TITLE

THE SHEFFIELD COLONOSCOPY COURSE IMPROVES KNOWLEDGE AND PERFORMANCE OF CANDIDATES

AUTHOR(S)
McAlindon, M.E.; Donnelly, M.T.; Hebden, J.M.; Riley, S.A.
PUB. DATE
April 2003
SOURCE
Gut;Apr2003 Supplement 1, Vol. 52, pA115
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: JAG guidelines recommend that all trainees attend a course in basic colonoscopy skills. The Sheffield course is an intensive 3 day course featuring lectures, seminars, mannequin training and hands on colonoscopy training. Aims: To provide subjective and objective assessments of the learning experience of course delegates. Methods: Trainees were studied immediately before and on completion of the course. We assessed: 1) the trainees' perception of their knowledge in 14 key areas using visual analogue scales, 2) 50 true/false questions (with negative marking), 3) the trainees practical, observational and reporting skills using an observer-blinded assessment of colonoscopy performance on a mannequin. Statistics were analysed using a paired T test. Results: Following the course, trainees' perception of their knowledge and understanding increased with respect to informed consent, indications/contraindications, sedation/monitoring, landmark recognition, loops and resolution, diathermy, hot biopsy and polypectomy, dye spraying and endoscopic mucosal resection (p < 0.05). A less clear improvement was seen in knowledge of bowel preparation (p = 0.08) and endoscopic disinfection (p = 0.06). There was no change in scores in 3 interventional techniques not taught on the course. True/false test scores improved from 22 (14-35) to 36 (23-42), p < 0.05. In addition, the quality of the withdrawal technique improved in all trainees and withdrawal time more than doubled (4m 16s (1m59s-7m19s) to 8m58s (6m36s-11m28s, p < 0.05). All significant pathology, missed by some before the course, was detected on retesting. Conclusions: Basic skills colonoscopy courses provide measurable improvements in perception and knowledge and practical colonoscopy skills. The results of these assessments may be usefully fedback to the trainees.
ACCESSION #
9748066

 

Related Articles

  • CAN AN INTENSIVE, STRUCTURED TRAINING WEEK IMPROVE COLONOSCOPY PERFORMANCE? Thomas-Gibson, S.; Thapar, C.J.; Schofield, G.; Rutter, M.D.; Suzuki, N.; Williams, C.B.; Saunders, B.P. // Gut;Apr2003 Supplement 1, Vol. 52, pA33 

    Introduction: We developed a structured colonoscopy training course aimed at improving technique of trainees with intermediate colonoscopy skills. Methods: 12 specialist registrars (8 surgeons, 4 physicians) attended for a week of comprehensive colonoscopy training and assessment in 3 main...

  • COLONOSCOPY TRAINING: 90% CAECAL INTUBATIO—HOW EASY? HOW LONG? Kumar, A.; Ashraf, W. // Gut;Apr2003 Supplement 1, Vol. 52, pA75 

    Background: JAG and ASGE recommended guidelines advocate over 90% caecal intubation rate for successful colonoscopy training. Most Gl fellows in structured training programmes in the USA achieve this in 2-3 years. There is a lack of structured colonoscopy training programmes in the UK hence a...

  • THE DEVELOPMENT OF A MULTIPLE CHOICE QUESTION PAPER FOR TRAINING AND ASSESSMENT IN COLONOSCOPY. Thomas-Gibson, S.; Rutter, M.D.; Suzuki, N.; Vance, M.E.; Williams, C.B.; Saunders, B.P. // Gut;Apr2003 Supplement 1, Vol. 52, pA74 

    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...

  • VARIATIONS IN REPORTING COLONOSCOPY FINDINGS BY DIFFERENT ENDOSCOPISTS AT A SINGLE CENTRE. Spencer, H.L.; Riley, S.A. // Gut;Apr2003 Supplement 1, Vol. 52, pA75 

    Introduction: Colonoscopy is a fundamental investigation for the gastroenterologist. Recently training guidelines have been issued to promote technical and diagnostic competence. Few studies have addressed the consistency or importance of interpretational skills. Methods: A prospective study was...

  • Endoscopy training: time to stop counting procedures? Bretthauer, Michael; Brandrud, Aleidis Skard // Gut;Nov2014, Vol. 63 Issue 11, p1686 

    The authors reflect upon the need to formalise and structure training of endoscopists. They recommend increasing the number of times the procedure is performed during training to ensure stained improvement in the quality of endoscopy and state that patient outcomes in cases like post-colonoscopy...

  • The cap-assisted technique enhances colonoscopy training: prospective randomized study of six trainees. Park, Sang; Lee, Soon; Shin, Keun; Heo, Jun; Sung, Sang; Park, Soon; Choi, So; Lee, Dong; Park, Hyun; Lee, Hyun; Jeon, Seong; Kim, Sung; Jung, Min // Surgical Endoscopy;Oct2012, Vol. 26 Issue 10, p2939 

    Background: Colonoscopy and polypectomy procedures have effectively reduced the incidence of colorectal cancer. Currently, competence in colonoscopy is an essential part of the education program for gastrointestinal (GI) trainees. However, considerable training is required for the optimal...

  • An Endoscopic Quality Improvement Program Improves Detection of Colorectal Adenomas. Coe, Susan G; Crook, Julia E; Diehl, Nancy N; Wallace, Michael B // American Journal of Gastroenterology;Feb2013, Vol. 108 Issue 2, p219 

    OBJECTIVES:Adenoma detection rate (ADR) is a key measure of quality in colonoscopy. Low ADRs are associated with development of interval cancer after 'negative' colonoscopy. Uncontrolled studies mandating longer withdrawal time, and other incentives, have not significantly improved ADR. We...

  • Use of the Colonoscope Training Model with the Colonoscope 3D Imaging Probe Improved Trainee Colonoscopy Performance: A Pilot Study. Kaltenbach, Tonya; Leung, Cynthia; Wu, Kuan; Yan, Kelley; Friedland, Shai; Soetikno, Roy // Digestive Diseases & Sciences;May2011, Vol. 56 Issue 5, p1496 

    Background: Colonoscopy insertion is difficult to teach due to the inability of current training models to provide realistic tactile sensation with simultaneous three-dimensional (3D) colonoscope display. Aims: To assess the influence of a simulator consisting of a colon model coupled with 3D...

  • Computer Health-Care Training. Cunliff, Ed; Crandall, Sonia J.S. // Training & Development Journal;Jul86, Vol. 40 Issue 7, p50 

    No abstract available.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics