Assessing the Need for Retraining ENT Residents in Fiberoptic Laryngoscopy through Skill Lab Sessions.

Abstract

Fiberoptic laryngoscopy is a critical skill for ENT residents, especially in cases where conventional laryngoscopy is ineffective. Although hands-on training under faculty supervision is common, it carries risks such as patient discomfort and complications. Skill lab training mitigates these risks, but skill decay over time remains a concern. This study evaluates skill retention in fiberoptic laryngoscopy over a two-month period without practice and the necessity of retraining. A prospective study was conducted at Maulana Azad Medical College with 24 ENT residents. After ethical approval, participants underwent a standardized didactic session and hands-on mannequin-based training. Proficiency was assessed using an objective checklist. After two months without practice, skill retention was reassessed without retraining. A paired t-test and effect size analysis were used for statistical evaluation. The mean proficiency score declined from 15.70 (SD ± 2.95) to 13.70 (SD ± 2.80) (p < 0.001), demonstrating significant skill decay. A strong effect size (Cohen's d = 1.08) highlighted the clinical relevance of this decline. While some residents maintained proficiency, others showed substantial deterioration, with five residents losing 4-6 points. A strong positive correlation (r = 0.79) between initial and follow-up scores suggested that higher initial proficiency predicted better retention. Fiberoptic laryngoscopy skills decline significantly over two months, underscoring the need for periodic refresher training. Personalized retraining, simulation-based learning, and structured continuing education could help mitigate skill loss and enhance long-term competency.

Supplementary information: The online version contains supplementary material available at 10.1007/s12070-025-05494-5.