The otolaryngologist's cost in treating facial trauma: American Academy of Otolaryngology - Head and Neck Surgery survey

摘要

Objectives. (1) To define practice patterns and perceptions of junior otolaryngologists treating maxillofacialeck trauma. (2) To identify manners in which the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) can meet future trauma needs. Study Design. Cross-sectional survey. Setting. Academic and private otolaryngology practices. Methods. A 26-question survey was designed to identify demographics, practice patterns, perceptions, and areas for improvement in maxillofacialeck trauma care. It was distributed anonymously to AAO-HNS members completing residency from 2005 to 2009. Analysis included descriptive statistics and x2 comparisons. Results. Of 1343 otolaryngologists, 444 (33%) responded. A total of 85% of responding physicians treat maxillofacial/ neck trauma, and 64% identify trauma as an ideal part of their practice. Sense of duty (54%), institutional requirements (33%), and enjoyment (32%) are the most common reasons for treating trauma. Major deterrents include patient noncompliance (60%) and lifestyle limitations (47%). Five respondents (3.1%) have been involved in a trauma-related lawsuit. While insufficient reimbursement is a major deterrent to treating trauma (52%), only 36% would increase their volume if reimbursement improved. Increased educational opportunities represent the most common request to the AAO-HNS (59%), followed by AAO-HNS focus on improved reimbursement and tort reform (28%). Conclusion. Most junior otolaryngologists treat maxillofacial/ neck trauma on a monthly basis. A total of 64% identify trauma as a component of their ideal practice. They report being well to very well trained in all facets of trauma, with the exception of vascular and laryngotracheal injuries; but they desire additional education, such as courses and panels. Universal concerns include inadequate reimbursement, limited pool of treating physicians, and lack of practice guidelines.