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- W1972379954 abstract "<h3>Objective:</h3> To determine the feasibility of providing surgical, endoscopic, and patient contact experience of high educational value at a children's hospital sufficient for adequately training contemporaneously both residents in otolaryngology–head and neck surgery and fellows in pediatric otolaryngology. <h3>Design:</h3> Retrospective review of operating room case logs and assignment of cases based on arbitrary perception of inherent case complexity and skill and experience that are required to manage the case. <h3>Setting:</h3> Tertiary care children's hospital located in a major metropolitan area. <h3>Main Outcome Measures:</h3> (1) Volume of surgical and endoscopic cases assigned retrospectively to junior resident, senior resident, or fellow. (2) Score on newly developed self-assessment skill list in pediatric otolaryngology. <h3>Results:</h3> During 1 year, there were 3224 surgical and endoscopic procedures performed in the operating room. Of the total number of procedures, only 44 (1.4%) were designated as being exclusively assigned for hands-on experience to a fellow, but 380 (11.8%) were appropriate for both a senior resident and a fellow and therefore were apportioned in an alternating fashion. A self-assessment instrument has been developed to assess competency and comfort in the management of otolaryngic disorders, both surgical and nonsurgical, in children. <h3>Conclusions:</h3> The volume and assortment of surgical and endoscopy cases at a tertiary care children's hospital can provide the basis for a rich, practical hands-on experience for residents and fellows. Since few surgical or endoscopic cases require pediatric fellowship training for mastery, becoming a pediatric otolaryngologist depends on acquiring skills and competence that exceed the technical skills acquired in the operating Arch Otolaryngol Head Neck Surg. 1996;122:714-718" @default.
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- W1972379954 date "1996-07-01" @default.
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- W1972379954 title "Balancing Pediatric Otolaryngology Training for Fellows and Residents at a Children's Hospital" @default.
- W1972379954 doi "https://doi.org/10.1001/archotol.1996.01890190012004" @default.
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