[Simulation-based competency assessment : Development and evaluation of a realistic model for minor tympanic membrane surgery].

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.