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Proficiency-based preparation significantly improves FES certification performance.

Angela A Guzzetta1, Joshua J Weis1, Sara A Hennessy1

  • 1University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX, 75390-9092, USA.

Surgical Endoscopy
|April 13, 2018
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Summary
This summary is machine-generated.

A new proficiency-based curriculum significantly improved Fundamentals of Endoscopic Surgery (FES) exam pass rates for surgical residents. This flexible endoscopy curriculum, incorporating skills training and online materials, led to 87% certification.

Keywords:
Endoscopy simulationFESFundamentals of Endoscopic SurgeryResident endoscopy training

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Gastroenterology

Background:

  • The American Board of Surgery mandates Fundamentals of Endoscopic Surgery (FES) certification, yet effective preparation methods are scarce.
  • Previous program data indicated a low 40% pass rate for senior surgical residents (PGY5) in FES.
  • Existing clinical endoscopy curricula proved insufficient for FES exam success.

Purpose of the Study:

  • To evaluate the effectiveness of a novel proficiency-based curriculum for FES certification.
  • To assess the impact of a combined skills and cognitive training program on resident performance.

Main Methods:

  • Fifteen surgical residents participated in an orientation and skills pre-testing using standardized models and the FES exam.
  • Participants underwent proficiency-based training on bench-top models and completed online didactic materials for the cognitive component.
  • Post-testing included skills assessment and the actual FES certification exam.

Main Results:

  • Baseline FES skills exam pass rate was 53% (8/15 residents).
  • Proficiency was achieved in an average of 2.7 hours for skills and 3 hours for cognitive training.
  • Post-intervention, 93% passed the skills exam (p=0.041), 93% passed the cognitive exam, and 87% achieved FES certification.

Conclusions:

  • A proficiency-based flexible endoscopy curriculum utilizing simulation models and online learning is feasible and effective.
  • This targeted curriculum significantly improved FES exam pass rates, with 87% of trainees achieving certification.
  • Further curriculum refinements may enhance preparation and success rates for future residents.