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[PMID]:29400026
[Au] Autor:El Bakkouri W; Blanc R; Benzakin S; Abdellaoui A; Boyeldieu L; Ayache D
[Ti] Título:[Innovations in interventional radiology applied to the field of otolaryngology: A pictorial essay].
[So] Source:Rev Laryngol Otol Rhinol (Bord);136(3):91-5, 2015.
[Is] ISSN:0035-1334
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:The management of hypervascular ENT tumors is usually complex and requires a multidisciplinary approach because of the risk of serious intra-operative bleeding and of potential injuries to cranial nerves and/or large cervical vessels. Over the last four decades, advances in neuro-interventional radio­logical procedures have produced a range of adjunctive endo­vascular techniques in addition to conventional surgery. A pictorial essay in ENT specialty is presented in this article highlighting the most relevant innovations in interventional radiology.
[Mh] Termos MeSH primário: Otolaringologia
Radiologia Intervencionista
[Mh] Termos MeSH secundário: Hemorragia/terapia
Seres Humanos
Artéria Oftálmica
Neoplasias da Retina/tratamento farmacológico
Retinoblastoma/tratamento farmacológico
Zumbido/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180206
[St] Status:MEDLINE


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[PMID]:28451755
[Au] Autor:Bosi M; De Vito A; Bellini C; D'Agostino G; Firinu E; Gobbi R; Pacella A; Filograna Pignatelli G; Zeccardo E; Poletti V; Vicini C
[Ad] Endereço:Department of Diseases of the Thorax, GB Morgagni-Pierantoni Hospital, AUSL of Romagna, Forlì, Italy.
[Ti] Título:The interpretation of compact polysomnography/polygraphy in sleep breathing disorders patients: a validation's study.
[So] Source:Eur Arch Otorhinolaryngol;274(8):3251-3257, 2017 Aug.
[Is] ISSN:1434-4726
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The Otorhinolaryngologist (ENT) frequently has to deal with OSA or suspicious OSA patients and undergone polysomnography (PSG) or portable monitoring (PM) and should be confident about the quality and consistency of the polysomnographic diagnosis. The main polysomnographic traces compressed in a unique epoch, defined as compact PSG/PM (CP), could represent an efficient tool to confirm the quality of PSG/PM Sleep Breathing Disorders diagnosis. This is a validation's study of a CP interpretation's method, analyzing the learning curve, the level of diagnostic accuracy, and the inter-operator agreement in interpreting the CP pattern between a group of ENT specialists not skilled in PSG/PM scoring, but managing SBD patients during daily practice. Seven ENT specialists have been enrolled in the study. 50 CP traces (ranging from normal to all main SBD patterns) have been showed to each participant for the interpretation and scoring process, before and after a 2-h theoretical-practical interactive lesson, focusing on the recognition of the four main oximetric patterns on CP traces (normal, phasic, prolonged, and overlap patterns). RESULTS: before and after the theoretical-practical interactive lesson, the whole diagnostic accuracy in interpreting the 50 CP has been reported improved from 0.12 to 0.80 (median 0.52) to 0.82-0.96 (median 0.92) (p = 0.006) and the inter-scorers' agreement showed a kappa value increased from of 0.18 to 0.75 (p < 0.0001). A complete clinical diagnostic evaluation is essential in OSA patients and the ENT specialist should be concerned to verify if the patient, suitable for surgical therapy, is affected really by an isolated form of OSA. The CP interpretation allows a checking of the proper nosographic SBD framework and could be significantly important for all ENT specialists not skilled in PSG/PM scoring, but managing SBD patients during daily practice. The data reported in our validation's study showed that the CP interpretation's method is easy to apply, with a rapid learning curve. The level of diagnostic accuracy is high with a high inter-scorer agreement in interpreting the CP patterns.
[Mh] Termos MeSH primário: Otolaringologia/educação
Testes Imediatos/normas
Polissonografia
Síndromes da Apneia do Sono/diagnóstico
[Mh] Termos MeSH secundário: Precisão da Medição Dimensional
Feminino
Seres Humanos
Itália
Curva de Aprendizado
Masculino
Meia-Idade
Oximetria/métodos
Administração dos Cuidados ao Paciente/métodos
Administração dos Cuidados ao Paciente/normas
Polissonografia/métodos
Polissonografia/normas
Desenvolvimento de Pessoal/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1007/s00405-017-4578-8


