Teaching paradigm for decision making in facial skin defect reconstructions

Karen H. Calhoun, Hadi Seikaly, Francis B. Quinn

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To present a decision paradigm for facial defect reconstruction, and test the ability of this paradigm to improve resident performance. Design: A decision paradigm for reconstruction of facial skin defects is proposed and explained, with patient examples. The paradigm's usefulness is the tested with residents. Setting: Otolaryngology residency training program at a tertiary hospital. Study Participants: Otolaryngology residents. Interventions: Twelve residents took a pretest wherin they were presented with drawings of skin defects and asked to choose the 'best' (most aesthetically pleasing) type of reconstruction from a closed set. This paradigm was presented to these residents, and their posttest consisted of choosing again with the same defects and closed set of choices. Main Outcome Measures: Cosmetic outcomes of reconstructive decisions on the pretest and posttest were rated on a scale of 0 to 5 (with 0 indicating poor; 5, excellent). Results: There was a significant improvement in reconstructive choices between the pretest and posttest (P<.001, Student t test). Conclusion: This paradigm can be easily modified to accommodate different surgical approaches preferred by individual surgeons and is thus useful in almost any reconstructive teaching situation.

Original languageEnglish (US)
Pages (from-to)60-66
Number of pages7
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume124
Issue number1
StatePublished - Jan 1998

Fingerprint

Otolaryngology
Decision Making
Teaching
Skin
Aptitude
Internship and Residency
Tertiary Care Centers
Cosmetics
Outcome Assessment (Health Care)
Students
Education
Surgeons

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Teaching paradigm for decision making in facial skin defect reconstructions. / Calhoun, Karen H.; Seikaly, Hadi; Quinn, Francis B.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 124, No. 1, 01.1998, p. 60-66.

Research output: Contribution to journalArticle

Calhoun, Karen H. ; Seikaly, Hadi ; Quinn, Francis B. / Teaching paradigm for decision making in facial skin defect reconstructions. In: Archives of Otolaryngology - Head and Neck Surgery. 1998 ; Vol. 124, No. 1. pp. 60-66.
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