Special 125th Anniversary Issue – Bulletin

virtual nonclinical care. Interoperability will facilitate optimized workflow in a so-called connected care health ecosystem, with enhanced digital platforms facilitating higher levels of personalized medicine and care. The trend will continue from minimally invasive surgery to robot-assisted procedures, nanotechnology, genomic medicine, through advanced data analytics, AR and VR, functional imaging, 3-D planning, and bio printing and other advances. Digital technologies will enhance automation of nonclinical practice of medicine to improve overall office, clinic and departmental functionality, workflow, and efficiency. Automation of the revenue cycle will improve cost, revenue, customer service, and employee engagement and satisfaction. Digitization will have an increasingly important role in addressing consumer/ patient demands for better service, overall experience and convenience, and ease of navigating the healthcare system. This will also facilitate improved healthcare is upon us, ushering in an era marked by fusion of technologies in physical, digital, and biological spheres and the proliferation of robotics, AI, nanotechnology and quantum computing, 5G wireless technology, 3-D printing, and material science expansion." "The Fourth Industrial Revolution in Healthcare

and international collaboration, with expansion of simulation. E-learning will expand with interactive online modules, video teleconferencing, web-based workshops, electronic medical libraries, and open online courses. Education opportunities will become more asynchronous, on-demand with blended or hybrid platforms. The increased role of simulation based education will promote learning through engagement in a safe environment with decreased patient risk, with an opportunity to learn from mistakes with real-time feedback in achieving proficiency. Simulation-based education will increase with 3-D printed simulators, game application, VR, and augmented reality (AR). In addition, with progress in the artificial intelligence (AI) field, we will surely come across even more applications of the technology in healthcare education. We will need to continuously redeploy, upskill, or reskill our students and educators to stay ahead of these changes, ensuring proper information transfer, technical skill acquisition, and standardization of assessment for demonstration of proficiency-based training for mastery of skills in our field. Practice in the Digital Age The Fourth Industrial Revolution in Healthcare is upon us, ushering in an era marked by fusion of technologies in physical, digital, and biological spheres and the proliferation of robotics, AI, nanotechnology and quantum computing, 5G wireless technology, 3-D printing, and material science expansion. Data management, data liberation, and interoperability are becoming integral components of successful medical practice and will continue to drive quality as it relates to value assessment and ultimately payment. Digitization has facilitated low touch care, virtual and distance-based care, remote patient monitoring, wearables, and

it was properly applied. Quality will remain an important measure in any future success model, which will also be used to determine payment. There will be continued transition away from FFS payment to value-based payment models with hybrid payment in ENT FFS linked to quality and value or APMs built on FFS architecture. Individual physicians and/or entities they work for will increasingly “go at risk” for reimbursement and, at the physician level, most will likely get less. Reg-ent SM , the AAO-HNSF qualified clinical data registry, is the tool that will help otolaryngologists in every practice setting to measure and report their data and demonstrate their quality care and value. It is increasingly important to develop effective dashboards utilizing predictive analytics to conduct data analysis within one’s practice and to have the ability to leverage that data. Otolaryngology surgeon-scientists will continue to lead research targeted at person-centered individual care and population-based level care using precision medicine, digital technology, and molecular biology to improve quality of life and outcomes for the patients we treat, with greater emphasis on wellness and prevention. Training, Education, and Research Future trends in medical education will be defined by the proliferation of scientific information—with quality and accountability, reevaluation of the principles of adult learning theory impacted by evolving workforce demographics, and the role of technology in education, especially following accelerated adoption and implementation of digital technologies during the coronavirus pandemic. The pace of change will continue to accelerate as we adapt content reform, delivery-platform reform, and resources to best accommodate digital learners. Digital, virtual, and online education content and training will expand with greater national

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ENTNET.ORG/BULLETIN AAO-HNS BULLETIN SPECIAL EDITION: 125TH ANNIVERSARY