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[PMID]:29280691
[Au] Autor:INTEGRATE (The National ENT Trainee Research Network); National ENT Trainee Research Network
[Ti] Título:The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis.
[So] Source:J Laryngol Otol;131(12):1142-1156, 2017 Dec.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Epistaxis is a common ENT emergency in the UK; however, despite the high incidence, there are currently no nationally accepted guidelines for its management. This paper seeks to recommend evidence-based best practice for the hospital management of epistaxis in adults. METHODS: Recommendations were developed using an Appraisal of Guidelines for Research and Evaluation ('AGREE II') framework. A multifaceted systematic review of the relevant literature was performed and a multidisciplinary consensus event held. Management recommendations were generated that linked the level of supporting evidence and a Grading of Recommendations Assessment, Development and Evaluation ('GRADE') score explaining the strength of recommendation. RECOMMENDATIONS: Despite a paucity of high-level evidence, management recommendations were formed across five management domains (initial assessment, cautery, intranasal agents, haematological factors, and surgery and radiological intervention). CONCLUSION: These consensus recommendations combine a wide-ranging review of the relevant literature with established and rigorous methods of guideline generation. Given the lack of high-level evidence supporting the recommendations, an element of caution should be used when implementing these findings.
[Mh] Termos MeSH primário: Epistaxe/terapia
Hospitalização
Comunicação Interdisciplinar
Colaboração Intersetorial
Otolaringologia
Equipe de Assistência ao Paciente
Sociedades Médicas
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Auditoria Médica
Garantia da Qualidade dos Cuidados de Saúde
Reino Unido
[Pt] Tipo de publicação:CONSENSUS DEVELOPMENT CONFERENCE; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117002018


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[PMID]:28468160
[Au] Autor:Chu MW; Cook JA; Tholpady SS; Schmalbach CE; Momeni A
[Ad] Endereço:*Division of Plastic and Reconstructive Surgery, Indiana University School of Medicine †Division of Plastic and Reconstructive Surgery, RL Roudebush Veterans Administration Medical Center ‡Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN §Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, CA.
[Ti] Título:Facial Plastic Surgery Patient Resources Exceed National Institute Recommendations.
[So] Source:J Craniofac Surg;28(3):759-763, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patient education is essential in enhancing the physician-patient therapeutic alliance, patient satisfaction, and clinical outcomes. The American Medical Association and National Institute of Health recommend that information be written at a 6th-grade reading level, but online resources often exceed patient literacy. The purpose of this study is to assess readability of online material for facial plastics procedures presented on academic plastic surgery and otolaryngology websites.An Internet search was performed of all academic institutions that had both plastic surgery and otolaryngology training programs who offered patient information on facial plastic surgery procedures. National society websites for both plastic surgery and otolaryngology were also analyzed. All procedural information was compiled and readability analyses were performed. A 2-tailed Z-test was used to compare scores, and statistical significance was set at P < 0.05.Sixty-three programs were identified; 42 had educational material. The overall average readability for all information was at a 10th-grade reading level. The national plastic surgery website had a significantly higher word count and number of syllables per word compared to the national otolaryngology website (P < 0.001, P = 0.04).The complexity of written resources represents an obstacle to online patient education and efforts to improve readability could benefit patients seeking medical information online. Current online education materials are a potential hindrance to patient education, satisfaction, and decision making. Healthcare institutions should consider writing new materials with simpler language that would be accessible to patients.
[Mh] Termos MeSH primário: Guias como Assunto
Alfabetização em Saúde/organização & administração
Recursos em Saúde/organização & administração
Internet
Otolaringologia/educação
Ritidoplastia/educação
Cirurgia Plástica/educação
[Mh] Termos MeSH secundário: Compreensão
Seres Humanos
Materiais de Ensino
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003435


