ENT Perspectives: A Patient-centered Approach to Modern Otolaryngology-Head and Neck Surgery 2019

202 Pages·2019·10.37 MB·English

by  Ahmed El-Guindy

Ahmed El-Guindy, MD

ENT Perspectives

A Patient-centered Approach to Modern

Otolaryngology-Head and Neck Surgery

ENT Perspectives
A Patient-centered Approach to Modern
Otolaryngology-Head and Neck Surgery

Edited by:
Ahmed El-Guindy, MD
Professor,
Department of Otolaryngology-
Head and Neck Surgery.
Consultant,
Rhinology-Facial Plastic Surgery.
Curriculum Designer and Developer.
Medical Educator and QA Trainer.
Tanta University, Tanta, Egypt.
Senior Instructor/Trainer,
IRDC-Leipzig, Leipzig, Germany.
Fellow,
Universität Tübingen, Germany.

2019
No part of this publication may be reproduced or transmitted in
any form or by any means electronic or mechanical, including
photocopying, recording or any information storage and retrieval
system without written permission from the author.

ISBN: 978-977-716-316-3
DEDICATION

Dedicated to the memory of my parents, who
inspired me persistence and determination.

PREFACE
Quality of education has become the national, regional and global labor
concern of almost every institution striving market.
for excellence. The challenges facing Since the Otolaryngology-Head and Neck
higher education are both global such as Surgery Department, Tanta University is
the rapid development in teaching and committed to Continuous Improvement
learning methods, the very fast pace of and Quality Enhancement of its activities,
information and communication and dedicated to exceeding customers’
technology, the increasing awareness of expectations, a quality assurance system
the need for customer’s satisfaction and has been adopted and adapted to
the influence of a global market of Education, Research and Outreach. One
employment (especially after GAAT) that of the activities of this system is Updating
leaves no boundaries or constrains on and Upgrading Curriculum aiming at a
labor transfer, and also national such as graduate with a competitive advantage.
the ever increasing number of students, The New Curriculum is centered on
the scarce resources available for state problem-based, patient-oriented and
universities, the escalating competition student-led modules. Since its introduction
among public and private institutions for in 1969 at McMaster University, Canada,
better ranking and the increasing rate of Problem-based Learning has achieved
unemployment. increasing enthusiasm. With its four key
These challenges required from Tanta components: constructivism, self-directed
University a good look at the relevance learning, collaboration and contextual
and quality of its educational programs, learning, students follow the seven-step
aiming at a graduate with distinctive process developed at Maastricht
competencies, capable of meeting the University, Nederland. These steps are:
present and the future needs of the problem clarification, problem definition,

ENT PERSPECTIVES • PREFACE • i
problem analysis, shifting and sorting these learners, education must be
information, identification of learning integrated with entertainment or
objectives, self-directed learning and Edutainment. In addition to the
reconvening as a group for further exceptionally readable writing design and
discussion. the conversational interesting style, a
To implement the new curriculum, learning graphic-enriched color layout has been
modules have been designed and used throughout “ENT Perspectives” to
developed in “ENT Perspectives”. A capture and hold the reader’s interest,
Learning Module is an independent and achieve edutainment.
learning unit consisting of individual Since 20-40% of all family practice
learning components to achieve a encounters and more than 50% of
didactic aim. It is based on a topic (usually pediatric primary care patients present
a symptom. a sign, a test or a procedure) with ENT manifestations, updating and
with well-defined learning objectives, upgrading ENT curriculum has been our
drawn from the curricular competencies, prime concern. A comprehensive up-to-
with clear articulation of study paths, date coverage is ensured. The new
learning materials, contact hours (e.g. curriculum has been expanded to include
lectures, seminars, working groups) and the well-established modern territories of
assessment procedures. The experience Otolaryngology-Head and Neck Surgery.
gained after completion of the module Modules of Facial Plastic Surgery, Facial
should be used in further areas of the Reconstructive Surgery, Salivary Gland
curriculum. Surgery and Endocrine Gland Surgery
Modular Learning in our department have been added. Recent topics as
adopts the Multiple Intelligences (MI) Robotic Surgery, Augmented Realty,
Theory in its teaching activities. MI assumes Balloon Sinuoplasty, SIalendoscopy,
that each individual exhibits varying levels Minimally-invasive Video-assisted
of different intelligences, and thus each Thyroidectomy, Extended Endoscopic
person has a unique "cognitive profile". Endonasal Approach have been briefly
These intelligences are bodily-kinetic referred. Modern concepts as Evidence-
(doing), interpersonal (interactive), verbal based Medicine (EBM), Best Practice
(words: spoken and written), Medicine, Multidisciplinary Team (MDT),
mathematical (numbers), logical Life-long Learning (LLL) and CanMEDS
(induction-deduction), naturalistic framework have been stressed.
(exploring), intrapersonal (absorptive), “ENT Perspectives” has been based on
visual-spatial (sense of direction) and Patient-oriented Modules; each module is
musical (rhythmic, hearing). centered on a topic (usually a common
The 2012 student is recognized with symptom). It has been imperative to begin
distinctive characters; her/his method of with defining the Norms in “The Normal”
learning is experiential, resources of modules in order to recognize the
information are the websites in portables Abnorms in next modules. Each module
(more than newspapers, journals or TV starts with a Diagnostic Algorithm
media), method of communication is SMS reflecting real-world experiences, followed
and IM (more than letters and emails), by a comprehensive coverage of related
esteemed value is teamwork, center of common diseases. The level of evidence
interest is peers (more than family or work), in diagnosing a disease varies from a
motivation is by results (more than possibility, to a probability and finally to
recognition or trust), they seek jobs with certainty. The diagnostic algorithm helps
fun (more than stellar or decision making the ENT surgeon reach a Possible level of
jobs), and they like to work in group. For diagnosis. The presence of other

ENT PERSPECTIVES • PREFACE • ii