Validation of a laryngeal dissection module for phonomicrosurgical training
Identifieur interne : 004F45 ( Istex/Corpus ); précédent : 004F44; suivant : 004F46Validation of a laryngeal dissection module for phonomicrosurgical training
Auteurs : Stephanie P. Contag ; Adam M. Klein ; Angela C. Blount ; Michael M. Johns IiiSource :
- The Laryngoscope [ 0023-852X ] ; 2009-01.
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Abstract
Objectives:: To validate the use of a new phonomicrosurgical trainer called the laryngeal dissection module. Study Design:: The module used synthetic, multilayered vocal folds inside a model larynx mounted on a platform, a microscope, and microsurgical instruments. The study was designed to test the module's ability to differentiate novices from expert surgeons and to test the module's ability to improve novice performance with training. Methods:: Expert (n = 5) and novice (n = 21) phonomicrosurgeons were instructed to remove a superficial ovoid lesion from a synthetic, right vocal fold. The task was assessed for total errors, total operating time, and injury to the superficial peripheral tissue, the lesion, and the deep tissue. Novice and expert performance was compared using an independent samples t test and a Fisher exact test. Subsequently, novices completed three practice trials and a posttraining trial, which was assessed for improvement compared with pretraining performance using a Wilcoxon signed rank test. Results:: Experts completed the task with fewer total errors than novices (P < .001) and made fewer injuries to the oval lesion (P = .01). Novices improved performance with training, making fewer total errors in the posttraining trial (P = .003), reducing injury to the superficial peripheral tissue (P = .02), and taking less time to complete the task (P = .04). Conclusions:: The laryngeal dissection module was validated as a surgical trainer. It was able to differentiate expert versus novice performance, and it improved novice performance through training. Laryngoscope, 119:211–215, 2009
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DOI: 10.1002/lary.20018
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Blount</name><affiliation><mods:affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Johns Iii, Michael M" sort="Johns Iii, Michael M" uniqKey="Johns Iii M" first="Michael M." last="Johns Iii">Michael M. Johns Iii</name><affiliation><mods:affiliation>Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:50D0CD1B082CB1040FF3D5BA152B78FA41C9C2EC</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1002/lary.20018</idno><idno type="url">https://api.istex.fr/document/50D0CD1B082CB1040FF3D5BA152B78FA41C9C2EC/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">004F45</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Validation of a laryngeal dissection module for phonomicrosurgical training</title><author><name sortKey="Contag, Stephanie P" sort="Contag, Stephanie P" uniqKey="Contag S" first="Stephanie P." last="Contag">Stephanie P. Contag</name><affiliation><mods:affiliation>Emory University School of Medicine, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Klein, Adam M" sort="Klein, Adam M" uniqKey="Klein A" first="Adam M." last="Klein">Adam M. Klein</name><affiliation><mods:affiliation>Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Blount, Angela C" sort="Blount, Angela C" uniqKey="Blount A" first="Angela C." last="Blount">Angela C. Blount</name><affiliation><mods:affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Johns Iii, Michael M" sort="Johns Iii, Michael M" uniqKey="Johns Iii M" first="Michael M." last="Johns Iii">Michael M. Johns Iii</name><affiliation><mods:affiliation>Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The Laryngoscope</title><title level="j" type="abbrev">The Laryngoscope</title><idno type="ISSN">0023-852X</idno><idno type="eISSN">1531-4995</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-01">2009-01</date><biblScope unit="volume">119</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="211">211</biblScope><biblScope unit="page" to="215">215</biblScope></imprint><idno type="ISSN">0023-852X</idno></series><idno type="istex">50D0CD1B082CB1040FF3D5BA152B78FA41C9C2EC</idno><idno type="DOI">10.1002/lary.20018</idno><idno type="ArticleID">LARY20018</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0023-852X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Phonomicrosurgery</term><term>skill assessment</term><term>surgical education</term><term>surgical simulator</term><term>surgical training</term><term>validation</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives:: To validate the use of a new phonomicrosurgical trainer called the laryngeal dissection module. Study Design:: The module used synthetic, multilayered vocal folds inside a model larynx mounted on a platform, a microscope, and microsurgical instruments. The study was designed to test the module's ability to differentiate novices from expert surgeons and to test the module's ability to improve novice performance with training. Methods:: Expert (n = 5) and novice (n = 21) phonomicrosurgeons were instructed to remove a superficial ovoid lesion from a synthetic, right vocal fold. The task was assessed for total errors, total operating time, and injury to the superficial peripheral tissue, the lesion, and the deep tissue. Novice and expert performance was compared using an independent samples t test and a Fisher exact test. Subsequently, novices completed three practice trials and a posttraining trial, which was assessed for improvement compared with pretraining performance using a Wilcoxon signed rank test. Results:: Experts completed the task with fewer total errors than novices (P < .001) and made fewer injuries to the oval lesion (P = .01). Novices improved performance with training, making fewer total errors in the posttraining trial (P = .003), reducing injury to the superficial peripheral tissue (P = .02), and taking less time to complete the task (P = .04). Conclusions:: The laryngeal dissection module was validated as a surgical trainer. It was able to differentiate expert versus novice performance, and it improved novice performance through training. Laryngoscope, 119:211–215, 2009</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Stephanie