  5 / 8510 MEDLINE  
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[PMID]:29280606
[Au] Autor:Hiebert JC; Rhodes RM; Anderson MP; Vasan NR
[Ti] Título:Patient Opinion on the Affordable Care Act in an Otolaryngology Practice: the Ideological Divide.
[So] Source:J Okla State Med Assoc;109(9):441-5, 2016 09.
[Is] ISSN:0030-1876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess patient opinion on the Patient Protection and Affordable Care Act (PPACA) in an Otolaryngology practice and the factors that influence those opinions. STUDY DESIGN: Observational study. METHODS: An anonymous survey assessing patient opinion on the PPACA, demographic information, political affiliation, medical diagnosis, and insurance status was distributed to patients in three separate Otolaryngology clinics (General, cancer, and Low-income/Indigent) from April to June 2014. A total of 300 surveys were distributed and 207 were used for final analysis. The primary study outcome measures were patient opinion of the PPACA and statistically significant variables affecting that opinion. The association of Support for the PPACA and variables were tested using the Chi-square test. RESULTS: The only variables that showed a significant association with support for the PPACA were Political Party (p<0.0001) and Ethnicity (p=0.0050). Specifically, a higher proportion of Democrats support the PPACA than Republicans and a higher proportion of African Americans and Hispanic/Latinos support the PPACA than Whites and Native Americans. CONCLUSION: Our survey of current Otolaryngology patients mirrors national findings of the division between Republicans and Democrats in their attitudes towards the Affordable Care Act. Political party appears to be the most significant factor in shaping patient opinion on this controversial subject regardless of insurance status or cancer diagnosis and a higher proportion of African Americans and Hispanic/Latinos support the PPACA than Whites and Native Americans. LEVEL OF EVIDENCE: IV.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Grupos Étnicos
Otolaringologia
Pacientes Ambulatoriais
Patient Protection and Affordable Care Act
Política
Opinião Pública
[Mh] Termos MeSH secundário: Afroamericanos
Grupo com Ancestrais do Continente Europeu
Feminino
Hispano-Americanos
Seres Humanos
Índios Norte-Americanos
Cobertura do Seguro
Seguro Saúde
Masculino
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE


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[PMID]:29287874
[Au] Autor:Redmann AJ; Tawfik KO; Myer CM
[Ad] Endereço:Department of Otolaryngology - Head & Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
[Ti] Título:The impact of a resident-run review curriculum and USMLE scores on the Otolaryngology in-service exam.
[So] Source:Int J Pediatr Otorhinolaryngol;104:25-28, 2018 Jan.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Describe the association of USMLE Step 1 scores and the institution of a dedicated board review curriculum with resident performance on the Otolaryngology training examination. STUDY DESIGN: Retrospective cross sectional study. METHODS: We reviewed American Board of Otolaryngology Training Examination (OTE) scores for an otolaryngology residency program between 2005 and 2016. USMLE Step 1 scores were collected. In 2011 a resident-run OTE review curriculum was instituted with the goal of improving test preparation. Scores were compared before and after curriculum institution. Linear regression was performed to identify predictors of OTE scores. RESULTS: 47 residents were evaluated, 24 before and 23 after instituting the curriculum. There was a moderate correlation between USMLE step 1 scores and OTE scores for all years. For PGY-2 residents, mean OTE scores improved from 25th percentile to 41st percentile after institution of the review curriculum (p = 0.05). PGY 3-5 residents demonstrated no significant improvement. On multivariate linear regression, after controlling for USMLE step 1 scores, a dedicated board review curriculum predicted a 23-point percentile improvement in OTE scores for PGY-2 residents (p = 0.003). For other post-graduate years, the review curriculum did not predict score improvement. CONCLUSION: USMLE step 1 scores are moderately correlated with OTE performance. A dedicated OTE review curriculum may improve OTE scores for PGY-2 residents, but such a curriculum may have less benefit for intermediate- and senior-level residents. LEVEL OF EVIDENCE: 4.
[Mh] Termos MeSH primário: Competência Clínica
Avaliação Educacional/métodos
Internato e Residência/métodos
Otolaringologia/educação
[Mh] Termos MeSH secundário: Estudos Transversais
Currículo
Seres Humanos
Médicos
Estudos Retrospectivos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171231
[St] Status:MEDLINE


