Supporting self-regulated-learning in colonoscopy training-A comparison cohort trial.

Area of Science:

• Medical Education
• Gastroenterology
• Surgical Skills Training

Background:

• Colonoscopy is crucial for colorectal cancer screening and polyp removal.
• Acquiring colonoscopy proficiency is challenging, requiring extensive practice.
• Self-regulated learning (SRL) may enhance learning by empowering trainees to manage their learning environment, cognitions, motivation, and emotions.

Purpose of the Study:

• To evaluate the effectiveness of a self-regulated learning (SRL) approach in improving colonoscopy performance skills.
• To investigate the feasibility of implementing SRL strategies in workplace-based colonoscopy training.

Main Methods:

• A comparison cohort trial involving 21 participants (12 intervention, 9 control).
• Intervention group utilized SRL supports: self-review of videotaped colonoscopies and an online learning platform.
• Colonoscopy performance was assessed using the Gastrointestinal Endoscopy Competency Assessment Tool (GiECAT) at three time points.

Main Results:

• No statistically significant differences in performance scores were observed between the SRL intervention group and the control group.
• Analysis of variance revealed no significant main effects of cohort, test, or interactions on GiECAT ratings.
• The study recorded 58 videos, with a high intraclass correlation coefficient (0.88) indicating reliable video-based ratings.

Conclusions:

• Implementing self-regulated learning (SRL) in patient-based colonoscopy training is feasible.
• The current SRL intervention did not demonstrate a clear, statistically significant effect on improving colonoscopy performance skills.
• Further investigation is warranted to refine SRL strategies for optimizing colonoscopy training outcomes.