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J Doshi

Publications and source records attributed to J Doshi.

9 recordsLinked to original sources

A survey of undergraduate otolaryngology experience at Newcastle University Medical School.

INTRODUCTION: Due to the 'modernizing medical careers' changes, doctors with a firm career intention will be able to enter a speciality-specific training programme after their foundation years. MATERIALS AND METHODS: A questionnaire was emailed to all 204 final year medical students at Newcastle Medical School asking about their ENT undergraduate experience and if they felt it was sufficient to consider a career in otolaryngology. RESULTS: One hundred and forty-four completed questionnaires (71 per cent) were returned, with respondents giving the following information: 54 per cent had had a formal ENT attachment (average seven and a half days); 24/144 (17 per cent) and 60/144 (42 per cent) respectively had not attended ENT clinic or theatre; less than 50 per cent had seen common ENT operations; 12/144 (8 per cent) had never heard of a septoplasty; two-thirds (24/36) of aspiring general practitioners had never seen a tonsillectomy or grommet insertion; and only 6/30 (20 per cent) of aspiring surgeons felt their ENT experience had been enough to consider the speciality as a career. DISCUSSION: Alternative methods of delivering an otolaryngology curriculum should be considered. We must promote otolaryngology to medical students at every opportunity.

Adult↗

Observational study of bone-anchored hearing aid infection rates using different post-operative dressings.

INTRODUCTION: Avoidance of infection at the implant site is a crucial element to the success of bone-anchored hearing aid (BAHA) implantation. However, little evidence exists to suggest the best post-operative wound dressing to use. MATERIAL AND METHODS: We report our experience with 160 consecutive BAHA patients, using four types of post-operative BAHA wound dressing (Tri-adcortyl, Mepitel, Allevyn, and Acticoat 7 with Allevyn). Patients were reviewed at week one and week two post-operatively. Infection was defined as a positive wound swab culture or evidence of cellulitis at the BAHA site. RESULTS: Post-operative BAHA infection rates were 16 per cent, 50 per cent, 10 per cent and 5 per cent, for each of the four dressings respectively, and the mean number of additional visits to wound care clinic were 1.5, 3.7, one and 0.4, respectively. DISCUSSION: Acticoat 7 with Allevyn produced the lowest infection rate and thus became the dressing of choice for our BAHA programme.

Adult↗