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Validation of an endoscopic part-task training box as a skill assessment tool
Pichamol Jirapinyo1, Nitin Kumar1, Christopher C Thompson1
1Division of Gastroenterology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Gastrointestinal Endoscopy
|October 15, 2014
Summary
This study validates an endoscopic part-task training box, showing it objectively assesses skill by differentiating scores based on experience. The training box effectively measures technical endoscopic ability and trainee progress.
Area of Science:
- Medical Education
- Gastroenterology
- Surgical Simulation
Background:
- Current methods for assessing endoscopy trainee progress lack objectivity.
- An endoscopic part-task training box was previously developed.
- Objective assessment tools are crucial for effective surgical training.
Purpose of the Study:
- To evaluate the validity of an endoscopic part-task training box.
- To assess the correlation between endoscopic experience and training box scores.
- To establish the tool's reliability in differentiating skill levels.
Main Methods:
- Prospective validation study conducted across three academic institutions.
- 42 participants (novices to interventional attending physicians) completed a 5-module training box.
- Performance was scored on precision and speed; some participants repeated the training.
Main Results:
- Significant differences in aggregate training box scores were observed across all experience levels (P < .05).
- Individual modules effectively differentiated between novice, fellow, and attending physician groups (P < .01).
- Repeated training demonstrated score improvement and maintained differentiation between experience levels.
Conclusions:
- The endoscopic part-task training box objectively assesses technical endoscopic ability.
- The tool differentiates performance based on clinical experience.
- Further multicenter studies are needed to establish learning curves and clinical correlation.
