Simulation-based training improves polypectomy skills among practicing endoscopists

Background and study aims Practicing endoscopists have variable polypectomy skills during colonoscopy and limited training opportunities for improvement. Simulation-based training enhances procedural skill, but its impact on polypectomy is unclear. We developed a simulation-based polypectomy interve...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ronak V. Patel, Jeffrey H. Barsuk, Elaine R. Cohen, Sachin B. Wani, Amit Rastogi, William C. McGaghie, Diane B. Wayne, Rajesh N. Keswani, Srinadh Komanduri
Formato:	article
Lenguaje:	EN
Publicado:	Georg Thieme Verlag KG 2021
Materias:	Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/e001aefc7a354ecba7076a69da4c794f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e001aefc7a354ecba7076a69da4c794f
record_format	dspace
spelling	oai:doaj.org-article:e001aefc7a354ecba7076a69da4c794f2021-11-13T00:00:31ZSimulation-based training improves polypectomy skills among practicing endoscopists2364-37222196-973610.1055/a-1525-5620https://doaj.org/article/e001aefc7a354ecba7076a69da4c794f2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/a-1525-5620https://doaj.org/toc/2364-3722https://doaj.org/toc/2196-9736Background and study aims Practicing endoscopists have variable polypectomy skills during colonoscopy and limited training opportunities for improvement. Simulation-based training enhances procedural skill, but its impact on polypectomy is unclear. We developed a simulation-based polypectomy intervention to improve polypectomy competency. Methods All faculty endoscopists at our tertiary care center who perform colonoscopy with polypectomy were recruited for a simulation-based intervention assessing sessile and stalked polypectomy. Endoscopists removed five polyps in a simulation environment at pretest followed by a training intervention including a video, practice, and one-on-one feedback. Within 1–4 weeks, endoscopists removed five new simulated polyps at post-test. We used the Direct Observation of Polypectomy Skills (DOPyS) checklist for assessment, evaluating individual polypectomy skills, and global competency (scale: 1–4). Competency was defined as an average global competency score of ≥ 3. Results 83 % (29/35) of eligible endoscopists participated and 95 % (276/290) of planned polypectomies were completed. Only 17 % (5/29) of endoscopists had average global competency scores that were competent at pretest compared with 52 % (15/29) at post-test (P = 0.01). Of all completed polypectomies, the competent polypectomy rate significantly improved from pretest to post-test (55 % vs. 71 %; P < 0.01). This improvement was significant for sessile polypectomy (37 % vs. 65 %; P < 0.01) but not for stalked polypectomy (82 % vs. 80 %; P = 0.70). Conclusions Simulation-based training improved polypectomy skills among practicing endoscopists. Further studies are needed to assess the translation of simulation-based education to clinical practice.Ronak V. PatelJeffrey H. BarsukElaine R. CohenSachin B. WaniAmit RastogiWilliam C. McGaghieDiane B. WayneRajesh N. KeswaniSrinadh KomanduriGeorg Thieme Verlag KGarticleDiseases of the digestive system. GastroenterologyRC799-869ENEndoscopy International Open, Vol 09, Iss 11, Pp E1633-E1639 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Diseases of the digestive system. Gastroenterology RC799-869 Ronak V. Patel Jeffrey H. Barsuk Elaine R. Cohen Sachin B. Wani Amit Rastogi William C. McGaghie Diane B. Wayne Rajesh N. Keswani Srinadh Komanduri Simulation-based training improves polypectomy skills among practicing endoscopists
description	Background and study aims Practicing endoscopists have variable polypectomy skills during colonoscopy and limited training opportunities for improvement. Simulation-based training enhances procedural skill, but its impact on polypectomy is unclear. We developed a simulation-based polypectomy intervention to improve polypectomy competency. Methods All faculty endoscopists at our tertiary care center who perform colonoscopy with polypectomy were recruited for a simulation-based intervention assessing sessile and stalked polypectomy. Endoscopists removed five polyps in a simulation environment at pretest followed by a training intervention including a video, practice, and one-on-one feedback. Within 1–4 weeks, endoscopists removed five new simulated polyps at post-test. We used the Direct Observation of Polypectomy Skills (DOPyS) checklist for assessment, evaluating individual polypectomy skills, and global competency (scale: 1–4). Competency was defined as an average global competency score of ≥ 3. Results 83 % (29/35) of eligible endoscopists participated and 95 % (276/290) of planned polypectomies were completed. Only 17 % (5/29) of endoscopists had average global competency scores that were competent at pretest compared with 52 % (15/29) at post-test (P = 0.01). Of all completed polypectomies, the competent polypectomy rate significantly improved from pretest to post-test (55 % vs. 71 %; P < 0.01). This improvement was significant for sessile polypectomy (37 % vs. 65 %; P < 0.01) but not for stalked polypectomy (82 % vs. 80 %; P = 0.70). Conclusions Simulation-based training improved polypectomy skills among practicing endoscopists. Further studies are needed to assess the translation of simulation-based education to clinical practice.
format	article
author	Ronak V. Patel Jeffrey H. Barsuk Elaine R. Cohen Sachin B. Wani Amit Rastogi William C. McGaghie Diane B. Wayne Rajesh N. Keswani Srinadh Komanduri
author_facet	Ronak V. Patel Jeffrey H. Barsuk Elaine R. Cohen Sachin B. Wani Amit Rastogi William C. McGaghie Diane B. Wayne Rajesh N. Keswani Srinadh Komanduri
author_sort	Ronak V. Patel
title	Simulation-based training improves polypectomy skills among practicing endoscopists
title_short	Simulation-based training improves polypectomy skills among practicing endoscopists
title_full	Simulation-based training improves polypectomy skills among practicing endoscopists
title_fullStr	Simulation-based training improves polypectomy skills among practicing endoscopists
title_full_unstemmed	Simulation-based training improves polypectomy skills among practicing endoscopists
title_sort	simulation-based training improves polypectomy skills among practicing endoscopists
publisher	Georg Thieme Verlag KG
publishDate	2021
url	https://doaj.org/article/e001aefc7a354ecba7076a69da4c794f
work_keys_str_mv	AT ronakvpatel simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists AT jeffreyhbarsuk simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists AT elainercohen simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists AT sachinbwani simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists AT amitrastogi simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists AT williamcmcgaghie simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists AT dianebwayne simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists AT rajeshnkeswani simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists AT srinadhkomanduri simulationbasedtrainingimprovespolypectomyskillsamongpracticingendoscopists
_version_	1718430346468392960

Simulation-based training improves polypectomy skills among practicing endoscopists

Ejemplares similares