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Self-assessment with pediatric inflammatory bowel disease endoscopy scoring tools: A quality improvement pilot study
Alexandra S Hudson1, Ghassan Wahbeh1, Dale Lee1
1Division of Pediatric Gastroenterology, Seattle Children's Hospital University of Washington Seattle Washington USA.
Insights
Pediatric gastroenterologists showed low comfort with inflammatory bowel disease (IBD) endoscopy tools. An evidence-based presentation significantly improved their knowledge and comfort, highlighting the need for ongoing education in IBD care.
Area of Science:
- Pediatric Gastroenterology
- Inflammatory Bowel Disease (IBD) Research
- Endoscopic Assessment Tools
Background:
- Endoscopy is crucial in pediatric gastroenterology for managing inflammatory bowel disease (IBD).
- Variations in pediatric IBD endoscopy expertise can impact patient care quality.
- Standardized assessment tools are vital for consistent IBD evaluation.
Purpose of the Study:
- To assess pediatric gastroenterologists' familiarity with key endoscopic assessment tools for IBD.
- To evaluate the impact of an evidence-based presentation on their comfort levels.
- To identify areas for improvement in IBD endoscopy education.
Main Methods:
- A pilot quality improvement study was conducted.
- Familiarity with 13 endoscopic assessment tools was measured pre- and post-presentation.
- Participants included fellow and attending pediatric gastroenterologists.
Main Results:
- Initial low comfort levels were reported for Crohn's disease scoring, IBD phenotype classification, postoperative scoring, and dysplasia screening.
- The evidence-based presentation significantly enhanced comfort with these tools.
- Improved comfort persisted for several months among fellows.
Conclusions:
- Periodic review of endoscopic guidelines in continuing medical education is essential.
- Enhancing pediatric gastroenterologists' IBD endoscopy skills can improve patient care quality.
- Standardized training is recommended for consistent IBD management.
Abstract:
Endoscopy is a fundamental component pediatric gastroenterology (GI), with one of its primary applications being the evaluation and management of patients with inflammatory bowel disease (IBD). However, there is variation in education and experience of gastroenterologists with pediatric IBD endoscopy, which can affect the quality of patient care. This quality improvement pilot study assessed familiarity and comfort with key endoscopic assessment tools (13 questions) pre- and post- an evidence-based group presentation. Both fellow and attending pediatric gastroenterologists had low levels of comfort with endoscopic Crohn's disease scoring, IBD phenotype classification, postoperative IBD scoring, and IBD dysplasia screening. The review presentation significantly enhanced their comfort, with this effect persisting for several months among fellows. To improve the quality of care for IBD patients, it would be beneficial to periodically review endoscopic guidelines in continuing medical education for pediatric gastroenterologists providing IBD care.
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