Læknablaðið : fylgirit - 01.06.2005, Blaðsíða 31

Læknablaðið : fylgirit - 01.06.2005, Blaðsíða 31
ABSTRACTS / XXIX CONGRESS OF THE NORDIC ASSOCIATION OF OTOLARYNGOLOGY and neck surgery founded the European Federation of Oto- Rhino-Laryngological Societies (EUFOS) with the purpose ‘to promote, to coordinate and to unify the advancement of ORL in Europe’, which met for the first time in Paris 1988. With the establishment of EEC and later the European Union, it was nec- essary to ‘harmonize and improve the quality of training of medi- cal specialists in Europe’. Therefore in 1958 UEMS (European Union of Medical Specialists) was founded and in 1962 the ORL-HNS specialist section was formed. Different parts of our specialty found it useful to establish subspecialist organizations within ORL-HNS and thus organizations such as the European Rhinological Society (ERS) 1993, the European Laryngological Society (ELS) 1995, the European Association of Otology and Neurootology (EAONO) 1995, and the European Head and Neck Society (EHNS) 2005 were founded. With this background a need developed to coordinate the activities of these various orga- nizations related to ORL-HNS which took its form in European Academy of Otorhinolaryngology - Head and Neck Surgery (EAORL-HNS). It was founded to bring together all European subspecialty organizations in collaboration with EUFOS and UEMS in order to provide harmonization and rationalization of courses, congresses, instruction sessions and teaching programs within Europe for affordable prices. As the world gets smaller and the importance of systematic specialist training and continued medical education increases, it is important for Europe to have an active organization for international collaboration. A meeting every fourth year on the European level is not anymore enough. Abstract no.: 073 Follow-up evaluation of Finnish undergraduate education in otorhinolaryngology Kentala E, Mattila PS, Nieminen J Helsinki University Central Hospital, Finland Background: Most course evaluations in medical schools are done immediately after the course, too early for students to assess its clinical relevance. Objectives: To investigate how well the teaching objectives of an undergraduate otorhinolaryngology course meet the professional needs of MDs during their first years of work experience. Methods: For all five Medical Schools in Finland, 907 MDs receiving their degrees in 1997, 1999 or 2001, received postal questionnaires on the coverage of diverse learning objectives in otorhinolaryngology. They were also asked to identify the three most valuable things they had learned and to specify topics inad- equately covered. Data was stored to database and analyzed with SPSS statistical program. Results: Of the 350 MDs replying (38%), most felt that coverage to be adequate. The most valuable content learned was related to everyday patient care, for example treating children with otitis media. Some advanced topics had been covered too thoroughly, while other more common ones (for example dry mouth and audiology) lacked sufficient coverage. Qualitative data on learn- ing objectives is presented. Conclusions: The follow-up evaluation helped us to identify key concepts that should be better taught to medical students, allow- ing us to develop courses and define the core curriculum in oto- rhinolaryngology. Abstract no.: 074 Resident otolaryngologists’ experience of medical errors differs from attending Kentala E, Shah RK, Roberson DW, Healy GBH Background: It is known that medical errors are an important public health problem. It is not known whether residents’ experi- ence of medical errors is similar or different from attending physi- cians, or physicians in non-teaching hospitals. Objectives: The aim of the study is to define and categorize errors met in otolaryngology and to compare errors experienced by (1) Otolaryngologists in non-academic settings, (2) attending Otolaryngologists in an academic institution, and (3) resident Otolaryngologists in the same institution. Methods: This study was carried out at Helsinki University Hospital. In the first phase two hundred otolaryngologists work- ing in Finland were mailed surveys inquiring about the incidence and type of errors in the last six months. In the second phase residents and attending at the Helsinki University hospital carried a ‘safety journal’ and recorded errors daily. The residents were asked to write down a harm (potential / realized) or error that they saw and if they wanted, a potential solution to the harm. Results: Fifty-eight otolaryngologists replied and 21% reported an error. Six residents and two faculty members kept the safety journal for a month. The most common error categorizations were surgical (knowledge/skill deficits), administrative, medica- tion related, misdiagnosis or operating on wrong patient/surgery not needed. Condusions: Understanding the types of errors in different types of otolaryngology practices will be important for building a safe learning environment for residents and patients. O-VI FROM EAR TO NOSE AND ALLERGY Abstract no.: 075 Middle ear pressure regulation Brattmo M, Tideholm B, Carlborg B, Dept of Oto-rhino-laryngology, Malmö university hospital, Lund university Middle ear (ME) pressure regulation can be studied with continu- ous measurement during daily activity and sleep in combination with tests of equilibration ability of the Eustachian tube. The pressure is measured directly through a tympanic membrane per- foration and the ME seals off from the atmosphere with a hearing protector connected to a pressure transducer. Healthy ears had a mean ME pressure just below the atmospheric pressure dur- ing daytime while the pressure rose during sleep. Patients with chronic central perforation had a considerable negative mean ME pressure during daytime as well as a poor ability to equili- brate pressure through the Eustachian tube. An impaired ME pressure regulation capacity could be a reason for the inability of the perforation to heal or a consequence of the long exposure of Læknablaðið/Fylgirit 51 2005/91 31

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