A Prospective Multicenter Study Evaluating Endoscopy Competence Among Gastroenterology Trainees in the Era of the Next Accreditation System.
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Han Samuel, Obuch Joshua C, Duloy Anna M, Keswani Rajesh N, Hall Matt, Simon Violette, Ezekwe Eze, Menard-Katcher Paul, Patel Swati G, Aagard Eva, Brimhall Bryan, Ahmad Asyia, Alghamdi Saad, Brown Michael D, Broy Charles, Carlin Linda, Chugh Priyanka, Connolly Sean E, Cooley D Matthew, Cowley Kevin, Di Palma Jack A, Early Dayna S, Ellert Swan, Gaumnitz Eric A, Ghassemi Kevin A, Lebovics Edward, Lee Robert H, Lunsford Tisha, Massaad Julia, Mittal Mohit, Morigeau Kirsten, Pietrak Stanley, Piper Michael, Shah Anand S, Shapiro Alan, Sonnier William, Sorrell Cari, Vignesh Shivakumar, Woolard Shani, Wani Sachin
Аннотация
METHOD: During academic year 2016-2017, the authors performed a prospective multicenter cohort study, inviting participants from multiple GI training programs. Trainee technical and cognitive skills were assessed using a validated competence assessment tool. An integrated, comprehensive data collection and reporting system was created to apply cumulative sum analysis to generate learning curves that were shared with program directors and trainees on a quarterly basis.
RESULTS: Out of 183 fellowships invited, 129 trainees from 12 GI fellowships participated, with an overall trainee participation rate of 72.1% (93/129); the highest participation level was among first-year trainees (90.9%; 80/88), and the lowest was among third-year trainees (51.2%; 27/53). In all, 1,385 EGDs and 1,293 colonoscopies were assessed. On aggregate learning curve analysis, third-year trainees achieved competence in overall technical and cognitive skills, while first- and second-year trainees demonstrated the need for ongoing supervision and training in the majority of technical and cognitive skills.
CONCLUSIONS: This study demonstrated the feasibility of using a centralized feedback system for the evaluation and documentation of trainee performance in EGD and colonoscopy. Furthermore, third-year trainees achieved competence in both endoscopic procedures, validating the effectiveness of current training programs.