{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T01:25:01Z","timestamp":1787189101376,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The South Pacific faces challenges in delivering timely Otolaryngology, Head and Neck Surgery (OHNS) emergency care due to specialist scarcity, geographic isolation, and resource constraints. Simulation\u2010based education (SBE) provides safe, reproducible opportunities to practise time\u2010critical procedures. This pilot education study evaluated the impact of a regional simulation course on surgeon and trainee confidence in managing common OHNS emergencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A one\u2010day simulation course was conducted during the South Pacific Legacy Program in Fiji in August 2023. Five scenarios were taught including rigid bronchoscopy, flexible bronchoscopy, adult tracheostomy, paediatric tracheostomy and cortical mastoidectomy. Participants () completed questionnaires at baseline, immediately post\u2010course and at 6\u2009months to assess confidence and skill retention using 5\u2010point Likert scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Confidence increased significantly across all procedures immediately post\u2010course (all ; ) and remained significantly above baseline at 6\u2009months (all ; ). Sustained improvements were greatest for adult and paediatric tracheostomy. Surgeons reported higher confidence than trainees in selected scenarios. After 6\u2009months, 67% of participants reported using skills in clinical practice and all expressed interest in further SBE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A regional, low\u2010resource simulation course significantly improved and sustained confidence in managing otolaryngology emergencies. This feasible and well\u2010received model may support capacity building across geographically dispersed, low\u2010resource health systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70923","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T01:01:01Z","timestamp":1787187661000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Simulation\u2010Based Education for Otolaryngology, Head and Neck Surgery Emergency Procedures in the South Pacific: A Pilot Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6532-0847","authenticated-orcid":false,"given":"Matthew Eugene","family":"Lam","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Townsville Hospital  Townsville Queensland Australia"},{"name":"Faculty of Health, Medicine and Behavioural Sciences University of Queensland  Brisbane Queensland 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