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A supervised training program in flexible sigmoidoscopy: evaluating skills from residency training to clinical
R B Lewan1, W N Baskin, M W Sharon
1Department of Family Practice, Medical College of Wisconsin, Milwaukee.
Family Medicine
|January 1, 1989
Summary
Family practice residents achieved effective flexible sigmoidoscopy skills through a dedicated training program. Post-training, their examination depth improved, detecting polyps and cancer similarly to experts.
Area of Science:
- Medical Education
- Gastroenterology
- Family Medicine
Background:
- Flexible sigmoidoscopy is a crucial diagnostic tool in family practice.
- Standardized training is essential for developing proficiency in endoscopic procedures.
Purpose of the Study:
- To evaluate the efficacy of a specific training program for family practice residents in flexible sigmoidoscopy.
- To compare resident performance during training versus post-residency.
Main Methods:
- Prospective study comparing 104 training exams with 118 post-training exams.
- Performance metrics included depth of insertion, polyp/cancer identification, and exam duration.
- Statistical analysis using Student's t-test to compare pre- and post-training data.
Main Results:
- Mean insertion depth significantly increased post-training (51.1 cm vs. 47.6 cm, P < .05).
- No significant difference in polyp or cancer detection rates between training and post-training periods.
- Post-training exams averaged 17.3 minutes, with no significant complications reported.
Conclusions:
- The flexible sigmoidoscopy training model effectively developed procedural skills in family practice residents.
- Trained residents demonstrated comparable diagnostic capabilities to experienced endoscopists, albeit with longer procedure times.