Author/Authors :
Motasaddi Zarandi ، Masoud Department of Otolaryngology Head and Neck Surgery - Otorhinolaryngology Research Center - Tehran University of Medical Sciences , Nemati ، Shadman Department of Otolaryngology Head and Neck Surgery - Otorhinolaryngology Research Center - Guilan University of Medical Sciences , Daneshi ، Ahmad Department of Otolaryngology Head and Neck Surgery - ENT and Head and Neck Research Center - Iran University of Medical Sciences , Hashemi ، Basir Department of Otolaryngology Head and Neck Surgery - Otolaryngology Research Center , Eftekharian ، Ali Department of Otolaryngology Head and Neck Surgery - Cochlear Implant Center - Shahid Beheshti University of Medical Sciences , Rajati ، Mohsen Department of Otolaryngology Head and Neck Surgery - Sinus and Surgical Endoscopic Research Center - Mashhad University of Medical Sciences , Kouhi ، Ali Department of Otolaryngology Head and Neck Surgery - Otorhinolaryngology Research Center - Tehran University of Medical Sciences , Nasirmohtaram ، Sevil Department of Otolaryngology Head and Neck Surgery - Otorhinolaryngology Research Center - Guilan University of Medical Sciences , Kazemnejad Leyli ، Ehsan Department of Biostatistics - Otolaryngology Research Center - Guilan University of Medical Sciences , Khoshbakht ، Maryam Department of Nursing - Guilan University of Medical. Sciences
Abstract :
In order to decrease medical errors and improve organized, targeted education pre- and post-graduation, we intended to detect 10 most important concepts that neuro-otologists believe family physicians and general practitioners must know. A multi-center study based on Delphi’s method was designed and conducted in three stages. Of 31 topics gathered by expert panel, 10 top priorities were ranked based on 50 neuro-otologists’ opinion over the country. Early diagnosis and management of sudden sensorineural hearing loss, foreign body removal from external ear canal, proper management of otitis extern, and management of emergency situations in chronic otitis media gained the highest scores among all. Also, some topics, such as managing serous and acute otitis media, differentiating peripheral vs. central vertigos, and early hearing screening at birth were among top topics, contrary to others, such as surgery in only hearing ears, or hearing losses after COM surgeries. Almost all of the top-ranked topics are among critical/organ saving, or most prevalent medical concerns in all of the world. Sudden deafness, complicated COM, and mis-diagnosing vertigo may be organ/life threatening, while foreign bodies or inflammations of external ear, acute or serous otitis media, and congenital hearing loss are among the most prevalent medical problems worldwide, with numerous malpractices in their diagnosis and management. Regarding educational and practical priorities should be considered a basic step in neurotology field, and targeted programming policies.
Keywords :
Otology , Medical education , Continuing medical education , Graduate medical education
