How, When, And From Whom Neck Dissection Operative Technique Is Learned: An International Survey on Neck Dissection Education Among Head and Neck Oncologic Surgeons

Publication date: Available online 4 May 2016
Source:American Journal of Otolaryngology
Author(s): Shirin Hemmat, Steven J. Wang, William R. Ryan
BackgroundThere is a paucity of evidence on how neck dissection (ND) technique is best learned.MethodsOnline survey of the American Head and Neck Society (AHNS).Results283 of the 1010 (28%) AHNS surgeon members completed the survey.Most respondents had 3–4 mentors [n=157 (55.5%)] that they felt were most influential their ND technique. 134 (47.3% of surgeons who completed a fellowship) felt that fellowship training had the most impact on their ND technique.Most respondents ranked the most effective methods of learning ND operative technique in the following order: 1) physically performing the operation yourself (70.1%), 2) observing the attending perform maneuvers independent of verbal teaching (37.7%) and 3) verbal teaching by an attending in the operating room independent of actual maneuvers (36.3%).ConclusionWhen learning a ND, the most benefit comes from empirical learning in the context a small group of surgeon mentors.



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