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Related Experiment Videos

AAFP--ASGE conjoint course on flexible sigmoidoscopy.

W M Rodney1, E Felmar, M Auslander

  • 1Department of Family Medicine, San Bernardino County Medical Center, CA 92415-0935.

Family Practice Research Journal
|January 1, 1986
PubMed
Summary

Family physicians trained in flexible sigmoidoscopy (FS) were more likely to acquire the instrument. Most purchased longer scopes, indicating a need for further study on colorectal cancer screening impact.

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Area of Science:

  • Gastroenterology
  • Primary Care Medicine
  • Medical Education

Background:

  • Flexible sigmoidoscopy (FS) is a key procedure for colorectal cancer screening.
  • Primary care physicians play a crucial role in cancer screening.
  • Multidisciplinary training programs can enhance procedural skill acquisition.

Purpose of the Study:

  • To describe a novel multidisciplinary training course for flexible sigmoidoscopy (FS).
  • To assess the impact of FS training on instrument acquisition by family physicians.
  • To evaluate the preferred length of flexible sigmoidoscopes purchased by physicians.

Main Methods:

  • A prototype training program was developed by the American Academy of Family Physicians and the American Society for Gastrointestinal Endoscopy.
  • Twenty family physicians were trained in 35 cm flexible sigmoidoscopy (FS) by gastroenterologist preceptors.
  • Instrument acquisition rates were compared between physicians with and without prior FS continuing medical education (CME).

Main Results:

  • All 20 trained family physicians mastered FS skills within ten supervised cases.
  • Physicians who underwent the FS training course acquired instruments significantly more frequently (95%) compared to those with prior CME (57%) or no prior CME (11%).
  • Two-thirds of physicians purchased longer 60-65 cm flexible sigmoidoscopes instead of the 35 cm training model.

Conclusions:

  • The multidisciplinary FS training program successfully equipped family physicians with procedural skills.
  • Training significantly increased flexible sigmoidoscope acquisition rates among primary care physicians.
  • The preference for longer scopes suggests potential implications for colorectal cancer screening practices that warrant further investigation.

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