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Changing attitudes toward endolumenal therapy.

J W Hazey¹, B J Dunkin, W S Melvin

¹Department of Surgery, The Ohio State University Medical Center, Columbus, OH 43210-1228, USA. jeffrey.hazey@osumc.edu

Surgical Endoscopy

|October 21, 2006

Summary

Expert presentations significantly improved surgeon attitudes toward adopting new endolumenal therapies. Education is key to accelerating the uptake of these advanced endoscopic techniques.

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Area of Science:

Gastroenterology and Surgical Innovation
Minimally Invasive Surgery

Background:

Adoption of new endolumenal therapies by surgeons is influenced by training and perceived benefits.
Surgeon attitudes toward novel endoscopic procedures require assessment to understand adoption barriers.

Purpose of the Study:

To evaluate the impact of expert-led education on surgeons' attitudes toward adopting endolumenal therapies.
To assess the willingness of surgeons to integrate new endoscopic techniques into their practice.

Main Methods:

A postgraduate course featured expert presentations on various endolumenal therapies.
Participants (primarily surgeons) completed electronic polls on case scenarios before and after presentations.
Attitudinal changes regarding traditional versus endolumenal treatment options were analyzed.

Main Results:

A statistically significant positive shift in attitude toward adopting most endolumenal techniques was observed post-presentation (p < 0.05).
Endoscopic mucosal resection (EMR) and transanal endoscopic microsurgery (TEM) did not show significant attitude change.
76% of respondents agreed that endolumenal techniques should be taught in surgical residency programs.

Conclusions:

Surgeon education on endolumenal therapeutic techniques effectively changes practice attitudes.
Educational interventions can accelerate the adoption of new and advanced endoscopic procedures in surgical practice.

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