The authors have no financial disclosures for this article.
Article first published online: 10 JUN 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 7, pages 1431–1435, July 2011
How to Cite
Wu, E. C., Passy, V. and Armstrong, W. B. (2011), Preliminary evaluation of junior medical students' exposure and comfort with performing the basic head and neck examination. The Laryngoscope, 121: 1431–1435. doi: 10.1002/lary.21835
The authors have no conflicts of interest to disclose. Presented at the Triological Society Combined Sections Meeting, Scottsdale, Arizona, U.S.A., January 28, 2011.
- Issue published online: 16 JUN 2011
- Article first published online: 10 JUN 2011
- Accepted manuscript online: 4 MAY 2011 03:04PM EST
- Manuscript Accepted: 15 FEB 2011
- Manuscript Received: 17 JAN 2011
- General otolaryngology;
- head and neck examination;
- medical education;
- Level of Evidence: N/A.
To assess junior medical students' comfort levels in performing the head and neck physical examination (H&NPE) and perception of the importance of otolaryngology—head and neck surgery (OTO-HNS) in medical training before and after undergoing a department-led teaching session.
Anonymous cross-sectional survey study, before and after educational intervention.
One hundred one second-year medical students participated in an H&NPE teaching session as part of their preclinical curriculum. Students first watched a 25-minute H&NPE instructional video. Students then participated in lectures (90 minutes) on OTO-HNS subspecialties and faculty- and resident-led group H&NPE instruction (five to six students each, 90 minutes) with practice on student partners. Students rated their comfort levels (0–5 point Likert scale) in performing the H&NPE and the importance of OTO-HNS rotations throughout medical training before and after the session.
Ninety-five and 77 medical students completed presurveys and postsurveys, respectively. Before the teaching session, students reported an average comfort level of 2.1 in performing the complete H&NPE, which increased to 3.4 (P < .0001) after the session. Similar changes were observed for the individual ear, nose, mouth, and neck exams.
A specialized teaching session significantly improved medical students' comfort levels in performing the H&NPE and increased their awareness of the importance of OTO-HNS in medical training immediately after the session.