Following the success of the London School of Surgery Training Programme, ENT surgical skills teaching was incorporated into the programme. ENT trainees attend bi-monthly teaching sessions in the wet lab at Imperial College, St. Mary's hospital campus. 

 

Ear, Nose and Throat (ENT) Surgical Training Curriculum

The ENT curriculum for this year includes:

• FESS and endoscopic ear surgery - Thursday 25 January and Friday 26 January 2024
• Bronchoscopy and FONA - Monday 26 February 2024
• Bronchoscopy and Laser - Tuesday 27 February 2024
• FONA and Local skin flaps - Monday 8 and 22 April 2024
• Human cadaver session (rhinology) - Thursday 2 May 2024
• FESS and Bronchoscopy - Thursday 4 July 2024
• FESS and Laser - Friday 5 July 2024

Teaching is consultant-led and procedures are practised on a range of porcine and sheep tissue.

Developments in ENT Simulation Training

The ENT simulation programme has also developed and delivered a theatre-based, multidisciplinary simulation day concentrating on the non-operative skills of teamwork, leadership and situational awareness. 

 

ENT surgical trainees, anaesthetic trainees and theatre nursing staff undertook six ENT themed scenarios throughout the day.  Six ‘operative teams’ (one ENT, one anaesthetist and one nurse), were put into a high fidelity simulated theatre environment and briefed to undertake an operation as they would in real life. 

 

At some unknown point during the simulation, an ENT themed ‘crisis’ was thrown into the scenario (e.g. laser airway fire, bleeding vocal cord, foreign body in airway, anaphylaxis, etc).  Using a specially developed tool to assess skills in an ENT surgical environment, teams were assessed on their non-technical skills and teamwork which was followed with a full debrief.