scholarly journals Contemporary Opinions on Intraoperative Facial Nerve Monitoring

OTO Open ◽  
2018 ◽  
Vol 2 (3) ◽  
pp. 2473974X1879180 ◽  
Author(s):  
Paul W. Gidley ◽  
Jennifer Maw ◽  
Bruce Gantz ◽  
David Kaylie ◽  
Paul Lambert ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Residency Program ◽  
Task Force ◽  
Neck Surgery ◽  
Program Directors ◽  
Formal Training ◽  
Nerve Monitoring ◽  
Facial Nerve Monitoring ◽  
Residency Program Directors ◽  
Question Survey

Objective To examine the current trend in intraoperative facial nerve monitoring (IOFNM) training, performance, and reimbursement by subspecialists. Study Design Cross-sectional survey of the American Neurotology Society, American Otological Society, American Society of Pediatric Otolaryngology, and program directors of otolaryngology–head and neck surgery programs accredited by the Accreditation Council on Graduate Medical Education. Setting American Academy of Otolaryngology–Head and Neck Surgery Intraoperative Nerve Monitoring Task Force. Subjects and Methods The task force developed 2 surveys, which were implemented through Surveymonkey.com: (1) a 10-question survey sent to 1506 members of the societies listed to determine IOFNM practice and reimbursement patterns and (2) a 10-question survey sent to the 107 accredited US otolaryngology residency program directors to examine the state of resident training on facial nerve monitoring. Results Response rates were 18% for practicing physicians and 15% for residency program directors. The majority agreed that IOFNM was indicated for most otologic and neurotologic procedures. In addition to facial nerve monitoring, facial nerve stimulation was used in complex skull base and temporal bone procedures. When queried about reimbursement by Medicare, only 4.4% of surgeons responded that they received reimbursement. Program directors indicated universal exposure of residents to IOFNM, with 61% of programs giving residents formal training. Conclusions IOFNM is widely used among otologists and neurotologists in the United States. The majority of residents receive formal training, and all residents are exposed to the setup, use, monitoring, and troubleshooting of the device. Reimbursement for IOFNM is reported by a paucity of those surveyed.

scholarly journals Learning from Anaesthetists: A Technique for Safe and Effective Facial Nerve Monitoring

Reports ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Jayan George ◽  
Anton Alatsatianos ◽  
Amir Farboud ◽  
Laysan Pope
Keyword(s):  
Facial Nerve ◽  
Head And Neck ◽  
Middle Ear ◽  
Neck Surgery ◽  
Contralateral Side ◽  
Secure Attachment ◽  
Nerve Monitoring ◽  
Surgical Tool ◽  
Facial Nerve Monitoring ◽  
The Face

To develop a technique to reliably secure facial nerve monitoring electrodes, NeurosignTM facial nerve monitor electrodes were attached as per the manufacturer’s instructions. The electrodes were secured with ½ inch steristripsTM before connecting leads were brought to the contralateral side of the face and a single torque loop was created and secured with either more Steri-StripsTM, Micropore tapeTM, or a TegedermTM. By creating a single torque loop, a buffer between the electrode and its anchor point to the contralateral face was formed. This allowed for the secure attachment of leads from the electrodes by removing tension, thereby reducing the likelihood of displacement. We have used this technique successfully for the last three years in over 50 parotid procedures and 50 middle ear explorations. Facial nerve monitoring is an important surgical tool used in otology and head and neck surgery. Using torque loops when preparing a patient for surgery prevents the dislodgement of electrodes during operation, thereby ensuring the safety of the patient in a sometimes perilous environment.

Use of laser, otoendoscopy and facial nerve monitoring in otological surgery: United Kingdom survey

2003 ◽  
Vol 117 (10) ◽  
pp. 751-755 ◽  
Author(s):  
N. Saravanappa ◽  
A. Balfour ◽  
D. A. Bowdler
Keyword(s):  
United Kingdom ◽  
Facial Nerve ◽  
Head And Neck ◽  
Questionnaire Survey ◽  
Neck Surgery ◽  
Postal Questionnaire ◽  
Nerve Monitoring ◽  
Surgical Tools ◽  
The United Kingdom ◽  
Facial Nerve Monitoring

Newer surgical tools, which have been widely accepted as important adjuncts in otological surgery, include the laser, otoendoscopy and facial nerve monitoring. A confidential postal questionnaire survey was carried out to evaluate the usage of these newer techniques among the Consultant members of the British Association of Otorhinolaryngology-Head and Neck Surgery. Our study revealed that the usage of otoendoscopy, laser and/or facial nerve monitoring is not as widespread as might be thought among otological surgeons in the United Kingdom.

scholarly journals Value Placed on Formal Training in Education by Pediatric Department Chairs and Residency Program Directors

