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Simulation-based training improves polypectomy skills among practicing endoscopists.

Ronak V Patel1, Jeffrey H Barsuk2,3, Elaine R Cohen2

  • 1Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States.

Endoscopy International Open
|November 18, 2021
PubMed
Summary
This summary is machine-generated.

Simulation-based training significantly improved colonoscopy polypectomy skills for practicing endoscopists. This intervention enhanced overall competency and the rate of successful sessile polypectomies, indicating a valuable new training method.

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Area of Science:

  • Gastroenterology
  • Medical Education
  • Surgical Simulation

Background:

  • Practicing endoscopists exhibit variable skill levels in colonoscopic polypectomy.
  • Limited opportunities exist for improving these procedural skills.
  • Simulation-based training is a potential method to enhance endoscopic competency.

Purpose of the Study:

  • To develop and evaluate a simulation-based intervention aimed at improving polypectomy skills among practicing endoscopists.
  • To assess the impact of simulation training on both sessile and stalked polypectomy competency.

Main Methods:

  • A simulation-based intervention was designed for faculty endoscopists.
  • Participants underwent pretest assessment, followed by a training module (video, practice, feedback).
  • Post-test assessment used the Direct Observation of Polypectomy Skills (DOPyS) checklist to evaluate competency.

Main Results:

  • A significant increase in endoscopist competency was observed post-intervention (17% to 52%, P=.01).
  • The overall competent polypectomy rate improved from 55% to 71% (P<.01).
  • Improvement was significant for sessile polypectomy (37% to 65%, P<.01) but not for stalked polypectomy (82% to 80%, P=.70).

Conclusions:

  • Simulation-based training effectively enhanced polypectomy skills in practicing endoscopists.
  • The intervention demonstrated particular efficacy in improving sessile polypectomy techniques.
  • Further research is warranted to confirm the transfer of these simulation-acquired skills to clinical practice.