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Training in small-bowel capsule endoscopy: assessing and defining competency.

Elizabeth Rajan¹, Prasad G Iyer, Amy S Oxentenko

¹Developmental Endoscopy Unit, Mayo Clinic College of Medicine, Rochester, Minnesota, USA; Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.

Gastrointestinal Endoscopy

|July 30, 2013

Summary

Developing objective measures for capsule endoscopy (CE) competence is crucial. Trainees need over 20 CE interpretations to achieve competency, irrespective of prior endoscopy experience, as shown by the Capsule Competency Test (CapCT).

Keywords:

ANOVA Analysis of variance CE CapCT Capsule Competency Test capsule endoscopy

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Published on: October 16, 2013

Area of Science:

Gastroenterology
Medical Education
Diagnostic Imaging

Background:

Current capsule endoscopy (CE) training relies on guidelines and expert opinion, lacking objective competence measures.
Standardized assessment tools are needed to evaluate proficiency in CE interpretation.

Purpose of the Study:

To establish a structured CE training curriculum for gastroenterology fellows.
To develop and validate the Capsule Competency Test (CapCT) for assessing CE interpretation skills.
To analyze trainee competency and correlate it with experience and staff performance.

Main Methods:

A 6-year prospective study at a tertiary academic center involving gastroenterology fellows and CE staff.
Implementation of structured CE training with supervised interpretation.
Development and administration of the CapCT, alongside data collection on endoscopy experience.

Main Results:

39 fellows and 8 CE staff completed the CapCT.
CE staff achieved a mean CapCT score of 91%.
Trainees with 21-35 CE interpretations scored 85%, significantly lower than staff (P < .001), while those with fewer interpretations scored 79%.

Conclusions:

A structured curriculum and the CapCT can define CE interpretation competency.
Trainees require more than 20 CE interpretations to demonstrate competence.
Previous endoscopy experience did not correlate with CE competence assessment.