{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:25:00Z","timestamp":1790011500465,"version":"4.0.1"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To test the feasibility and impact of a simulation training program for myringotomy and tube (M&amp;T) placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective randomized controlled.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Multi\u2010institutional.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>An M&amp;T simulator was used to assess the impact of simulation training vs no simulation training on the rate of achieving competency. Novice trainees were assessed using posttest simulator Objective Structured Assessment of Technical Skills (OSATS) scores, OSATS score for initial intraoperative tube insertion, and number of procedures to obtain competency. The effect of simulation training was analyzed using \u03c7<jats:sup>2<\/jats:sup> tests, Wilcoxon\u2010Mann\u2010Whitney tests, and Cox proportional hazards regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 101 residents and 105 raters from 65\u00a0institutions were enrolled; however, just 63 residents had sufficient data to be analyzed due to substantial breaches in protocol. There was no difference in simulator pretest scores between intervention and control groups; however, the intervention group had better OSATS global scores on the simulator (17.4 vs 13.7, <jats:italic>P<\/jats:italic> =. 0003) and OSATS task scores on the simulator (4.5 vs 3.6, <jats:italic>P<\/jats:italic> =. 02). No difference in OSATS scores was observed during initial live surgery rating (<jats:italic>P<\/jats:italic> =. 73 and <jats:italic>P<\/jats:italic> =. 41). OSATS scores were predictive of the rate at which residents achieved competence in performing myringotomy; however, the intervention was not associated with subsequent OSATS scores during live surgeries (<jats:italic>P<\/jats:italic> =. 44 and <jats:italic>P<\/jats:italic> =. 91) or the rate of achieving competence (<jats:italic>P<\/jats:italic> =. 16).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A multi\u2010institutional simulation study is feasible. Novices trained using the M&amp;T simulator achieved higher scores on simulator but not initial intraoperative OSATS, and they did not reach <jats:italic>competency<\/jats:italic> sooner than those not trained on the simulator.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820920833","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T04:01:29Z","timestamp":1590465689000},"page":"522-530","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["SimTube: A National Simulation Training and Research Project"],"prefix":"10.1002","volume":"163","author":[{"given":"Gregory J.","family":"Wiet","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Nationwide Children\u2019s Hospital Columbus Ohio USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen S.","family":"Deutsch","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine University of Pennsylvania School of Medicine Philadelphia Pennsylvania USA"},{"name":"Department of Anesthesiology and Critical Care Medicine Children\u2019s Hospital of Philadelphia Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Malekzadeh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery MedStar Georgetown University Hospital Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda J.","family":"Onwuka","sequence":"additional","affiliation":[{"name":"Center for Surgical Outcomes Research and Center for Innovation in Pediatric Practice The Research Institute at Nationwide Children\u2019s Hospital Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan W.","family":"Callender","sequence":"additional","affiliation":[{"name":"College of Medicine The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Seidman","sequence":"additional","affiliation":[{"name":"AdventHealth Medical Group, Otolaryngology\u2013Head &amp; Neck Surgery Celebration Florida USA"},{"name":"Department of Otolaryngology Head and Neck Surgery University of Central Florida Orlando Florida USA"},{"name":"Department of Otolaryngology Head and Neck Surgery University of South Florida Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marvin P.","family":"Fried","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Montefiore Medical Center and the Albert Einstein College of Medicine Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21801"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.02502.x"},{"key":"e_1_2_9_4_1","unstructured":"SimTube Project.Myringotomy and tube placement\u2014resident tutorial.https:\/\/www.youtube.com\/watch?v=eWkwn164tbI. 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