Evaluation of otoscopy simulation as a training tool for real-time remote otoscopy.
<italic>Objective</italic>: Teleotoscopy requires the assistance of telehealth facilitators; but their training requirements remain to be determined. We evaluated the use of an otoscopy simulator to train facilitators to remote otoscopies sent via the Internet using a teleaudiology platform. <italic...
| Publicado en: | International Journal of Audiology Vol. 57; no. 3; pp. 194 - 201 |
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| Autores principales: | , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128598914&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128598914 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14992027 JW2 jtl: International Journal of Audiology issn: 14992027 maglogo: Y pubinfo: dt: Mar2018 vid: 57 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 128598914 128598914 128598914 10.1080/14992027.2017.1416190 128598914 ppf: 194 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluation of otoscopy simulation as a training tool for real-time remote otoscopy. aug: au: Venail, Frederic Akkari, Mohamed Merklen, Fanny Samson, Jacques Falinower, Sylvain Cizeron, Gilles Mondain, Michel Puel, Jean-Luc Mura, Thibault affil: Department of Otology and Neurotology, University Hospital of Montpellier, Montpellier, France sug: subj: Otoscopy Education Remote Consultation Education Computer Simulation Evaluation Ear Diseases Diagnosis Education, Audiology Evaluation Research Human Ear Anatomy and Histology Interrater Reliability Expert Clinicians Fisher's Exact Test kappa Statistic Paired T-Tests Two-Tailed Test Coefficient alpha Data Analysis Software Confidence Intervals France Students, Audiology ab: <italic>Objective</italic>: Teleotoscopy requires the assistance of telehealth facilitators; but their training requirements remain to be determined. We evaluated the use of an otoscopy simulator to train facilitators to remote otoscopies sent via the Internet using a teleaudiology platform. <italic>Design</italic>: Neurotologists experts were asked to identify images using the otoscopy simulator and to perform an identification task of significant anatomical landmarks. The experts were asked to repeat those tasks remotely, with the help of facilitators who either received basic training, or no training prior to the experiment. <italic>Study sample</italic>: Three experts, three trained facilitators and three untrained facilitators participated in this study. <italic>Results</italic>: The use of an otoscopy simulator in addition to remote otoscopy yielded a good inter- and intrarater agreement (κ between 0.81-1, and 0.80-0.87, respectively). The accuracy of diagnosis was high on-site (11.7% error) and remotely (0% error). The time required for landmark identification task was not increased when performed remotely with a trained facilitator versus on-site otoscopy (9.3 versus 9.2 s/landmark). Conversely, the lack of training of facilitators increased significantly this time (15.6 s/landmark, <italic>p</italic> < 0.001). <italic>Conclusion</italic>: An otoscopic simulator coupled to teleaudiology software can be used to efficiently train both experts and facilitators to perform remote otoscopy. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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