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Methods for certification in colonoscopy - a systematic review.

Louise Preisler1,2, Morten Bo Søndergaard Svendsen2, Lars Bo Svendsen1

  • 1a Department of Surgical Gastroenterology and Transplantation C , Rigshospitalet, University of Copenhagen and the Capital Region of Denmark , Copenhagen , Denmark.

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|January 25, 2018
PubMed
Summary
This summary is machine-generated.

Most colonoscopy assessment tools lack sufficient validity evidence. Further research is needed to develop reliable and feasible methods for ensuring colonoscopy competence.

Keywords:
Assessmentcertificationcolonoscopyeducationvalidation

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Area of Science:

  • Medical Education
  • Gastroenterology
  • Clinical Skills Assessment

Background:

  • Reliable, valid, and feasible assessment tools are crucial for ensuring colonoscopy competence.
  • Existing assessment methods for colonoscopy competency require comprehensive evaluation.

Purpose of the Study:

  • To provide an overview of current colonoscopy assessment methods.
  • To evaluate the validity evidence supporting these assessment tools.

Main Methods:

  • A systematic search was conducted in October 2016 across Pubmed, EMBASE, and PsycINFO.
  • Studies evaluating colonoscopy competency assessment methods were included.
  • Validity evidence was explored using a contemporary framework.

Main Results:

  • Twenty-five observational studies were reviewed, many with small sample sizes.
  • Assessment methods were categorized into five groups: clinical process, direct observation, simulator-based, computerized, and self-assessment.
  • Only five studies provided sufficient validity evidence for clinical recommendation.

Conclusions:

  • The objectives and scope of assessment tools vary, with a trend towards specific technical skill evaluation.
  • The majority of current colonoscopy assessment methods lack adequate validity evidence.
  • Development of robust and validated assessment tools is essential for ensuring colonoscopy proficiency.