In the face of increasing subspecialisation, how does the specialty ensure that the management of ENT emergencies is timely, appropriate and safe?

J Laryngol Otol. 2016 Jun;130(6):516-20. doi: 10.1017/S0022215116007957. Epub 2016 May 10.

Abstract

Background: The field of ENT surgery is one of the most varied specialties, with numerous subspecialties and continuing divergence. With this evolution there comes, however, a risk that specialists become de-skilled in certain areas. In the case of ENT emergencies, this can be particularly dangerous.

Methods: Current guidance from relevant UK professional membership bodies regarding emergency surgery provision was inspected and a literature search was performed to identify studies relating to management of ENT emergencies in the context of increasing subspecialisation.

Results and conclusion: The specialty currently has provisions in place to ensure timely, appropriate and safe management of emergencies, in the form of guidelines and emergency clinics; however, there is scope for improvement of the system.

Keywords: Emergencies; Otorhinolaryngology; Specialization.

Publication types

  • Review

MeSH terms

  • Disease Management
  • Emergencies*
  • Humans
  • Otolaryngology*
  • Otorhinolaryngologic Diseases / therapy*
  • Patient Safety
  • Practice Guidelines as Topic*
  • Quality of Health Care*
  • Societies, Medical
  • Specialization*
  • Time-to-Treatment
  • United Kingdom