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Background <p>Objective assessment of surgical skills remains challenging due to informal, non-standardized formats. Simulation enables controlled evaluation. In otologic surgery, myringotomy with tube placement is a&#xa0;suitable standard procedure.</p> Objective <p>This work aimed to develop and evaluate a&#xa0;simulation-based model of minor tympanic membrane surgery in terms of acceptance and suitability for differentiated and standardized skill assessment.</p> Materials and methods <p>A&#xa0;realistic model was developed and evaluated by 31&#xa0;ENT physicians of varying experience. A&#xa0;pilot study with 20&#xa0;medical students (group&#xa0;A) and 10&#xa0;senior ENT specialists (group&#xa0;E) was conducted using standardized criteria.</p> Results <p>The model was positively rated across experience levels. Group&#xa0;E achieved 100%, while group&#xa0;A showed more variability. No significant differences were found in terms of orientation, technique, structure, or hygiene. Tube placement accuracy differed significantly (group&#xa0;A&#xa0;50% vs. group&#xa0;E 100%).</p> Conclusion <p>The model offers realistic simulation and shows strong potential for competency-based training and valid assessment.</p>

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Kompetenzanalyse durch Simulation

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月12日

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  • Jonas Engert,
  • Joy Backhaus,
  • Bjoern Spahn,
  • Franz-Tassilo Müller-Graff,
  • Andreas Vollmer,
  • Stefan Hartmann,
  • Kristen Rak,
  • Sarah König,
  • Stephan Hackenberg,
  • Johannes Voelker

摘要

Background

Objective assessment of surgical skills remains challenging due to informal, non-standardized formats. Simulation enables controlled evaluation. In otologic surgery, myringotomy with tube placement is a suitable standard procedure.

Objective

This work aimed to develop and evaluate a simulation-based model of minor tympanic membrane surgery in terms of acceptance and suitability for differentiated and standardized skill assessment.

Materials and methods

A realistic model was developed and evaluated by 31 ENT physicians of varying experience. A pilot study with 20 medical students (group A) and 10 senior ENT specialists (group E) was conducted using standardized criteria.

Results

The model was positively rated across experience levels. Group E achieved 100%, while group A showed more variability. No significant differences were found in terms of orientation, technique, structure, or hygiene. Tube placement accuracy differed significantly (group A 50% vs. group E 100%).

Conclusion

The model offers realistic simulation and shows strong potential for competency-based training and valid assessment.