P. Contag BA</name><affiliations><json:string>Emory University School of Medicine, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</json:string></affiliations></json:item><json:item><name>Adam M. Klein MD</name><affiliations><json:string>Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</json:string></affiliations></json:item><json:item><name>Angela C. Blount MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</json:string></affiliations></json:item><json:item><name>Michael M. Johns III MD</name><affiliations><json:string>Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Phonomicrosurgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>surgical simulator</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>validation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>surgical education</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>surgical training</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>skill assessment</value></json:item></subject><articleId><json:string>LARY20018</json:string></articleId><language><json:string>eng</json:string></language><abstract>Objectives:: To validate the use of a new phonomicrosurgical trainer called the laryngeal dissection module. Study Design:: The module used synthetic, multilayered vocal folds inside a model larynx mounted on a platform, a microscope, and microsurgical instruments. The study was designed to test the module's ability to differentiate novices from expert surgeons and to test the module's ability to improve novice performance with training. Methods:: Expert (n = 5) and novice (n = 21) phonomicrosurgeons were instructed to remove a superficial ovoid lesion from a synthetic, right vocal fold. The task was assessed for total errors, total operating time, and injury to the superficial peripheral tissue, the lesion, and the deep tissue. Novice and expert performance was compared using an independent samples t test and a Fisher exact test. Subsequently, novices completed three practice trials and a posttraining trial, which was assessed for improvement compared with pretraining performance using a Wilcoxon signed rank test. Results:: Experts completed the task with fewer total errors than novices (P > .001) and made fewer injuries to the oval lesion (P = .01). Novices improved performance with training, making fewer total errors in the posttraining trial (P = .003), reducing injury to the superficial peripheral tissue (P = .02), and taking less time to complete the task (P = .04). Conclusions:: The laryngeal dissection module was validated as a surgical trainer. It was able to differentiate expert versus novice performance, and it improved novice performance through training. 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Study Design:: The module used synthetic, multilayered vocal folds inside a model larynx mounted on a platform, a microscope, and microsurgical instruments. The study was designed to test the module's ability to differentiate novices from expert surgeons and to test the module's ability to improve novice performance with training. Methods:: Expert (n = 5) and novice (n = 21) phonomicrosurgeons were instructed to remove a superficial ovoid lesion from a synthetic, right vocal fold. The task was assessed for total errors, total operating time, and injury to the superficial peripheral tissue, the lesion, and the deep tissue. Novice and expert performance was compared using an independent samples t test and a Fisher exact test. Subsequently, novices completed three practice trials and a posttraining trial, which was assessed for improvement compared with pretraining performance using a Wilcoxon signed rank test. Results:: Experts completed the task with fewer total errors than novices (P < .001) and made fewer injuries to the oval lesion (P = .01). Novices improved performance with training, making fewer total errors in the posttraining trial (P = .003), reducing injury to the superficial peripheral tissue (P = .02), and taking less time to complete the task (P = .04). Conclusions:: The laryngeal dissection module was validated as a surgical trainer. It was able to differentiate expert versus novice performance, and it improved novice performance through training. Laryngoscope, 119:211–215, 2009</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>Phonomicrosurgery</term></item><item><term>surgical simulator</term></item><item><term>validation</term></item><item><term>surgical education</term></item><item><term>surgical training</term></item><item><term>skill assessment</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article-category</head><item><term>Original Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2008-08-22">Registration</change><change when="2009-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/50D0CD1B082CB1040FF3D5BA152B78FA41C9C2EC/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: 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Dissection Module</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Stephanie P.</givenNames><familyName>Contag</familyName><degrees>BA</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Adam M.</givenNames><familyName>Klein</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Angela C.</givenNames><familyName>Blount</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af2" corresponding="yes"><personName><givenNames>Michael M.</givenNames><familyName>Johns</familyName><nameSuffix>III</nameSuffix><degrees>MD</degrees></personName><contactDetails><email>michael.m.johns@emoryhealthcare.org</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Emory University School of Medicine, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="US" type="organization"><unparsedAffiliation>Department of Otolaryngology–Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Phonomicrosurgery</keyword><keyword xml:id="kwd2">surgical simulator</keyword><keyword xml:id="kwd3">validation</keyword><keyword xml:id="kwd4">surgical education</keyword><keyword xml:id="kwd5">surgical training</keyword><keyword xml:id="kwd6">skill assessment</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Objectives:</title><p>To validate the use of a new phonomicrosurgical trainer called the laryngeal dissection module.