Resident Education in Laryngeal Stroboscopy and Perceptual Voice Evaluation: An Assessment

Joel W. Jones, Mollie Perryman, Paul Judge, Maraya M. Baumanis, Kevin Sykes, Jayme Dowdall, Cristina Cabrera-Muffly, James David Garnett, Shannon Kraft

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objectives: To evaluate otolaryngology residents’ level of confidence and understanding in interpreting laryngeal stroboscopy. Methods: Otolaryngology residents from three residency programs with fellowship-trained laryngologists on faculty were invited to participate. An assessment consisting of a survey and five stroboscopic exams was administered. Each exam consisted of questions on perceptual voice evaluation, laryngoscopic findings, and stroboscopic findings. Scores were compared to answers provided by three fellowship-trained laryngologists. Results: Thirty-eight of 47 invited residents (80.8%) enrolled in the study. On a five-point likert scale, residents reported low confidence (median = 2, range = 1–4) in interpreting stroboscopy, regardless of training program (P = 0.81). Mean assessment scores were 56.5% ± 11.9, with scores in perceptual voice evaluation = 68.5% ± 10.6; laryngoscopy = 70.2% ± 12.8; and stroboscopy = 45.3% ± 17.8. Residents performed worse on stroboscopy questions compared to laryngoscopy questions (P < 0.0001). There was a significant difference in scores by postgraduate year (P = 0.03), but not by institution (P = 0.34). A moderately positive correlation between reported level of confidence and overall scores (ρ =.47, P = 0.003) was demonstrated. Conclusions: Despite didactic and clinical exposure, residents report low confidence in interpreting stroboscopy and scored lower on stroboscopy-specific questions compared to other assessment items. Additional resources and learning opportunities are needed to improve resident confidence and comprehension of stroboscopy.

Original languageEnglish (US)
JournalJournal of Voice
DOIs
StateAccepted/In press - 2018

Keywords

  • Laryngology
  • Laryngoscopy
  • Otolaryngology
  • Resident education
  • Stroboscopy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing
  • LPN and LVN

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