Experience with key indicator cases among otolaryngology residents.
Objective
To describe the resident experience with respect to key indicator cases for each year of training.


Study Design
Multi-institution, cross-sectional assessment.


Methods
Using an electronic survey, current otolaryngology residents were solicited to complete a survey regarding their experiences with the key indicator cases to that point. The survey was sent to this cohort in the winter of 2017-2018.


Results
Three hundred and three residents responded, with 293 completing the survey. Twenty-three percent were PGY1, 19% PGY2, 21% PGY3, 18% PGY4, and 19% PGY5 or higher. The majority of residents progress from resident assistant as a PGY2, to resident surgeon as a PGY3 and self-assessed competent surgeon as a PGY4 for the majority of the key indicator cases. Less than 50% of the surveyed PGY5 residents had reached independent practice in all the key indicator cases, with stapedectomy (16%), rhinoplasty (18%), and paramedian forehead flap (14.5%) being the cases least frequently performed independently. Ninety-five percent of the respondent residents felt their program provided adequate training, but 20% of the respondents were either unsure or believed that they would be unable to perform all the key indicator cases by the completion of their training.


Conclusions
The majority of otolaryngology residents feel confident in their training, but experience with certain cases lags behind and may not currently be taught as resident level cases. These findings raise the question of whether the current key indicator cases are the best option for assessing breadth and depth of residency training.


Level of Evidence
NA.
["O'Brien|Daniel C|DC|https://orcid.org/0000-0002-8394-9902", 'Kellermeyer|Brian|B|https://orcid.org/0000-0002-7089-4658', 'Chung|Jeffson|J|', 'Carr|Michele M|MM|https://orcid.org/0000-0002-7406-4467']
Resident education graduate medical education patient safety