Overcoming challenges in septorhinoplasty training faced by UK otorhinolaryngology trainees

Introduction The aim of this study was to assess UK otorhinolaryngology trainees’ perceptions of their septorhinoplasty training. The possible effects that the COVID-19 pandemic may have on current and future training opportunities are also discussed. Methods A cross-sectional survey of members of the Association of Otolaryngologists in Training was conducted in March 2019. Results A total of 64 trainees responded to the survey. All deaneries were represented. A variety of challenges regarding septorhinoplasty training were highlighted. The most common hurdle was the low number of cases being undertaken. A third of the ST7–ST8 trainees in this sample (8/25, 32%) had not yet performed a single septorhinoplasty even though they were into the final two years of their training. Conclusions The COVID-19 pandemic is a new additional threat to septorhinoplasty training for otorhinolaryngology trainees, particularly those in the final two years of the programme. In the short term, clarification is needed regarding what level of operative proficiency is required for the Certificate of Completion of Training. In the longer term, threats to training can be mitigated by providing cadaveric courses, embracing simulation and considering private sector placements in areas of low NHS volume.