• J Powell, F A H Cooles, S Carrie, and V Paleri.
• Department of Otolaryngology-Head and Neck Surgery, Newcastle upon Tyne University Hospitals, UK. jason.powell@doctors.org.uk
• J Laryngol Otol. 2011 Sep 1; 125 (9): 896-905.

BackgroundDespite the patient numbers and scope of ENT surgery, it is under-represented in most undergraduate medical curricula.MethodAn online questionnaire was e-mailed, at National Health Service trust level, to 3,544 newly qualified doctors from 30 UK medical schools. Undergraduate ENT exposure, confidence and educational value were measured on a Likert scale.ResultsWe received 444 eligible responses. The mean undergraduate ENT exposure was 3.4 days of pre-clinical teaching plus 5.0 days of ENT departmental experience. However, 15.8 per cent of respondents reported no formal departmental ENT experience, and 65.8 per cent would have liked further undergraduate experience. Teaching modalities with a lower perceived educational value were generally offered more frequently than those with a higher perceived educational value. Graduates felt significantly less confident with ENT history-taking, examination and management, compared with their cardiology clinical competencies (p < 0.001).ConclusionThese results highlight the lack of UK ENT undergraduate education, and the significant effect this has on junior doctors' clinical confidence. In addition, commonly used teaching methods may not be optimally effective.

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