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[PMID]:29287862
[Au] Autor:Schwartz MA; Kavanagh KR; Frampton SJ; Bruce IA; Valdez TA
[Ad] Endereço:University of Connecticut Health Center, Otolaryngology, Farmington, CT, USA.
[Ti] Título:Using simulators to teach pediatric airway procedures in an international setting.
[So] Source:Int J Pediatr Otorhinolaryngol;104:178-181, 2018 Jan.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: There has been a growing shift towards endoscopic management of laryngeal procedures in pediatric otolaryngology. There still appears to be a shortage of pediatric otolaryngology programs and children's hospitals worldwide where physicians can learn and practice these skills. Laryngeal simulation models have the potential to be part of the educational training of physicians who lack exposure to relatively uncommon pediatric otolaryngologic pathology. OBJECTIVES: The objective of this study was to assess the utility of pediatric laryngeal models to teach laryngeal pathology to physicians at an international meeting. METHODS: Pediatric laryngeal models were assessed by participants at an international pediatric otolaryngology meeting. Participants provided demographic information and previous experience with pediatric airways. Participants then performed simulated surgery on these models and evaluated them using both a previously validated Tissue Likeness Scale and a pre-simulation to post-simulation confidence scale. RESULTS: Participants reported significant subjective improvement in confidence level after use of the simulation models (p < 0.05). Participants reported realistic representations of human anatomy and pathology. The models' tissue mechanics were adequate to practice operative technique including the ability to incise, suture, and suspend models. CONCLUSION: The pediatric laryngeal models demonstrate high quality anatomy, which is easy manipulated with surgical instruments. These models allow both trainees and surgeons to practice time-sensitive airway surgeries in a safe and controlled environment.
[Mh] Termos MeSH primário: Laringe/cirurgia
Manequins
Otolaringologia/educação
Pediatria/educação
[Mh] Termos MeSH secundário: Criança
Competência Clínica
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171231
[St] Status:MEDLINE


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[PMID]:29231150
[Au] Autor:Kaper NM; Swart KMA; Grolman W; Van Der Heijden GJMG
[Ad] Endereço:Department of Otorhinolaryngology and Head and Neck Surgery,Brain Center Rudolf Magnus,University Medical Center Utrecht,The Netherlands.
[Ti] Título:Quality of reporting and risk of bias in therapeutic otolaryngology publications.
[So] Source:J Laryngol Otol;132(1):22-28, 2018 Jan.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: High-quality trials have the potential to influence clinical practice. METHODS: Ten otolaryngology journals with the highest 2011 impact factors were selected and publications from 2010 were extracted. From all medical journals, the 20 highest impact factor journals were selected, and publications related to otolaryngology for 2010 and 2011 were extracted. For all publications, the reporting quality and risk of bias were assessed. RESULTS: The impact factor was 1.8-2.8 for otolaryngology journals and 6.0-101.8 for medical journals. Of 1500 otolaryngology journal articles, 262 were therapeutic studies; 94 had a high reporting quality and 5 a low risk of bias. Of 10 967 medical journal articles, 76 were therapeutic studies; 57 had a high reporting quality and 8 a low risk of bias. CONCLUSION: Reporting quality was high for 45 per cent of otolaryngology-related publications and 9 per cent met quality standards. General journals had higher impact factors than otolaryngology journals. Reporting quality was higher and risk of bias lower in general journals than in otolaryngology journals. Nevertheless, 76 per cent of articles in high impact factor journals carried a high risk of bias. Better reported and designed studies are the goal, with less risk of bias, especially in otolaryngology journals.
[Mh] Termos MeSH primário: Ensaios Clínicos como Assunto
Otolaringologia
Otorrinolaringopatias/terapia
Viés de Publicação
Publicações
Relatório de Pesquisa/normas
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117002407


