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Kyoto Kagaku’s Ear Examination Simulator II is a life size model of an adult head and shoulders. The ear anatomy includes the external acoustic meatus and tympanic membrane for training in examinations with an otoscope and foreign body removal.
The built in electronics of this ear model allow for 2 modes of use:
- Self learning mode – provides an audible alarm when the tip of the instrument is harmfully inserted
- Instructor mode – provides a visual alert with no audio, for training exercises, particularly useful for OSCE or skills examination
To aid in patient focused care, the alarm system warns against painful insertion:
- When the tip of the instrument passes the bony part of the ear canal – yellow warning light and intermittent beeping
- When the tip of the instrument reaches the eardrum – red warning light and continuous beeping
Overview
- Patient focused care during an otoscopy
- Sensitivity alarm system to alert excessive force
- Simulations with both normal and narrow ear canals
- Representation of 9 pathologies
Realism
- Supplied with a foreign body removal kit containing: simulated ear wax, small toys, small sponge fragments and a spoon
- Anatomically accurate soft ears, auricle can be pulled to straighten auditory canal
Versatility
- Quick switching between ears and pathologies
- Works with all otoscopes
- Manikin neck can be tilted
- Training in both left and right ears
Cleaning
- Remove simulated wax and other foreign objects from ears
- Remove batteries from the model
- Wipe manikin with soft damp cloth
- Allow ear model to fully dry before dusting with talcum powder and storing
Safety
- Note: Size 4 speculum recommended for examinations
- Do not insert otoscope too deep, this may cause damage to the ear
- Do not exert dial, this may cause mechanical trouble
- Ear exam trainer contains batteries, handle and dispose of with care
- Ensure correct ear usage for type of exam, “Exam Ear” for otoscope assessment, “FB Ears” for foreign body removal
Anatomy
- Life size head and shoulders
4 ear types, 1 pair of each
- Ear – Normal
- Ear – Stenosis
- Foreign body ear – Normal
- Foreign body ear - Stenosis
Skills Gained
- Ear examination with a direct otoscope
- Ear wax and foreign body removal
Assessment of 9 cases:
- Normal
- Serious otitis media (SOM)
- Mucoid otitis media (MOM)
- Chronic otitis media with perforation
- Acute suppurative otitis media (AOM)
- Cholesteatoma
- Tympanosclerosis
- Traumatic perforations
- Cerumen block
References
AAMC (2008) - Recommendations for Preclerkship Clinical Skills Education for Undergraduate Medical Education p.25 Appendix 5: Patient Examination. “Perform head exam including ... ears... “
National Organisation of Nurse Practitioner Faculties, Nurse Practitioner Core Competencies Content, 2017 Independent Practice Competencies p.14 3.b Uses advanced health assessment skills to differentiate between normal, variations of normal and abnormal findings. 3.c Employs screening and diagnostic strategies in the development of diagnoses.
Medical Graduate Competency Framework Stage 2 Final Report, August 2012 Appendix C Eye, Ear, Nose and Throat Foreign body removal - ear External auditory canal irrigation
CPMEC Australian curriculum Framework for Junior Doctors version 3.1, 2012, p.31 ...provide safe treatment to patients through competently performing certain procedures... superficial foreign body removal
RACGP Curriculum for Australian General Practice 2016, EY16 - EN16 Ear and Nose Medicine Effective assessment and appropriate management of individuals presenting with symptoms related to the ears ... is an important part of general practice. CS2.2.5 Appropriate procedures removal of foreign bodies in ears and nose
"Practical Skills and Procedures, General Medical Council, April 2019, p.4 Assessment of patient needs 4. Perform basic otoscopy and identify common abnormalities"
RCN Competencies - Advanced Nurse Practitioners, 2012, p.4 ...receiving patients with undifferentiated and undiagnosed problems and making an assessment of their health care needs, based on highly-developed nursing knowledge and skills ... such as physical examination
Competence and Curriculum Framework for the Physician Assistant 2012, p 23 2.6.3 The Physician Assistant should be familiar with the following patient presentations and should be able to manage and diagnose ...ENT problems, ENT emergencies
Specialty Training Curriculum for Core Medical Training, 2013 p.110:Perform full physical examination to elicit signs of ... inner ear disease
The UK Foundation Programme Curriculum 2016. p.9: obtains history, performs clinical examination, formulates differential diagnosis and management plan (FPC 11)
Royal College of General Practitioners Online Curriculum, 3.15 Manage primary contact with patients who have a common/important ENT ... problem, e.g. vertigo or tinnitus