Simulation-Based Training of Non-Technical Skills in Colonoscopy: Protocol for a Randomized Controlled Trial

Area of Science:

• Medical Education
• Gastroenterology
• Surgical Skills Training

Background:

• Non-technical skills (NTS), including communication and professionalism, are crucial for safe and effective medical procedures.
• Previous research indicates NTS training improves surgical performance and endoscopic outcomes.
• However, NTS training has not been specifically evaluated as an intervention in endoscopy.

Purpose of the Study:

• To assess the effectiveness of a simulation-based training (SBT) curriculum focused on NTS for novice endoscopists.
• To determine the impact of NTS training on the clinical performance of colonoscopy.

Main Methods:

• Novice endoscopists were randomized into a control group and an NTS intervention group.
• Both groups received didactic sessions and SBT; the NTS group had an additional hour dedicated to NTS teaching and feedback.
• Participants were assessed at baseline, immediately post-training, and 4-6 weeks later, with colonoscopy performance as the primary outcome.

Main Results:

• The study involved 42 novice endoscopists, with data collection and analysis ongoing at the time of the abstract.
• Anticipated completion of assessments by August 2017 and manuscript submission by December 2017.
• Preliminary findings suggest potential improvements in NTS and clinical performance.

Conclusions:

• Findings may guide the integration of NTS training into postgraduate gastrointestinal curricula.
• NTS curricula could enhance trainees' attitudes toward patient safety and self-reflection.
• Improved NTS are hypothesized to lead to better clinical colonoscopy outcomes.