Model for hands-on tonsillectomy surgical training of postgraduate residents during COVID-19 pandemic
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Model for hands‑on tonsillectomy surgical training of postgraduate residents during COVID‑19 pandemic Poornima Shankar Bhat1 · Santhanakrishnan Kaliavaradan1 · Nisha Muruganidhi1 · P. L. Sethu1 Received: 8 August 2020 / Accepted: 15 September 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Otorhinolaryngological surgeries being highly aerosol-generating carry the risk of transmission of SARS-CoV-2. Most centers have canceled elective surgeries. Surgical demonstration and hands-on training of postgraduate residents are challenging during the COVID-19 pandemic. Continued training of residents is of utmost importance in terms of time and skill development. Tonsillectomy is one of the most common and important surgeries in ENT. Resident training of tonsillectomy is essential. Here, we present a simple, inexpensive model for tonsillectomy hands-on training addressing critical steps of the surgery. Methods An oropharynx and tonsil model is prepared using easily available materials, such as a small plastic tub, gauze pieces, ribbon gauze, and rubber strips. The junior residents are trained in all the critical steps of tonsillectomy using routine tonsillectomy instruments. Conclusion This model for tonsillectomy is a simple, inexpensive model for training postgraduate residents during and after the COVID-19 pandemic. We hope that this model can help young residents to get trained in critical steps of tonsillectomy, in a closely simulated environment and help them develop confidence and skills in managing live patients. Keywords Model · Tonsillectomy · COVID-19 · Surgical training · Postgraduate
Introduction Postgraduation in surgical courses largely depends on observation and training which contributes to skill development. COVID-19 pandemic has adversely affected medical education all over the world, especially surgical specialties. Theory and some aspects of the practical teachings are being conducted online through webinars, online classes, etc., whereas surgical demonstrations are mostly relying on prerecorded videos. Live surgical demonstrations and handson training which are crucial for surgical skills are lagging. Tonsillectomy is one of the major and commonly performed surgeries in Otorhinolaryngology. Demonstration and training of junior residents in the postgraduation course are of utmost importance.
* Santhanakrishnan Kaliavaradan [email protected] 1
In otorhinolaryngology, clinical examination and invasive procedures on the respiratory tract and connected cavities expose people to direct transmission of SARS-CoV-2 by inhalation or ocular projection of contaminated droplets, and to indirect transmission by contact with contaminated hands, objects, or surfaces [1]. Most centers have canceled non-cancer elective procedures following international recommendations [2]. This adversely affects the training of surgical residents which can impair their clinical confidence and performance. Among different and latest techniques of tonsi
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