children's hospital. Cureus . 2015; 7(9):e331. EBM level 4.......................210-215 Summary : Simulation techniques may be employed in the selection of new equipment for medical practice. This study looks at the decision regarding new laryngoscope purchases facility-wide via blinded simulation use of the tools with stakeholders before choosing the new equipment. Jug R, Jiang XS, Bean SM. Giving and receiving effective feedback: a review article and how-to guide. Arch Pathol Lab Med . 2019; 143(2):244-250. EBM level 4...................................203-209 Summary : The article focuses on multiple available techniques for processing nasopharyngoscopes in the office setting, with a focus on cost analysis among the techniques.

V. Practice-Based Learning A. Resident feedback tools