Assessment of Tracheostomy and Laryngectomy Knowledge among Non-Otolaryngology Physicians

• Published in: Annals of otology, rhinology & laryngology rhinology & laryngology, 2020-02, Vol.129 (2), p.115-121
• Main Authors: Hsieh, Tsung-yen, Timbang, Leah, Kuhn, Maggie, Brodie, Hilary, Squires, Lane
• Format: Article
• Language: English
• Subjects: Clinical Competence; Cross-Sectional Studies; Health Knowledge, Attitudes, Practice; Humans; Laryngectomy - education; Medicine; Self Report; Tertiary Care Centers; Tracheostomy - education
• ISSN: 0003-4894; 1943-572X
• DOI: 10.1177/0003489419877198

Objective: Identify knowledge deficits about alternate airways (AAs) (tracheostomy and laryngectomy) among physicians across multiple specialties a tertiary institution and to assess the impact of an educational lecture on improving deficits. Methods: Study Design: Cross-sectional assessment. Setting: Academic medical center. Subjects and Methods: An anonymous 10-item, multiple choice assessment was given to physicians at a tertiary care center in the departments of Otolaryngology, Emergency Medicine, Family Medicine, General Surgery, Internal Medicine, and Pediatrics. An educational lecture on AAs was presented. Scores between a pre-lecture and a 3-month post-lecture assessment were compared. Data was analyzed using ANOVA and chi-squared analysis. Results: Otolaryngology physicians scored an average of 97.8%, while non-otolaryngology physicians scored 58.3% (P < .05). Non-otolaryngology surgical physicians scored 68.4% while non-surgical physicians were lower at 55.1% (P < .0001). Comparing pre-lecture to post-lecture scores, all non-otolaryngology physicians improved their scores significantly from 58.3% to 86.5% (P < .005). Non-surgical physicians had significant improvement after the instructional lecture, closing the score gap with surgical physicians for the post-lecture assessment. Discussion: The care of patients with AAs requires an understanding of their basic principles. Our findings identify significant knowledge deficits among non-otolaryngologists. Through an instructional lecture, we demonstrated improvement in knowledge among non-otolaryngology physicians and durability of the knowledge after 3 months. Conclusions: Through an instructional lecture, we found tracheostomy and laryngectomy knowledge deficits can be identified and improved upon. Periodic reinforcement of basic principles for non-otolaryngology physicians may be a promising strategy to ensure the proper care of patients with AAs.