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Author Spotlight: Demonstrating Systematic Endobronchial Ultrasound to New Endoscopists

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Published on: August 11, 2023

Prospective study on comparison of simulation-based mastery learning versus conventional apprentice-based learning

Hasan Maulahela¹, Roy M Soetikno², Tonya R Kaltenbach²

¹Division of Gastroenterology, Department of Internal Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Central Jakarta, Indonesia.

Journal of Gastroenterology and Hepatology

|November 1, 2024

Summary

Simulation-based mastery learning (SBML) significantly improves upper endoscopy training outcomes. Trainees using SBML achieved higher skills and a steeper learning curve than traditional apprenticeship methods.

Keywords:

Competency‐based education Curriculum education Endoscopy Mastery learning Simulation training

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Area of Science:

Medical Education
Gastroenterology
Surgical Simulation

Background:

Endoscopy training traditionally relies on apprenticeship.
Simulation-based mastery learning (SBML) shows potential for enhanced training efficiency.
Comparative studies are needed to validate SBML's superiority.

Purpose of the Study:

To prospectively compare upper endoscopy training outcomes.
To evaluate SBML against conventional apprenticeship methods.

Main Methods:

A blinded, comparative study design.
Trainees practiced deconstructed steps (SBML) or observed procedures (apprenticeship).
Skills assessed using a validated esophagogastroduodenoscopy (EGD) tool pre- and post-training.

Main Results:

All SBML trainees met the minimum pass standard; a trend was observed in the conventional group (P=0.06).
SBML trainees showed significantly higher overall endoscopic skills (P<0.05).
SBML demonstrated three times greater learning (Cohen's d=6.5) versus apprenticeship (d=1.8).

Conclusions:

SBML is a superior method for upper endoscopy training compared to apprenticeship.
SBML accelerates the learning curve, enabling trainees to learn three times more.
SBML fosters uniform competency levels among trainees.