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Assessing the Impact of the Otolaryngology Core Curriculum (OCC): A Pre- and Post-Implementation Analysis.

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Title: Assessing the Impact of the Otolaryngology Core Curriculum (OCC): A Pre- and Post-Implementation Analysis.
Authors: Epperson MV; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA., Lind MN; Department of Otolaryngology-Head and Neck Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA., Thorne MC; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA., Kupfer RA; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Source: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2026 Aug; Vol. 175 (2), pp. 357-363. Date of Electronic Publication: 2026 Apr 30.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Wiley Country of Publication: England NLM ID: 8508176 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6817 (Electronic) Linking ISSN: 01945998 NLM ISO Abbreviation: Otolaryngol Head Neck Surg Subsets: MEDLINE
Imprint Name(s): Publication: 2023- : [Oxford] : Wiley
Original Publication: [Rochester, Minn.] : The Academy, [c1981-
MeSH Terms: Otolaryngology*/education , Curriculum* , Internship and Residency* , Education, Medical, Graduate*, Prospective Studies ; Humans ; Clinical Competence ; Surveys and Questionnaires
Abstract: Objective: Effective didactic education in otolaryngology residency programs is critical. This study evaluated resident and faculty perceptions before and after (Otolaryngology Core Curriculum) OCC implementation.
Study Design: Prospective cohort study.
Setting: Single Otolaryngology residency program (2023-2025).
Methods: Anonymous pre- and post-OCC surveys with Likert-type items were distributed to residents and faculty. Resident surveys assessed weekly didactics preparation time, confidence in otolaryngology knowledge, curriculum effectiveness, comfort identifying educational resources, and perceived exam preparedness. Faculty surveys assessed preparation time, resident knowledge, and engagement. Paired t-tests, Wilcoxon Signed-Rank, and Mann-Whitney U tests were used for analysis.
Results: 24 and 19 residents completed the preimplementation and postimplementation survey, respectively. Weekly resident didactics preparation time increased from 16.3 ± 19.4 minutes to 83.9 ± 49.0 minutes (P < .00001). Resident confidence in knowledge improved (P = .015) with a large effect size (Cohen's d = 0.85; 95% CI [0.07, 1.62]). Perceived didactics effectiveness improved (P = .022) with a moderate-to-large effect size (Cohen's d = 0.79; 95% CI [0.01, 1.55]). Comfort identifying educational resources (P = .08) and perceived examination preparedness (P = .15) improved, nonsignificantly. Faculty preparation time decreased nonsignificantly, 105.0 ± 33.7 minutes to 90.0 ± 39.7 minutes (P = .35). Faculty-reported resident knowledge improved (P = .011) with a large effect size (Cohen's d = -1.44; 95% CI [-2.42, -0.43]). Faculty perception of resident engagement improved, nonsignificantly (P = .22).
Conclusion: OCC implementation was associated with an increase in resident didactics preparation time, resident perceived knowledge, and faculty perception of resident knowledge, and increased didactics effectiveness.
