{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:45:38Z","timestamp":1761007538872,"version":"build-2065373602"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1993,11,1]],"date-time":"1993-11-01T00:00:00Z","timestamp":752112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1993,11]]},"abstract":"<jats:p>The World Health Organization has designated the teaching of otitis media management skills a \u201cpriority\u201d status. Effective treatment of ear disease requires that the physician be both informationally educated as well as physically trained to use otoscopy. Little is known about how well this education can be provided in a short time and in a foreign country. To more objectively assess teaching effect, results of an education session for rural Mexican pediatric primary\u2010care providers who were given an intensive otitis media lecture and otoscopy skills workshop in 1990 were evaluated. To test immediate cognitive impact, an anonymous written examination was given both before and after the teaching session. Average test scores after the educational sessions improved 24% (<jats:italic>p<\/jats:italic> &gt; 0.001) over baseline scores before the sessions. To evaluate long\u2010term impact on clinical practice, a follow\u2010up telephone survey 2 years later was conducted. The use of an otoscope to diagnose otitis media had increased from 40% to 93% of respondents. We conclude that pediatric primary\u2010care providers In rural Mexico possess a baseline level of knowledge about otitis media that can be significantly enhanced with one educational session. Further, this teaching effort produces an impact on practice pattern that lasts at least 2 years.<\/jats:p>","DOI":"10.1177\/019459989310900519","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:50:58Z","timestamp":1448434258000},"page":"895-898","source":"Crossref","is-referenced-by-count":6,"title":["An education model for otitis media care field\u2010tested in latin america"],"prefix":"10.1002","volume":"109","author":[{"given":"Roland D.","family":"Eavey","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Massachusetts Eye and Ear Infirmary Boston Massachusetts"},{"name":"Department of Otology and Laryngology Harvard Medical School Boston Massachusetts"},{"name":"Latin America Otitis Media Research and Training Program, Inc. Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Ignacio","family":"Santos","sequence":"additional","affiliation":[{"name":"Division de Investigacion y Departmento de Engermedades Infecciosas Hospital Infantil de Mexico Frederico Gomez Mexico City Mexico"},{"name":"Latin America Otitis Media Research and Training Program, Inc. Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moises A.","family":"Arriaga","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Eye and Ear Institute University of Pittsburgh School of Medicine Pittsburgh Pennsylvania"},{"name":"Latin America Otitis Media Research and Training Program, Inc. Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Gliklich","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Massachusetts Eye and Ear Infirmary Boston Massachusetts"},{"name":"Department of Otology and Laryngology Harvard Medical School Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Odio","sequence":"additional","affiliation":[{"name":"Hospital Nacional de Ninos University of Costa Rica, San Jose San Jose Costa Rica"},{"name":"Latin America Otitis Media Research and Training Program, Inc. Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Sheila","family":"Desmond","sequence":"additional","affiliation":[{"name":"Children's Service Massachusetts General Hospital Boston Massachusetts"},{"name":"Department of Pediatrics Harvard Medical School Boston Massachusetts"},{"name":"Latin America Otitis Media Research and Training Program, Inc. Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Villasenor","sequence":"additional","affiliation":[{"name":"Division de Investigacion y Departmento de Engermedades Infecciosas Hospital Infantil de Mexico Frederico Gomez Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Beltran","sequence":"additional","affiliation":[{"name":"Division de Investigacion y Departmento de Engermedades Infecciosas Hospital Infantil de Mexico Frederico Gomez Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Orloff","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Washington, Seattle Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylyan E.","family":"Stool","sequence":"additional","affiliation":[{"name":"Department of Pediatric Otolaryngology Children's Hospital of Pittsburgh University of Pittsburgh School of Medicine Pittsburgh Pennsylvania"},{"name":"Latin America Otitis Media Research and Training Program, Inc. Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1993,11]]},"reference":[{"unstructured":"Prevention of deafness and hearing impairment: report by the Director\u2010General. World Health Organization Thirty\u2010ninth World Health Assembly. March1986: page11.","key":"e_1_2_1_2_1"},{"key":"e_1_2_1_3_1","first-page":"116","article-title":"Programa educacional y de investigacion sobre diagnostico y tratamiento de otitis media","volume":"47","author":"Arriaga M.","year":"1990","journal-title":"Bol Med Hosp Infant Mex"},{"key":"e_1_2_1_4_1","first-page":"13","article-title":"Academy members provide otitis media training in Latin America","author":"Arriaga M.","year":"1990","journal-title":"Bull Am Acad Otolaryngol Head Neck Surg"},{"doi-asserted-by":"publisher","key":"e_1_2_1_5_1","DOI":"10.1056\/NEJM199210293271803"},{"doi-asserted-by":"publisher","key":"e_1_2_1_6_1","DOI":"10.1177\/000992289203101005"},{"doi-asserted-by":"publisher","key":"e_1_2_1_7_1","DOI":"10.1016\/0300-9572(92)90159-A"},{"doi-asserted-by":"publisher","key":"e_1_2_1_8_1","DOI":"10.1097\/00005650-197602000-00008"},{"key":"e_1_2_1_9_1","first-page":"51","article-title":"An advanced resuscitation training course for preregistration house officers","volume":"24","author":"Kaye W.","year":"1990","journal-title":"J R Coll Physicians Lond"},{"doi-asserted-by":"publisher","key":"e_1_2_1_10_1","DOI":"10.1097\/00003246-198701000-00013"},{"unstructured":"StoolS. EaveyR. CohenR.Otitis media hoy (not available through a publisher).","key":"e_1_2_1_11_1"},{"volume-title":"Guia para uso de instrumentes de diagnostico para el examen del ojo, oido, nariz y garganta","year":"1982","author":"Hawke M.","key":"e_1_2_1_12_1"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900519","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:57:29Z","timestamp":1760968649000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989310900519"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,11]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1993,11]]}},"alternative-id":["10.1177\/019459989310900519"],"URL":"https:\/\/doi.org\/10.1177\/019459989310900519","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1993,11]]}}}