Residency Education Practices in Endoscopic Skull Base Surgery

There has been increased interest in the method by which residents train in the subspecialty of skull base surgery. Examining which training methods are popular and effective to optimize residency learning is necessary, especially with new training adjuncts available to the modern trainee. In this study, we survey North American Skull Base Society (NASBS) members to analyze endoscopic skull base surgery training methods.

The NASBS membership was surveyed regarding endoscopic skull base surgery teaching and feedback methods using a Likert scale via an anonymized REDCAP form over four months.

With a response rate of 10.1%, we found that informal teaching methods and verbal qualitative feedback were rated significantly more effective than other teaching and feedback methods (p < 0.01) [[Table 1], [Figs. 1], [2]]. When comparing the opinions of otolaryngologists and neurosurgeons, otolaryngologists were less likely to believe feedback is most effective with a shared grading scale (p < 0.01). Physicians with more than ten years of experience posttraining felt model-based and rubric-based teaching were used more frequently (p < 0.01). Respondents indicated that standardization and the use of simulation, artificial intelligence, and virtual reality should be at the forefront of educational practices used in the field in the coming 5–10 years.

Despite this current emphasis on informal training, respondents pointed to standardization and simulation as methods of teaching endoscopic skull base surgery that should be used more in the future to help this rapidly growing field. These results indicate an unmet need in skull base education. Future initiatives are warranted.

Table 1 Demographic information

	Frequency	Percentage
Gender
Male	49	81.67%
Female	11	18.33%
Race/ethnicity
Black or African-American	2	3.33%
Hispanic/Latinx	5	8.33%
Asian or South Asian	14	23.33%
White or Caucasian	34	56.67%
None of the above	6	10.00%
Specialty
Otolaryngology	32	54.24%
Neurosurgery	25	42.37%
Other	2	3.39%
Years Practicing Posttraining
0–5 years	22	36.67%
5–10 years	13	21.67%
10+ years	25	41.67%
Institution fellowship in skull base
Yes	33	55.00%
No	25	41.67%
Other	2	3.33%

Fig. 1 Effectiveness of teaching methods, *** indicates p < 0.01.

Fig. 2 Effectiveness of feedback methods, *** indicates p < 0.01.

 

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Artikel online veröffentlicht:
05. Februar 2024