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Area of Science:

  • Medical Education
  • Gastroenterology
  • Surgical Training

Background:

  • Hands-on training is vital for endoscopic skills but challenging to translate online.
  • Online colorectal endoscopic submucosal dissection (ESD) training has been implemented since 2020.
  • This study evaluates a remote hands-on training program for colorectal ESD.

Purpose of the Study:

  • To assess the effectiveness of a remote hands-on training program for colorectal ESD.
  • To determine if online training can adequately impart complex endoscopic skills.
  • To evaluate participant satisfaction and willingness for future remote training.

Main Methods:

  • A wired 50 Mbps connection linked a central facility to 3 remote sites.
  • A 4-screen Picture-in-Picture (PinP) video system streamed real-time demonstrations (hand, scope, posture, endoscopic views).
  • Participants completed structured 70-minute sessions including time trials with the Scope handling Training (ST) kit, endoscope practice, and hands-on ESD with artificial models, receiving expert instruction via the PinP system.

Main Results:

  • Significant improvement in ST kit time trials post-training (89.3s to 49.4s).
  • No detectable audio or video delays ensured seamless interaction.
  • 94% of participants expressed interest in future remote training sessions.

Conclusions:

  • Remote hands-on training can deliver high-quality instruction for complex procedures like colorectal ESD.
  • This approach offers training opportunities for physicians in remote areas, reducing travel and costs.
  • The program shows potential as a future educational tool for endoscopic submucosal dissection training.