2011 ◽  
Vol 3 (4) ◽  
pp. 558-561 ◽  
Author(s):  
Teri L. Turner ◽  
Mark A. Ward ◽  
Debra L. Palazzi ◽  
Martin I. Lorin
Keyword(s):  
Medical School ◽  
Residency Program ◽  
Department Chairs ◽  
Program Directors ◽  
The United States ◽  
School Level ◽  
Formal Training ◽  
Clinical Faculty ◽  
Pediatric Department ◽  
Residency Program Directors

Abstract Background While much is known about how educational leaders at the medical school level (eg, deans) view the importance of formal training in education for medical school teachers, little is known about how leaders at the clinical level (eg, department chairs) view such training. We sought to determine how pediatric department chairs and residency program directors view the value of formal training in education, such as that at a Master of Education (MEd) level, and to estimate the number of clinical pediatric faculty with or pursuing such training. Methods A survey designed to assess the value placed on formal training in education and to estimate the number of clinical faculty with or pursuing such training was mailed to pediatric department chair persons and residency program directors at all 131 allopathic medical schools in the United States and Puerto Rico. Results Eighty department chairs (61%) responded, and most indicated that when hiring new faculty, they view an applicant with an MEd as having an advantage. Both chairs and residency directors considered an MEd to be advantageous for a residency director by a ranking of 4.5 and 4.2, respectively, on a scale of 1 to 5 (P  =  .008). Of the 80 chairs who responded, 58.8% of respondents reported one or more faculty in their department had or was pursuing an MEd. Of the 72 responding residency directors (55%), 11 respondents (15.3%) indicated that they had an MEd. Conclusion More than half the medical school pediatric chairs responding to the survey had one or more clinical faculty with or pursuing an MEd in their departments. Survey results indicated that such training is valued by both department chairs and residency directors. Given the time and expense involved in obtaining an MEd, awareness of these data may be helpful to those considering pursuing, offering, or requiring such training.

Intraoperative Facial Nerve Monitoring

1991 ◽  
Vol 24 (3) ◽  
pp. 709-725 ◽  
Author(s):  
Herbert Silverstein ◽  
Seth Rosenberg
Keyword(s):  
Facial Nerve ◽  
Nerve Monitoring ◽  
Facial Nerve Monitoring

scholarly journals A comparison of orthopaedic surgery and internal medicine perceptions of USMLE Step 1 pass/fail scoring

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Frederick Mun ◽  
Alyssa R. Scott ◽  
David Cui ◽  
Erik B. Lehman ◽  
Seong Ho Jeong ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Extracurricular Activities ◽  
Residency Program ◽  
Medical Schools ◽  
Program Directors ◽  
Program Director ◽  
Personal Knowledge ◽  
Clinical Knowledge ◽  
Alpha Omega ◽  
Residency Program Directors

Abstract Background United States Medical Licensing Examination Step 1 will transition from numeric grading to pass/fail, sometime after January 2022. The aim of this study was to compare how program directors in orthopaedics and internal medicine perceive a pass/fail Step 1 will impact the residency application process. Methods A 27-item survey was distributed through REDCap to 161 U.S. orthopaedic residency program directors and 548 U.S. internal medicine residency program directors. Program director emails were obtained from the American Medical Association’s Fellowship and Residency Electronic Interactive Database. Results We received 58 (36.0%) orthopaedic and 125 (22.8%) internal medicine program director responses. The majority of both groups disagree with the change to pass/fail, and felt that the decision was not transparent. Both groups believe that the Step 2 Clinical Knowledge exam and clerkship grades will take on more importance. Compared to internal medicine PDs, orthopaedic PDs were significantly more likely to emphasize research, letters of recommendation from known faculty, Alpha Omega Alpha membership, leadership/extracurricular activities, audition elective rotations, and personal knowledge of the applicant. Both groups believe that allopathic students from less prestigious medical schools, osteopathic students, and international medical graduates will be disadvantaged. Orthopaedic and internal medicine program directors agree that medical schools should adopt a graded pre-clinical curriculum, and that there should be a cap on the number of residency applications a student can submit. Conclusion Orthopaedic and internal medicine program directors disagree with the change of Step 1 to pass/fail. They also believe that this transition will make the match process more difficult, and disadvantage students from less highly-regarded medical schools. Both groups will rely more heavily on the Step 2 clinical knowledge exam score, but orthopaedics will place more importance on research, letters of recommendation, Alpha Omega Alpha membership, leadership/extracurricular activities, personal knowledge of the applicant, and audition electives.

scholarly journals Teaching Ethics and Professionalism: A National Survey of Ophthalmology Residency Program Directors

2021 ◽  
Vol 13 (01) ◽  
pp. e88-e94
Author(s):  
Alyssa M. Kretz ◽  
Jennifer E. deSante-Bertkau ◽  
Michael V. Boland ◽  
Xinxing Guo ◽  
Megan E. Collins
Keyword(s):  
Residency Program ◽  
Online Survey ◽  
Optimal Strategies ◽  
Program Directors ◽  
Global Evaluation ◽  
Teaching Ethics ◽  
Residency Programs ◽  
Unprofessional Behavior ◽  
Residency Program Directors ◽  
Trainee Competence

