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A Survey of Otologic Training in US Residency Programs
Jeffrey P. Harris, MD, PhD;
Elizabeth Osborne, RN
Arch Otolaryngol Head Neck Surg. 1990;116(3):342-344.
Abstract
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Otologic cases are dwindling in numbers, jeopardizing the clinical training of our residents. A survey was performed to determine the magnitude of the problem facing our training programs. Seventy-three of 79 questionnaires distributed were returned. Results of the survey indicate that facial nerve decompression, exostosis repair, and stapedectomy were, on the average, infrequently performed by residents. Training for these seldom-performed procedures consists of temporal bone laboratory experience, close operative supervision, and the use of private patients for resident training. The majority (84%) of respondents did not feel that fellowship training was required to perform otologic surgery on graduation or that it should be required for obtaining hospital privileges in seldom-performed cases. Approximately three quarters (76%) of the program directors consider the training of seldom-performed procedures to be a moderate-to-serious problem facing otologic training today.
(Arch Otolaryngol Head Neck Surg. 1990;116:342-344)
Author Affiliations
BSN
From the Division of Otolaryngology—Head and Neck Surgery, University of California Medical Center, San Diego, and the Research Service, Veterans Administration Medical Center, San Diego, Calif.
Footnotes
Accepted for publication September 19, 1989.
Presented in part at the Society of University Otolaryngologists—Head and Neck Surgeons and the Association of Academic Departments of Otolaryngology—Head and Neck Surgery 1988 Combined Annual Meeting, Chicago, Ill, November 16, 1988.
Reprint requests to Division of Otolaryngology—Head and Neck Surgery, University of California Medical Center, San Diego, H-895, 225 Dickinson St, San Diego, CA 92103 (Dr Harris).
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