دورية أكاديمية
Development and validation of metric-based-training to proficiency simulation curriculum for upper gastrointestinal endoscopy using a novel assessment checklist
| العنوان: | Development and validation of metric-based-training to proficiency simulation curriculum for upper gastrointestinal endoscopy using a novel assessment checklist |
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| المؤلفون: | Nahla Azzam, Nehal Khamis, Majid Almadi, Faisal Batwa, Fahad Alsohaibani, Abdulrahman Aljebreen, Ahmad Alharbi, Yasser Alaska, Turki Alameel, Peter Irving, Richard M Satava |
| المصدر: | The Saudi Journal of Gastroenterology, Vol 26, Iss 4, Pp 179-187 (2020) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Diseases of the digestive system. Gastroenterology |
| مصطلحات موضوعية: | assessment tool, colonoscopy, curriculum, endoscopy skills, gastroscopy, gastroenterology training, metrics, simulation, training to proficiency, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Background/Aims: This study aimed to design a structured simulation training curriculum for upper endoscopy and validate a new assessment checklist. Materials and Methods: A proficiency-based progression stepwise curriculum was developed consisting of didactic, technical and non-technical components using a virtual reality simulator (VRS). It focused on: scope navigation, anatomical landmarks identification, mucosal inspection, retro-flexion, pathology identification, and targeting biopsy. A total of 5 experienced and 10 novice endoscopists were recruited. All participants performed each of the selected modules twice, and mean and median performance were compared between the two groups. Novices pre-set level of proficiency was set as 2 standard deviations below the mean of experts. Performance was assessed using multiple-choice questions for knowledge, while validated simulator parameters incorporated into a novel checklist; Simulation Endoscopic Skill Assessment Score (SESAS) were used for technical skills. Results: The following VRS outcome measures have shown expert vs novice baseline discriminative ability: total procedure time, number of attempts for esophageal intubation and time in red-out. All novice trainees achieved the preset level of proficiency by the end of training. There were no statistically significant differences between experts' and trainees' rate of complications, landmarks identification and patient discomfort. SESAS checklist showed high degree of agreement with the VRS metrices (kappa = 0.83) and the previously validated direct observation of procedural skills tool (kappa = 0.90). Conclusion: The Fundamentals of Gastrointestinal Endoscopy simulation training curriculum and its SESAS global assessment tool have been primarily validated and can serve as a valuable addition to the gastroenterology fellowship programs. Follow up study of trainee performance in workplaces is recommended for consequences validation. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1319-3767 1998-4049 |
| Relation: | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2020;volume=26;issue=4;spage=179;epage=187;aulast=Azzam; https://doaj.org/toc/1319-3767; https://doaj.org/toc/1998-4049 |
| DOI: | 10.4103/sjg.SJG_113_20 |
| URL الوصول: | https://doaj.org/article/cceadba78bec43bd80c3a87e99b26370 |
| رقم الأكسشن: | edsdoj.ba78bec43bd80c3a87e99b26370 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 13193767 19984049 |
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| DOI: | 10.4103/sjg.SJG_113_20 |