Phonosurgical Training in India: A Sample Survey

JOURNAL TITLE: International Journal of Phonosurgery & Laryngology

Author
1. Ranjan Raychowdhury
2. Amitabha Roychowdhury
3. Shaoni D Sanyal
ISSN
2230-7508
DOI
10.5005/jp-journals-10023-1166
Volume
9
Issue
1
Publishing Year
2019
Pages
3
Author Affiliations
1. com.mps.common.model.Contributor@2a13d74e ,
2. com.mps.common.model.Contributor@38f1c32b ,
3. com.mps.common.model.Contributor@759a2fba
Article keywords
Otolaryngology, Phonosurgery, Survey, Trainees

Abstract

Aim: The objective of this study was to assess exposure of postgraduate trainees in otolaryngology to phonosurgery in various colleges across India Materials and methods: A questionnaire was distributed to residents attending the 15th Annual Conference of the Association of Phonosurgeons of India (APSI) held at Kolkata in 2019. No personal or residency program identifying information was collected. The e-mail contained a hyperlink to the online survey. Data were extracted from online survey forms and processed by Microsoft Excel. Results: Our study shows that of the 67 respondents, only 3 had access to all the necessary infrastructure [speech and language therapist (SLT), stroboscopy unit, and multidisciplinary voice clinic] required to treat patients. Fifty-seven respondents did not have a stroboscopy unit at their institution. The exposure to phonosurgery was restricted with only 25 respondents having a case load of more than 10 microscopic laryngeal surgeries (MLSs) per month. In our study, only 18% of the trainees were able to follow-up patients for a period of 6 months. Most trainees (55%) in our study had performed MLS under supervision, and only 12% were able to perform it independently. Conclusion: Our survey shows that of the 181 departments which offer masters as well as diploma in ENT in India, few are fully equipped to offer modern phonosurgical assessment and management, as a result of which very few trainees have adequate exposure in this subspeciality. Clinical significance: Few ENT departments in India are fully equipped to offer modern phonosurgical training. Workshops and cadaver dissections may be an effective way to impart better understanding of this field.

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