TITLE

THE DEVELOPMENT OF A MULTIPLE CHOICE QUESTION PAPER FOR TRAINING AND ASSESSMENT IN COLONOSCOPY

AUTHOR(S)
Thomas-Gibson, S.; Rutter, M.D.; Suzuki, N.; Vance, M.E.; Williams, C.B.; Saunders, B.P.
PUB. DATE
April 2003
SOURCE
Gut;Apr2003 Supplement 1, Vol. 52, pA74
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Core knowledge is fundamental to good colonoscopy practise. Methods: As part of a training programme developed at our institution a bank of multiple choice questions (MCQs) was designed. A "curriculum" of topics relevant to colonoscopy was drawn up including gross and endoscopic anatomy; embryology of the colon; patient preparation; instrument functions' technique' endoscopic clinical conditions; complications; and patient follow up. Several hundred questions were designed in MCQ, true/false format. Senior endoscopists performed initial selection and verification of questions. Ambiguous questions were excluded or replaced. Two 30 question papers were formulated, papers A and B, and were combined as a 60 question paper, AB. Each question had 5 stems (a total of 300 questions). Question papers were negatively marked (one mark for a correct answer, minus one mark for an incorrect answer, no marks for a question left blank). 3 groups sat the MCQ: 9 endoscopy nurses (novices), 8 colonoscopy trainees (previous experience of 50-500 colonoscopies) and 3 experienced endoscopists (1 nurse, 2 physicians; 500-5000 previous colonoscopies). The trainees sat paper A or B before an intensive week of colonoscopy training and paper AB at the end of the week. Results: In the trainee group there was no significant difference in the mean scores for papers A and B pre-training 60.5% versus 49% (p = 0.189). Conclusions: This MCQ paper can differentiate between endoscopists of different standards. A week of intensive training brings moderately experienced trainees up to the standard of knowledge of experienced endoscopists. This MCQ can be used as a training and assessment tool.
ACCESSION #
9747779

 

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