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Simulation-based training of endoscopic hemostasis for Japanese pediatric endoscopy learners: a pilot program
Takeshi Kanno1,2, Itaru Iwama3, Yutaka Hatayama1
1Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Igie : Innovation, Investigation and Insights
|February 6, 2026
Summary
Pediatric endoscopists show low confidence in endoscopic hemostasis. Simulator-based training (SBT) significantly improved their skills, suggesting it can enhance competence in this critical procedure.
Area of Science:
- Pediatric Gastroenterology
- Medical Simulation
- Endoscopic Hemostasis
Background:
- Endoscopic hemostasis training presents challenges for pediatric endoscopists, particularly in emergency situations.
- Concerns exist regarding pediatric endoscopists' competence in performing endoscopic hemostasis.
- Simulator-based training (SBT) offers a potential solution for improving skills and confidence.
Purpose of the Study:
- To establish hands-on seminar sessions utilizing a novel clip hemostasis simulator.
- To explore pediatric endoscopists' concerns about endoscopic hemostasis.
- To evaluate the potential of SBT for enhancing endoscopic hemostasis skills in pediatric endoscopists.
Main Methods:
- A simulator-based training (SBT) course was integrated into seminars by the Japanese Society for Pediatric Gastroenterology, Hepatology, and Nutrition.
- Surveys using the visual analog scale (VAS) were administered to 52 pediatric endoscopists during four seminars (October 2021 - March 2023).
- Responses were compared with those of adult GI residents and junior residents.
Main Results:
- Pediatric endoscopists had significantly lower understanding (median VAS 47) and confidence (median VAS 0) in endoscopic hemostasis compared to adult GI residents.
- SBT demonstrated high effectiveness in skill enhancement for pediatric endoscopists (median score 94.5), with no significant difference compared to adult and junior residents.
- All participating pediatric endoscopists expressed a strong interest in repeated SBT sessions.
Conclusions:
- Pediatric endoscopists harbor significant concerns regarding their competence in endoscopic hemostasis.
- Simplified SBT programs utilizing a novel simulator show promise for improving pediatric endoscopists' skills and confidence.
- Further implementation of SBT is recommended to address training gaps in pediatric endoscopic hemostasis.
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