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Master Thesis

L’examen otoscopique. Étude de pratiques en Médecine Générale

Abstract : Introduction : Patients often consult a general practitioner for an ENT disease: the GP will therefore face many otological diseases in its daily practice, and must be able to diagnose and to recognize those who can present a vital or functional impact and that require an ENT specialty consultation. The objective of this study was to evaluate the diagnostic practices of practitioners in otoscopy. Materials and methods : This prospective study included 30 practitioners based in Ile-de- France interviewed using a questionnaire with otoscopic pictures to recognize, a script concordance test (SC) on ear pathology validated by a five experts panel and an otoscopic picture of a normal eardrum to give a caption. Results : The obtained average score was 37% of correct answers to the otoscopic questionnaire, 43% to the SC and 31% to the normal eardrum. Conclusions : In this study, the surveyed practitioners showed fairly average overall results for the otoscopic questionnaire, the normal eardrum to give a caption and the SC. However, analysis by otological entities to the SC or the otoscopic pictures showed much better results for the most common ENT pathologies. Normal eardrum anatomical knowledge was limited to basic structures. Throughout the questionnaire, surveyed GP had better results when they felt comfortable in otoscopy rather than when they did not have confidence in their abilities. At last this study might suggest the existence of a good ability of general practitioners to referral to the specialist when needed.
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Master Thesis
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Submitted on : Thursday, February 16, 2017 - 3:17:30 PM
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  • HAL Id : dumas-01469537, version 1


Damien Aubert. L’examen otoscopique. Étude de pratiques en Médecine Générale. Médecine humaine et pathologie. 2012. ⟨dumas-01469537⟩



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