1. Evaluation of otoscopy simulation as a training tool for real-time remote otoscopy
- Author
-
Fanny Merklen, Frédéric Venail, Gilles Cizeron, Michel Mondain, Jean-Luc Puel, Mohamed Akkari, Jacques Samson, Thibault Mura, Sylvain Falinower, Centre Hospitalier Régional Universitaire [Montpellier] ( CHRU Montpellier ), Institut des Neurosciences de Montpellier - Déficits sensoriels et moteurs ( INM ), Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Université de Montpellier ( UM ), Neuropsychiatrie : recherche épidémiologique et clinique, Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Université Montpellier 1 ( UM1 ) -Université de Montpellier ( UM ), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Institut des Neurosciences de Montpellier - Déficits sensoriels et moteurs (INM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), Neuropsychiatrie : recherche épidémiologique et clinique (PSNREC), Université Montpellier 1 (UM1)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), and Université Montpellier 1 (UM1)-Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)
- Subjects
Linguistics and Language ,medicine.medical_specialty ,020205 medical informatics ,Computer science ,Otoscopy ,02 engineering and technology ,Telehealth ,Audiology ,Language and Linguistics ,03 medical and health sciences ,Speech and Hearing ,0302 clinical medicine ,Teleaudiology ,otoscopy simulator ,Predictive Value of Tests ,0202 electrical engineering, electronic engineering, information engineering ,medicine ,Humans ,Medical physics ,facilitator ,[SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs ,030223 otorhinolaryngology ,Ear Diseases ,Simulation Training ,Observer Variation ,training ,Education, Medical ,Remote Consultation ,Training (meteorology) ,Reproducibility of Results ,remote otoscopy ,Facilitator ,[ SDV.MHEP.OS ] Life Sciences [q-bio]/Human health and pathology/Sensory Organs ,Curriculum ,Anatomic Landmarks ,Audiologists ,Computer-Assisted Instruction - Abstract
International audience; OBJECTIVE: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.DESIGN: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.STUDY SAMPLE:Three experts, three trained facilitators and three untrained facilitators participated in this study.RESULTS: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, p
- Published
- 2017
- Full Text
- View/download PDF