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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Related Experiment Video

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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Endoscopic part-task training box scores correlate with endoscopic outcomes.

Amy Ou1, Claire M Shin2, Adam J Goodman3

  • 1Department of Medicine, NYU Grossman School of Medicine, 550 First Ave, NBV 16N30, New York, NY, 10016, USA. amy.ou@nyumc.org.

Surgical Endoscopy
|July 29, 2020
PubMed
Summary

The Thompson Endoscopic Skills Trainer (TEST) effectively correlates with established endoscopic performance metrics. This simulation tool can aid in assessing gastroenterology trainees' competency in endoscopy.

Keywords:
Endoscopic outcomesEndoscopic trainingEndoscopyFellowsTraining device

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Area of Science:

  • Medical Education
  • Gastroenterology
  • Surgical Simulation

Background:

  • Traditional endoscopy competency assessment relies on procedure volume.
  • Shift towards milestone-based accreditation necessitates new competency evaluation standards.
  • The Thompson Endoscopic Skills Trainer (TEST) is a validated tool for differentiating novice and expert endoscopists.

Purpose of the Study:

  • To correlate scores from the Thompson Endoscopic Skills Trainer (TEST) with objective endoscopic performance metrics.
  • To evaluate the TEST's utility as a tool for assessing competency in endoscopy.

Main Methods:

  • Gastroenterology fellowship trainees utilized the TEST.
  • TEST scores were correlated with key performance indicators: adenoma detection rate, cecal intubation metrics, procedure time, sedation usage, pain scores, and the ASGE Assessment of Competency in Endoscopy Tool (ACE Tool).

Main Results:

  • Overall TEST scores positively correlated with the ACE Tool Total Score and its sub-scores (Cognitive and Motor Skills).
  • TEST scores showed significant correlations with cecal intubation time, rate, and procedure/withdrawal times.
  • Specific TEST sub-scores (Gross Motor, Fine Motor) demonstrated strong correlations with relevant performance metrics like cecal intubation rate and polypectomy assessment.

Conclusions:

  • Performance on the TEST significantly correlates with established endoscopic performance measures.
  • The TEST shows promise as a supplementary tool for assessing and demonstrating competency in endoscopy.
  • Integration of the TEST into training programs can enhance the objective evaluation of endoscopic skills.