The gastrointestinal endoscopy competency assessment tool for pediatric colonoscopy

Area of Science:

• Gastroenterology
• Medical Education
• Surgical Skills Assessment

Background:

• Competency-based medical education requires validated assessment tools.
• Pediatric colonoscopy performance assessment needs standardized evaluation methods.

Purpose of the Study:

• To assess the reliability and validity of the Gastrointestinal Endoscopy Competency Assessment Tool for Pediatric Colonoscopy (GiECATKIDS).
• To establish GiECATKIDS as a tool to support pediatric colonoscopy training and assessment.

Main Methods:

• GiECATKIDS comprises a 7-item global rating scale (GRS) and an 18-item checklist (CL).
• 104 colonoscopies by 56 endoscopists (novice, intermediate, advanced) were assessed by attending physicians.
• Interrater and test-retest reliability were evaluated using intraclass correlation coefficients (ICC).
• Discriminative and concurrent validity were examined against experience levels and procedural outcomes.

Main Results:

• High interrater (ICC=0.88) and excellent test-retest (ICC=0.94) reliability were observed for GiECATKIDS.
• Significant differences in scores were found across novice, intermediate, and advanced endoscopists (P<0.001).
• Strong positive correlations were noted between GiECATKIDS scores and colonoscopy experience, cecal/ileal intubation rates, and physician global assessment.

Conclusions:

• The GiECATKIDS demonstrates robust reliability and validity for pediatric colonoscopy performance assessment.
• This validated tool can effectively support competency-based training and evaluation in pediatric endoscopy.