CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S366
DOI: 10.1055/s-0038-1640986
Sonstige Themen: Miscellaneous

Learning curve of psychomotor skills based on ENT-examination

ML Metasch
1   Universitätsklinikum Dresden, Klinik für HNO-Heilkunde, Dresden
M Kemper
2   HNO- Uniklinik Dresden, Dresden
T Zahnert
2   HNO- Uniklinik Dresden, Dresden
M Neudert
2   HNO- Uniklinik Dresden, Dresden
› Author Affiliations


    The acquiring and learnig of psychomotoric skills is without doubt one of the key aspects both during medical studies and becoming a resident physician in surgical departments. That is why this study focuses on students' learning curves in the ENT- examination and further resulting conclusions to teaching.


    The standardized ENT-examination has been offered for tenth semester students only on four consecutive hands-on training days at the ENT-university-hospital-Dresden. In the end a standardized practical test based on a checklist was taken. To generate the mentioned learning curves 40 students had been additionally tested during the four days.


    Overall a daily increase in points achieved was noticed with a maximum of 68 points. Due to the several steps of the test rhinoscopia posterior and laryngoscopy appear to be the most difficult, since high scores could have only been achieved on the last days. Especially in the beginning students were losing points struggling with the correct positioning of light as well as the chronology of examination steps. Fulfilling the procedures during the time window of six minutes has also been adopted in the last days of training.


    The demanding manual complexity of ENT-examination appears to be excellent for representing learning curves of gaining psychomotoric skills. As improvements in correct single examinations can even be noticed in the beginning of training, exact procedures and in time examination can only be achieved in the end of training due to constant practice. In addition to the above these results supply proper conclusions for leaning other practical skills both for studies and specializations.


    No conflict of interest has been declared by the author(s).

    Dr. Marie-Luise Metasch
    Universitätsklinikum Dresden, Klinik für HNO-Heilkunde,
    Fetscherstr. 74, Haus 3, 01307,

    Publication History

    Publication Date:
    18 April 2018 (online)

    © 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

    Georg Thieme Verlag KG
    Stuttgart · New York