</p></section><section xml:id="abs1-2"><title type="main">Study Design:</title><p>The module used synthetic, multilayered vocal folds inside a model larynx mounted on a platform, a microscope, and microsurgical instruments. The study was designed to test the module's ability to differentiate novices from expert surgeons and to test the module's ability to improve novice performance with training.</p></section><section xml:id="abs1-3"><title type="main">Methods:</title><p>Expert (n = 5) and novice (n = 21) phonomicrosurgeons were instructed to remove a superficial ovoid lesion from a synthetic, right vocal fold. The task was assessed for total errors, total operating time, and injury to the superficial peripheral tissue, the lesion, and the deep tissue. Novice and expert performance was compared using an independent samples <i>t</i> test and a Fisher exact test. Subsequently, novices completed three practice trials and a posttraining trial, which was assessed for improvement compared with pretraining performance using a Wilcoxon signed rank test.</p></section><section xml:id="abs1-4"><title type="main">Results:</title><p>Experts completed the task with fewer total errors than novices (<i>P</i> < .001) and made fewer injuries to the oval lesion (<i>P</i> = .01). Novices improved performance with training, making fewer total errors in the posttraining trial (<i>P</i> = .003), reducing injury to the superficial peripheral tissue (<i>P</i> = .02), and taking less time to complete the task (<i>P</i> = .04).</p></section><section xml:id="abs1-5"><title type="main">Conclusions:</title><p>The laryngeal dissection module was validated as a surgical trainer. It was able to differentiate expert versus novice performance, and it improved novice performance through training. Laryngoscope, 119:211–215, 2009</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn2"><p>Presented at the Triological Society Combined Sections Meeting, Orlando, Florida, U.S.A., May 3, 2008.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Validation of a laryngeal dissection module for phonomicrosurgical training</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Validation of a Laryngeal Dissection Module</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Validation of a laryngeal dissection module for phonomicrosurgical training</title></titleInfo><name type="personal"><namePart type="given">Stephanie P.</namePart><namePart type="family">Contag</namePart><namePart type="termsOfAddress">BA</namePart><affiliation>Emory University School of Medicine, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Adam M.</namePart><namePart type="family">Klein</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Angela C.</namePart><namePart type="family">Blount</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michael M.</namePart><namePart type="family">Johns III</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.</affiliation><description>Correspondence: Emory Voice Center, Department of Otolaryngology–Head and Neck Surgery, 550 Peachtree Street, NE, 9th Floor, Suite 4400, Atlanta, GA 30308</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2009-01</dateIssued><dateValid encoding="w3cdtf">2008-08-22</dateValid><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">6</extent><extent unit="references">15</extent><extent unit="words">4366</extent></physicalDescription><abstract lang="en">Objectives:: To validate the use of a new phonomicrosurgical trainer called the laryngeal dissection module. Study Design:: The module used synthetic, multilayered vocal folds inside a model larynx mounted on a platform, a microscope, and microsurgical instruments. The study was designed to test the module's ability to differentiate novices from expert surgeons and to test the module's ability to improve novice performance with training. Methods:: Expert (n = 5) and novice (n = 21) phonomicrosurgeons were instructed to remove a superficial ovoid lesion from a synthetic, right vocal fold. The task was assessed for total errors, total operating time, and injury to the superficial peripheral tissue, the lesion, and the deep tissue. Novice and expert performance was compared using an independent samples t test and a Fisher exact test. Subsequently, novices completed three practice trials and a posttraining trial, which was assessed for improvement compared with pretraining performance using a Wilcoxon signed rank test. Results:: Experts completed the task with fewer total errors than novices (P < .001) and made fewer injuries to the oval lesion (P = .01). Novices improved performance with training, making fewer total errors in the posttraining trial (P = .003), reducing injury to the superficial peripheral tissue (P = .02), and taking less time to complete the task (P = .04). Conclusions:: The laryngeal dissection module was validated as a surgical trainer. It was able to differentiate expert versus novice performance, and it improved novice performance through training. Laryngoscope, 119:211–215, 2009</abstract><note type="content">*Presented at the Triological Society Combined Sections Meeting, Orlando, Florida, U.S.A., May 3, 2008.</note><subject lang="en"><genre>keywords</genre><topic>Phonomicrosurgery</topic><topic>surgical simulator</topic><topic>validation</topic><topic>surgical education</topic><topic>surgical training</topic><topic>skill assessment</topic></subject><relatedItem type="host"><titleInfo><title>The Laryngoscope</title></titleInfo><titleInfo type="abbreviated"><title>The Laryngoscope</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">0023-852X</identifier><identifier type="eISSN">1531-4995</identifier><identifier type="DOI">10.1002/(ISSN)1531-4995</identifier><identifier type="PublisherID">LARY</identifier><part><date>2009</date><detail type="volume"><caption>vol.</caption><number>119</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>211</start><end>215</end><total>5</total></extent></part></relatedItem><identifier type="istex">50D0CD1B082CB1040FF3D5BA152B78FA41C9C2EC</identifier><identifier type="DOI">10.1002/lary.20018</identifier><identifier type="ArticleID">LARY20018</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2009 The American Laryngological, Rhinological, and Otological Society, Inc.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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