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Related Experiment Videos

Computer simulation training enhances patient comfort during endoscopy.

Robert E Sedlack1, Joseph C Kolars, Jeffrey A Alexander

  • 1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
|April 7, 2004
PubMed
Summary

Computer-based endoscopy simulator (CBES) training reduced patient discomfort during flexible sigmoidoscopy. While skills scores showed no change, trainees felt more confident after simulation training.

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Area of Science:

  • Medical Education
  • Gastroenterology
  • Surgical Simulation

Background:

  • The impact of computer-based endoscopy simulator (CBES) training on patient outcomes remains unexamined.
  • This study investigates if CBES training improves trainee endoscopy skills and reduces patient discomfort.

Purpose of the Study:

  • To evaluate the effect of CBES training on patient discomfort during flexible sigmoidoscopy.
  • To assess the impact of CBES training on the procedural skills of endoscopy trainees.

Main Methods:

  • 38 residents underwent either patient-based training (PBT) or simulator-based training (SBT) before flexible sigmoidoscopy (FS).
  • Patient discomfort was graded using a 1-10 scale.
  • Resident performance was assessed by staff and self-evaluation using Likert scales.

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Main Results:

  • SBT residents reported significantly lower median patient discomfort scores (3) compared to PBT residents (4).
  • Both resident groups had higher discomfort scores than experienced staff endoscopists (2).
  • No significant difference was found in procedural skill scores between SBT and PBT groups.

Conclusions:

  • CBES training leads to increased patient comfort, indicating a direct patient benefit.
  • While objective skill improvement was not demonstrated, residents undergoing SBT perceived greater skill acquisition compared to staff evaluations.