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[PMID]:29224575
[Au] Autor:Powell J; Powell S; Robson A
[Ad] Endereço:Department of Paediatric Otolaryngology,Great North Children's Hospital,Newcastle upon Tyne,UK.
[Ti] Título:A systematic review of patient-reported outcome measures in paediatric otolaryngology.
[So] Source:J Laryngol Otol;132(1):2-7, 2018 Jan.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed. METHODS: A comprehensive literature search was conducted using the databases Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo, using the terms: 'health assessment questionnaire', 'structured questionnaire', 'questionnaire', 'patient reported outcome measures', 'PROM', 'quality of life' or 'survey', and 'children' or 'otolaryngology'. The search was limited to English-language articles published between 1996 and 2016. RESULTS: The search yielded 656 articles, of which 63 were considered relevant. This included general paediatric patient-reported outcome measures applied to otolaryngology, and paediatric otolaryngology disease-specific patient-reported outcome measures. CONCLUSION: A large collection of patient-reported outcome measures are described in the paediatric otolaryngology literature. Greater standardisation of the patient-reported outcome measures used in paediatric otolaryngology would assist in pooling of data and increase the validation of tools used.
[Mh] Termos MeSH primário: Otolaringologia
Avaliação de Resultados (Cuidados de Saúde)/métodos
Medidas de Resultados Relatados pelo Paciente
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117002420


  10 / 8510 MEDLINE  
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[PMID]:29185358
[Au] Autor:Pisa J; Gousseau M; Mowat S; Westerberg B; Unger B; Hochman JB
[Ad] Endereço:1 Surgical Hearing Implant Program, Department of Otolaryngology-Head and Neck Surgery, Health Sciences Centre, Winnipeg, Manitoba, Canada.
[Ti] Título:Simplified Summative Temporal Bone Dissection Scale Demonstrates Equivalence to Existing Measures.
[So] Source:Ann Otol Rhinol Laryngol;127(1):51-58, 2018 Jan.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Emphasis on patient safety has created the need for quality assessment of fundamental surgical skills. Existing temporal bone rating scales are laborious, subject to evaluator fatigue, and contain inconsistencies when conferring points. To address these deficiencies, a novel binary assessment tool was designed and validated against a well-established rating scale. METHODS: Residents completed a mastoidectomy with posterior tympanotomy on identical 3D-printed temporal bone models. Four neurotologists evaluated each specimen using a validated scale (Welling) and a newly developed "CanadaWest" scale, with scoring repeated after a 4-week interval. RESULTS: Nineteen participants were clustered into junior, intermediate, and senior cohorts. An ANOVA found significant differences between performance of the junior-intermediate and junior-senior cohorts for both Welling and CanadaWest scales ( P < .05). Neither scale found a significant difference between intermediate-senior resident performance ( P > .05). Cohen's kappa found strong intrarater reliability (0.711) with a high degree of interrater reliability of (0.858) for the CanadaWest scale, similar to scores on the Welling scale of (0.713) and (0.917), respectively. CONCLUSION: The CanadaWest scale was facile and delineated performance by experience level with strong intrarater reliability. Comparable to the validated Welling Scale, it distinguished junior from senior trainees but was challenged in differentiating intermediate and senior trainee performance.
[Mh] Termos MeSH primário: Dissecação/educação
Educação de Pós-Graduação em Medicina/métodos
Internato e Residência
Otolaringologia/educação
Impressão Tridimensional
Osso Temporal/anatomia & histologia
Osso Temporal/cirurgia
[Mh] Termos MeSH secundário: Competência Clínica
Simulação por Computador
Avaliação Educacional
Feminino
Seres Humanos
Masculino
Manitoba
Curva ROC
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417745090



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