Esophageal Manometry Competency Program Improves Gastroenterology Fellow Performance in Motility Interpretation.

Area of Science:

• Gastroenterology
• Medical Education
• Motility Disorders

Background:

• Competency-based medical education (CBME) for esophageal manometry interpretation is underdeveloped.
• A novel adaptive learning program, Esophageal Manometry Competency (EMC), was developed by motility experts and instructional designers.

Purpose of the Study:

• To implement the EMC program among Gastroenterology (GI) trainees.
• To assess the impact of the EMC program on trainees' competency in interpreting esophageal manometry.

Main Methods:

• GI fellows from 14 programs participated in the EMC program.
• The program included a baseline assessment, individualized learning pathways, and a final assessment.
• Competency was measured across 7 individual skill sets for interpreting 30 manometry cases.

Main Results:

• Competency in all 7 skills increased from 9% at baseline to 55% at final assessment (P < 0.001).
• Median skill competency rose from 4 to 7 skills (P < 0.001), with the largest gains in diagnosis (11% to 68%).
• Diagnostic accuracy improved significantly for distinguishing between motility disorder groups.

Conclusions:

• The adaptive, web-based EMC platform effectively promotes CBME in subspecialized medical training.
• EMC implementation led to significant improvements in interpreting esophageal manometry and identifying clinical diagnoses.