Surgical Exposure and Competence in Performing Open Tracheostomy

Abstract

Background: Advancements in airway procedures and intensive care medicine have resulted in a reduction in open tracheostomy (OT) performed annually which could affect the training of residents. The aim of this study is to highlight the otolaryngology-head-and-neck surgery (OHNS) trainees' perception of their surgical exposure and competency in performing OT. Methodology: A cross-sectional questionnaire-based study (using a 22-item previously validated, peer-reviewed, and published questionnaire) conducted from June 2019 to February 2020 of OHNS residents training in multiple hospitals in the two metropolitan cities. Results: The response rate was 54% (which represents n = 67 out of 125 in both cities). There were 35 juniors (52.2%) and 32 seniors (47.8%). Thirty (44.8%) residents estimated that there are ≤50 tracheostomies/year in their hospital. Only 6% of the residents reported scheduled teaching regarding OT, and only one-third (34.3%) were actually aware of the different types of cannulas and postoperative care. Conclusion: The reason behind the lower confidence of trainees is likely multifactorial, and requires restructuring of the training program to improve the confidence of graduating trainees.