Does the involvement of first-year residents have a negative impact on the performance of a newborn hearing screening program?

Simonetta Frezza, Guido Conti, Daniela Rizzo, Paolo Parente, Francesca Priolo, Francesco Bussu, Laura Maria De Luca, Andrea Melis, Caterina Kihlgren

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

Objectives: We aimed to evaluate the efficiency of our hearing screening program, prior to hospital discharge, together with the consistency of our teamwork including first year residents by assessing a learning curve for the operators involved. Methods: We evaluated all the data collected during the first stage of the screening program of all non-NICU neonates from March 2009 to July 2013, analyzing by means of a linear regression model, the monthly referral rate for the whole period of activity of each group of residents. Results: performances of each group of screeners were statistically different (chi square test p < 0.005). The nptrend test showed that group 2 (p = 0.01) and group 4 (p = 0.01) reached a statistical significance in higher and lower referral rates respectively. No statistical differences were found in other groups (Group 1 p = 0.161; Group 3 p = 0.853). Conclusion: Despite a statistically significant difference in the performances between the groups of residents, the referral rates for each group (range 6.18%–9.29%) and the overall referral rate for the whole period (7.84%) agree with the values commonly reported for TEOAEs in the literature. It means that our screening program is reasonably effective despite a yearly turnover of operators.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaInternational Journal of Pediatric Otorhinolaryngology
Volume138
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • AABR
  • Clinical Competence
  • Female
  • Hearing Tests
  • Hearing screening
  • Humans
  • Infant, Newborn
  • Internship and Residency
  • Learning Curve
  • Learning curve
  • Male
  • Neonatal Screening
  • Referral and Consultation
  • Retrospective Studies
  • Screening protocol
  • TEOAEs

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