在实习生中分析结肠镜检测腺瘤检测率
Young Min Song1, Kyung Su Han1, Byung Chang Kim1
1Center for Colorectal Cancer, National Cancer Center, Goyang, Korea.
Annals of coloproctology
|August 27, 2024
概括
结肠镜学员在培训初期实现了高腺瘤检测率 (ADR),随着时间的推移,个体变化会减少. 建议所有内镜师在整个培训期间持续努力加强ADR.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 提高内镜质量 提高内镜质量
背景情况:
- 腺瘤检测率 (ADR) 是结肠镜疗效的关键质量指标.
- 标准化培训对于培养熟练的内镜师至关重要.
- 训练员之间不良反应的变化需要分析训练的有效性.
研究的目的:
- 为了评估腺瘤检测率 (ADR) 和相关的质量指标在结肠镜学员中.
- 为了比较学员的表现与专家的基准.
- 为优化结肠镜培训计划提供建议.
主要方法:
- 3名实习生和5名专家对ADR和质量指标的分析 (2022年3月至11月).
- 对整体患者和查/监测队列的数据分层.
- 在三个不同的培训阶段评估学员表现.
主要成果:
- 实习生平均达到了50.6%的ADR,与查/监测组的专家 (53.4%) 相比.
- 训练员ADR在训练阶段 (49.4%至53.6%) 呈现上升趋势,尽管在统计学上并不显著.
- 初始显著的在实习者之间ADR变异性 (P=0.008) 减少在最后的培训阶段 (P=0.606).
结论:
- 结肠镜学员在培训初期表现出较高的不良反应,超过了一些基准.
- 最初观察到学员之间ADR的显著个体差异.
- 随着培训的进展,学员的ADR汇聚到专家级别,强调了持续培训工作的重要性.
更多相关视频
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
418
10:31Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
12.7K
相关概念视频
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
62
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
62
Endoscopic Procedures II: Colonoscopy
66
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
66
Assessment of the Rectum and Anus
175
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
175