Abstract Background While ethics and professionalism are important components of graduate medical education, there is limited data about how ethics and professionalism curricula are taught or assessed in ophthalmology residency programs. Objective This study aimed to determine how U.S. ophthalmology residency programs teach and assess ethics and professionalism and explore trainee preparedness in these areas. Methods Directors from accredited U.S. ophthalmology residency programs completed an online survey about components of programs' ethics and professionalism teaching curricula, strategies for assessing competence, and trainee preparedness in these areas. Results Directors from 55 of 116 programs (46%) responded. The most common ethics and professionalism topics taught were informed consent (38/49, 78%) and risk management and litigation (38/49, 78%), respectively; most programs assessed trainee competence via 360-degree global evaluation (36/48, 75%). While most (46/48, 95%) respondents reported that their trainees were well or very well prepared at the time of graduation, 15 of 48 (31%) had prohibited a trainee from graduating or required remediation prior to graduation due to unethical or unprofessional conduct. Nearly every program (37/48, 98%) thought that it was very important to dedicate curricular time to teaching ethics and professionalism. Overall, 16 of 48 respondents (33%) felt that the time spent teaching these topics was too little. Conclusion Ophthalmology residency program directors recognized the importance of an ethics and professionalism curriculum. However, there was marked variation in teaching and assessment methods. Additional work is necessary to identify optimal strategies for teaching and assessing competence in these areas. In addition, a substantial number of trainees were prohibited from graduating or required remediation due to ethics and professionalism issues, suggesting an impact of unethical and unprofessional behavior on resident attrition.

scholarly journals Engage me: Will residency program directors listen?

2021 ◽  
pp. 102549
Author(s):  
Sruthi Selvakumar ◽  
Mark McKenney ◽  
Adel Elkbuli
Keyword(s):  
Residency Program ◽  
Program Directors ◽  
Residency Program Directors

scholarly journals Exploring Residency Program Directors, Preceptors, and Residents' Intentions to Participate in Multicenter Pediatric Pharmacy Resident Research Projects

2021 ◽  
Vol 26 (7) ◽  
pp. 708-717
Author(s):  
Peter N. Johnson ◽  
Brittany Powers Shaddix ◽  
Brandi M. Weller ◽  
Alexandra Oschman ◽  
David George ◽  
...  
Keyword(s):  
Focus Groups ◽  
Residency Program ◽  
Program Directors ◽  
Subjective Norms ◽  
Mitigation Strategies ◽  
Research Projects ◽  
Research Experience ◽  
Resident Research ◽  
Salient Beliefs ◽  
Residency Program Directors

OBJECTIVE The purpose was to explore preceptors, residency program directors (RPDs), and residents' beliefs and intentions in participating in multicenter pediatric resident research projects (PRRPs). METHODS This exploratory qualitative study used the theory of planned behavior to explore beliefs, attitudes, and intentions toward participation in a multicenter PRRP. Two focus groups were formed: RPDs/preceptors and pharmacy residents. The primary objective was to identify attitudes/salient beliefs, subjective norms, and perceived behavioral controls regarding participation in multicenter PRRPs. The secondary objectives included identifying potential barriers and mitigation strategies for multicenter PRRPs. Descriptive statistics and a thematic analysis were performed. RESULTS The 2 focus groups included 24 participants: RPDs/preceptors (n = 16) and pharmacy residents (n = 8). The RPD/preceptor group had a mean of 7.4 ± 5.4 years of research experience; all residents had prior research experience as students. Participants shared and contrasted their salient beliefs, subjective norms, and perceived behavioral control beliefs about logistical challenges, networking, mentoring, sample size, collaboration, workload, shared responsibilities for data collection and the institutional review board application, and resources associated with participation in multicenter PRRPs. Other items that participants felt were important were discussion of authorship order and dedicated research time for residents. CONCLUSIONS Participants provided favorable comments toward multicenter PRRPs but acknowledged some barriers. The resident, preceptor, and RPD intention to participate in multi-center PRRPs is very likely if they perceive this as an opportunity for increased networking and mentorship, increased likelihood of publication, enhanced research skill experience, and shared resources and responsibilities.

scholarly journals Clinical Benefits of Facial Nerve Monitoring during Cerebellopontine Angle Surgery

2022 ◽  
Vol 12 (01) ◽  
pp. 9-27
Author(s):  
Ahmed A. Farag ◽  
Abd El-Kafy Sharaf El-Din Ibrahim ◽  
Islam M. Alaghory
Keyword(s):  
Facial Nerve ◽  
Cerebellopontine Angle ◽  
Nerve Monitoring ◽  
Facial Nerve Monitoring ◽  
Clinical Benefits
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