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Evaluation of formal feedback on endoscopic competence among trainees: the EFFECT trial
G C Harewood1, F Murray, S Winder
1Department of Gastroenterology and Hepatology, Beaumont Hospital, Dublin 9, Ireland. harewood.gavin@gmail.com
Introduction:
The medical literature describes disparity in colonoscopy performance. This randomised, controlled study aimed to characterise the impact of feedback on colonoscopy performance among gastroenterology (GI) trainees.
Methods:
Gastroenterology trainees of similar experience levels who independently performed 581 colonoscopies over the study period were randomised to receive feedback/no feedback on their colonoscopy performance.
Results:
Baseline colonoscopy performance was similar in both groups. Following feedback, caecal intubation improved by 10.5% (from 72.9 to 83.4%, p = 0.04) in the feedback group and declined by 6.1% (from 78 to 71.9%, p = 0.2) in the control group; polyp detection improved by 5.1% (from 12.9 to 18.0%, p = 0.2) in the feedback group and by 2.9% (from 16.7 to 19.6%, p = 0.5) in the control group.
Conclusions:
Systematic feedback appears to enhance colonoscopy performance among GI trainees.
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