{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:46:25Z","timestamp":1784033185986,"version":"3.55.0"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T00:00:00Z","timestamp":1591574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Create and validate an objective structured assessment of technical skills (OSATS) for otolaryngology residents learning how to perform a tonsillectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Multicenter prospective longitudinal validation study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multi\u2010institutional study at six tertiary academic otolaryngology residency programs from July 2009 to May 2012. Using the modified Delphi technique, a panel of pediatric otolaryngologists created a tonsillectomy task\u2010based checklist (TBC) for a tonsil OSATS using a 5\u2010point Likert\u2010type scale. Residents were assessed by pediatric otolaryngology staff at the time of surgery with the TBC and a global rating scale. Procedure time, patient age, number of previously performed tonsillectomies, and surgical technique were also collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred sixty\u2010seven tonsil OSATS were completed for 38 residents, and competency was recorded for 99 (59.2%). Residents scored as competent had performed significantly more previous tonsillectomies than those deemed noncompetent, 44.4\u2009\u00b1\u200935.6 and 13.5\u2009\u00b1\u200911.6, respectively (<jats:italic>P\u2009&lt;\u2009.001)<\/jats:italic>. The mean overall score on the tonsil TBC was 4.0\u2009\u00b1\u20090.8 and 2.6\u2009\u00b1\u20091.0 for competent and noncompetent, respectively (<jats:italic>P\u2009&lt;\u2009.001).<\/jats:italic> Higher number of tonsillectomies performed and mean tonsil TBC score significantly increased the likelihood of competency (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Each additional tonsillectomy performed increased the likelihood of achieving competency by 6.3% (<jats:italic>P<\/jats:italic> = .006, 95% confidence interval (CI): 1.330\u20131.110), and each 1.0 point increase in mean tonsil TBC score increased the likelihood of competency by a factor of 2.71 (<jats:italic>P<\/jats:italic> = .006, 95% CI:1.330\u20135.513). There is a 95% likelihood of competency at 48 tonsillectomies or a tonsil TBC score of 4.91.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The tonsil OSATS is a valid and feasible instrument to assess resident competency with tonsillectomy and provides timely objective feedback.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 131:E359\u2013E366, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28739","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T13:29:23Z","timestamp":1591622963000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Validation of an Objective Assessment Tool for Tonsillectomy in Otolaryngology Resident Training"],"prefix":"10.1002","volume":"131","author":[{"given":"Luke","family":"Jakubowski","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Minnesota  Minneapolis Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5555-2046","authenticated-orcid":false,"given":"Brittany A.","family":"Leader","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Cincinnati College of Medicine  Cincinnati OH U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0997-9692","authenticated-orcid":false,"given":"Stacey L.","family":"Ishman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Cincinnati College of Medicine  Cincinnati OH U.S.A."},{"name":"Division of Pediatric Otolaryngology Cincinnati Children's Hospital Medical Center  Cincinnati OH U.S.A."},{"name":"Division of Pulmonary Medicine Cincinnati Children's Hospital Medical Center  Cincinnati Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology &amp; Communication Sciences Medical College of Wisconsin  Milwaukee WI U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergey S.","family":"Tarima","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Institute for Health and Equity Medical College of Wisconsin  Milwaukee Wisconsin U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Parikh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010Head and Neck Surgery University of Washington  Seattle Washington U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6305-3981","authenticated-orcid":false,"given":"Margaret","family":"Skinner","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010Head and Neck Surgery Johns Hopkins School of Medicine  Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Thorne","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010Head and Neck Surgery University of Michigan  Ann Arbor Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Weatherly","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010Head and Neck Surgery University of Kansas  Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6990-3206","authenticated-orcid":false,"given":"Gregory","family":"Wiet","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010Head and Neck Surgery Nationwide Children's Hospital and The Ohio State University  Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010Head and Neck Surgery University of Michigan  Ann Arbor Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590701392903"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31817e2c62"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)89597-9"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.068"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7115"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812459703"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2010.24.3434"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20678"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.05.032"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24475"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3275"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21067"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24023"},{"key":"e_1_2_6_15_1","unstructured":"Accreditation Council for Graduate Medical Education. 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