Otolaryngology exposure in a longitudinal integrated clerkship setting

Abstract Background Although 20–40% of primary care complaints are Otolaryngology-Head and Neck Surgery (OtoHNS) related, little emphasis is placed on OtoHNS instruction at the undergraduate medical education level. An OtoHNS clerkship rotation is not required at most Canadian medical schools. Furth...

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Main Authors: Grace Margaret Scott, Corliss Ann Elizabeth Best, Damian Christopher Micomonaco
Format: Article
Language:English
Published: SAGE Publishing 2017-07-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-017-0215-1
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author Grace Margaret Scott
Corliss Ann Elizabeth Best
Damian Christopher Micomonaco
author_facet Grace Margaret Scott
Corliss Ann Elizabeth Best
Damian Christopher Micomonaco
author_sort Grace Margaret Scott
collection DOAJ
description Abstract Background Although 20–40% of primary care complaints are Otolaryngology-Head and Neck Surgery (OtoHNS) related, little emphasis is placed on OtoHNS instruction at the undergraduate medical education level. An OtoHNS clerkship rotation is not required at most Canadian medical schools. Furthermore, at institutions offering an OtoHNS rotation, less than 20% of students are able to complete a placement. Given that a large percentage of medical students in Canada will pursue primary care as a career, there remains a gap in providing OtoHNS clinical training. During the longitudinal integrated clerkship at the Northern Ontario School of Medicine (NOSM), students are assigned to one of 14 sites, and not all have access to an otolaryngologist. This study looks to quantify the level of exposure students are receiving in OtoHNS at NOSM and to assess their comfort level with diagnosing and treating common otolaryngologic conditions. Methods A structured 13-item survey was administered to second, third and fourth year medical students at NOSM. Results A majority (67.9%) of medical students surveyed had not observed an otolaryngologist. Furthermore, most students (90.6%) reported receiving very little OtoHNS classroom based and clinical instruction during medical school. Conclusions A discrepancy exists between the quantity and breadth of OtoHNS training received in undergraduate medical education and the volume of OtoHNS encounters in primary care practice. Although geographic dissemination of students in the distributed learning model may be a challenge, strategies such as standardized objectives and supplemental electronic resources may serve to solidify clinical knowledge.
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spelling doaj-art-a4aa52d80e224afe803ad1e168d76ef82025-02-03T10:55:00ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162017-07-014611710.1186/s40463-017-0215-1Otolaryngology exposure in a longitudinal integrated clerkship settingGrace Margaret Scott0Corliss Ann Elizabeth Best1Damian Christopher Micomonaco2Laurentian UniversityNorthern Ontario School of MedicineNorthern Ontario School of MedicineAbstract Background Although 20–40% of primary care complaints are Otolaryngology-Head and Neck Surgery (OtoHNS) related, little emphasis is placed on OtoHNS instruction at the undergraduate medical education level. An OtoHNS clerkship rotation is not required at most Canadian medical schools. Furthermore, at institutions offering an OtoHNS rotation, less than 20% of students are able to complete a placement. Given that a large percentage of medical students in Canada will pursue primary care as a career, there remains a gap in providing OtoHNS clinical training. During the longitudinal integrated clerkship at the Northern Ontario School of Medicine (NOSM), students are assigned to one of 14 sites, and not all have access to an otolaryngologist. This study looks to quantify the level of exposure students are receiving in OtoHNS at NOSM and to assess their comfort level with diagnosing and treating common otolaryngologic conditions. Methods A structured 13-item survey was administered to second, third and fourth year medical students at NOSM. Results A majority (67.9%) of medical students surveyed had not observed an otolaryngologist. Furthermore, most students (90.6%) reported receiving very little OtoHNS classroom based and clinical instruction during medical school. Conclusions A discrepancy exists between the quantity and breadth of OtoHNS training received in undergraduate medical education and the volume of OtoHNS encounters in primary care practice. Although geographic dissemination of students in the distributed learning model may be a challenge, strategies such as standardized objectives and supplemental electronic resources may serve to solidify clinical knowledge.http://link.springer.com/article/10.1186/s40463-017-0215-1Undergraduate medical educationCurriculum developmentLongitudinal integrated clerkshipPrimary careOtolaryngology
spellingShingle Grace Margaret Scott
Corliss Ann Elizabeth Best
Damian Christopher Micomonaco
Otolaryngology exposure in a longitudinal integrated clerkship setting
Journal of Otolaryngology - Head and Neck Surgery
Undergraduate medical education
Curriculum development
Longitudinal integrated clerkship
Primary care
Otolaryngology
title Otolaryngology exposure in a longitudinal integrated clerkship setting
title_full Otolaryngology exposure in a longitudinal integrated clerkship setting
title_fullStr Otolaryngology exposure in a longitudinal integrated clerkship setting
title_full_unstemmed Otolaryngology exposure in a longitudinal integrated clerkship setting
title_short Otolaryngology exposure in a longitudinal integrated clerkship setting
title_sort otolaryngology exposure in a longitudinal integrated clerkship setting
topic Undergraduate medical education
Curriculum development
Longitudinal integrated clerkship
Primary care
Otolaryngology
url http://link.springer.com/article/10.1186/s40463-017-0215-1
work_keys_str_mv AT gracemargaretscott otolaryngologyexposureinalongitudinalintegratedclerkshipsetting
AT corlissannelizabethbest otolaryngologyexposureinalongitudinalintegratedclerkshipsetting
AT damianchristophermicomonaco otolaryngologyexposureinalongitudinalintegratedclerkshipsetting