(The Author(s). Otolaryngology–Head and Neck Surgery published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
References: Am J Surg. 2013 Jun;205(6):681-4. (PMID: 23388423)
Otolaryngol Head Neck Surg. 2024 Oct;171(4):1257-1259. (PMID: 38804673)
Med Educ. 2017 Jun;51(6):585-597. (PMID: 28488303)
BMC Med Educ. 2022 Jan 12;22(1):34. (PMID: 35022002)
Am J Otolaryngol. 2022 Sep-Oct;43(5):103575. (PMID: 35952533)
N Engl J Med. 2012 May 3;366(18):1657-9. (PMID: 22551125)
Laryngoscope. 2017 Jul;127(7):E219-E224. (PMID: 27782300)
Cureus. 2020 Jul 3;12(7):e8981. (PMID: 32775063)
Otolaryngol Head Neck Surg. 2015 Apr;152(4):638-43. (PMID: 25628367)
BMC Med Educ. 2018 Mar 15;18(1):38. (PMID: 29544495)
Educ Health (Abingdon). 2009 Aug;22(2):269. (PMID: 20029750)
J Am Coll Surg. 2007 Mar;204(3):341-6. (PMID: 17324766)
J Grad Med Educ. 2019 Feb;11(1):18-29. (PMID: 30805092)
J Surg Educ. 2021 Nov-Dec;78(6):e196-e200. (PMID: 34384730)
Technol Health Care. 2009;17(2):141-8. (PMID: 19564679)
Med Educ. 2010 Aug;44(8):765-74. (PMID: 20633216)
J Surg Educ. 2012 Mar-Apr;69(2):253-6. (PMID: 22365876)
Laryngoscope. 2023 Sep;133(9):2129-2134. (PMID: 36478209)
Ann Plast Surg. 2012 Apr;68(4):410-4. (PMID: 22421490)
Acad Med. 2014 Feb;89(2):236-43. (PMID: 24270916)
J Surg Educ. 2019 Nov - Dec;76(6):e102-e109. (PMID: 31492638)
PLoS One. 2025 Jul 8;20(7):e0327655. (PMID: 40627612)
Contributed Indexing: Keywords: Graduate Medical Education (GME); curriculum development; flipped classroom; otolaryngology core curriculum; otolaryngology education; standardized curriculum
Entry Date(s): Date Created: 20260430 Date Completed: 20260729 Latest Revision: 20260813
Update Code: 20260813
PubMed Central ID: PMC13418059
DOI: 10.1002/ohn.70260
PMID: 42059152
Database: MEDLINE
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  Data: Assessing the Impact of the Otolaryngology Core Curriculum (OCC): A Pre- and Post-Implementation Analysis.
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  Data: &lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Epperson+MV%22&quot;&gt;Epperson MV&lt;/searchLink&gt;; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Lind+MN%22&quot;&gt;Lind MN&lt;/searchLink&gt;; Department of Otolaryngology-Head and Neck Surgery, Nationwide Children&#39;s Hospital, Columbus, Ohio, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Thorne+MC%22&quot;&gt;Thorne MC&lt;/searchLink&gt;; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Kupfer+RA%22&quot;&gt;Kupfer RA&lt;/searchLink&gt;; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
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– Name: Abstract
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  Data: Objective: Effective didactic education in otolaryngology residency programs is critical. This study evaluated resident and faculty perceptions before and after (Otolaryngology Core Curriculum) OCC implementation.&lt;br /&gt;Study Design: Prospective cohort study.&lt;br /&gt;Setting: Single Otolaryngology residency program (2023-2025).&lt;br /&gt;Methods: Anonymous pre- and post-OCC surveys with Likert-type items were distributed to residents and faculty. Resident surveys assessed weekly didactics preparation time, confidence in otolaryngology knowledge, curriculum effectiveness, comfort identifying educational resources, and perceived exam preparedness. Faculty surveys assessed preparation time, resident knowledge, and engagement. Paired t-tests, Wilcoxon Signed-Rank, and Mann-Whitney U tests were used for analysis.&lt;br /&gt;Results: 24 and 19 residents completed the preimplementation and postimplementation survey, respectively. Weekly resident didactics preparation time increased from 16.3 &#177; 19.4 minutes to 83.9 &#177; 49.0 minutes (P &amp;lt; .00001). Resident confidence in knowledge improved (P = .015) with a large effect size (Cohen&#39;s d = 0.85; 95% CI [0.07, 1.62]). Perceived didactics effectiveness improved (P = .022) with a moderate-to-large effect size (Cohen&#39;s d = 0.79; 95% CI [0.01, 1.55]). Comfort identifying educational resources (P = .08) and perceived examination preparedness (P = .15) improved, nonsignificantly. Faculty preparation time decreased nonsignificantly, 105.0 &#177; 33.7 minutes to 90.0 &#177; 39.7 minutes (P = .35). Faculty-reported resident knowledge improved (P = .011) with a large effect size (Cohen&#39;s d = -1.44; 95% CI [-2.42, -0.43]). Faculty perception of resident engagement improved, nonsignificantly (P = .22).&lt;br /&gt;Conclusion: OCC implementation was associated with an increase in resident didactics preparation time, resident perceived knowledge, and faculty perception of resident knowledge, and increased didactics effectiveness.&lt;br /&gt; (The Author(s). Otolaryngology–Head and Neck Surgery published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
– Name: Ref
  Label: References
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