Successful Training in Gastrointestinal Endoscopy. Группа авторовЧитать онлайн книгу.
still requires limited hands‐on assistance and/or significant coaching) □ 3. Advanced (Able to perform independently with limited coaching and/or requires additional time to complete) □ 4. Superior (Competent to perform routine colonoscopy independently) The fellow’s overall cognitive skills (Situational Awareness (SA)/abnormality interpretation/decision‐making skills): □ N/A. Not Assessed (i.e. Fellow observed procedure only) □ 1. Novice (Needs significant prompting, correction or basic instruction by staff) □ 2. Intermediate (Needs intermittent coaching or correction by staff) □ 3. Advanced (Fellow has good SA, and interpretation/decision‐making skills) □ 4. Superior (Competent to make interpretations and treatment decisions independently)
Figure 6.35 Learning curves. Mayo's colonoscopy skills assessment tool (MCSAT) allows ongoing monitoring of various metrics of an individual trainee's performance throughout training. These three images demonstrate how the learning curves of three different fellows (blue lines) might appear for the parameter of cecal intubation rates as compared to the average learning curves of their peers (Magenta). Fellow A is above the learning curve (a), B is following the curve closely (b), and C is repeatedly below the curve and might be identified for early remediation (c).
(Copyrighted and used with permission of Mayo Foundation for Medical Education and Research.)
Videos
Video 6.1 Endoscopic anatomy of the colon
Video 6.2 Rectal intubation techniques
Video 6.3 Locating the lumen
Video 6.4 Subtle lesions of colon
Video 6.5 Alpha‐loop
Video 6.6 N‐loop
Video 6.7 Reverse alpha‐loop
Video 6.8 Transverse colon loop
Video 6.9 Acute turn
Video 6.10 Intubation of the ileal–caecal valve
Video 6.11 Ex vivo colonoscopy model overview
Video 6.12 Ex vivo colonoscopy model setup
Video 1.6 Virtual reality colonoscopy simulator training
References
1 1 Reznick RK, MacRae H: Teaching surgical skills—changes in the wind. N Engl J Med 2006; 355:2664–2669.
2 2 Rex, DK, Boland CR, Dominitz JA, et al.: Colon cancer screening: recommendations for physicians and patients from the U.S. Multi‐Society Taskforce on Colorectal Cancer. Gastointest Endosc 2017; 86:18–33.
3 3 Gupta S, Lieberman D, Anderson JC, et al.: Guidelines for follow‐up after colonoscopy and polypectomy: a consensus update by the US Multi‐Society Task Force on colorectal cancer. Gastrointest Endosc 2020; 19:463–485.
4 4 ASGE Consensus Statement: Appropriate use of gastrointestinal endoscopy. Gastrointest Endosc 2000; 52:831–837.
5 5 Cappell MS: Safety and efficacy of colonoscopy after myocardial infarction: an analysis of 100 study patients and 100 control patients at two tertiary cardiac referral hospitals. Gastrointest Endosc 2004; 60:901–909.
6 6 ASGE: Management of antithrombotic agents for endoscopic procedures. Gastrointest Endosc 2009; 70:1061–1070.
7 7 Buschbacher R: Overuse syndromes among endoscopists. Endoscopy 1994; 26:539–544.
8 8 Guelrud M: Improving control of the colonoscope: the “pinkie maneuver”. Gastrointest Endosc 2008; 67:388–389.
9 9 Barclay RL, Vicari JJ, Doughty AS, et al.: Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. New Engl J Med 2006; 355:2533.
10 10 Sawhney MS, Cury MS, Neeman N, et al.: Effect of institution‐wide policy of colonoscopy withdrawal time > or = 7 minutes on polyp detection. Gastroenterology 2008; 135:1892–1898.
11 11 Norman G: Expertise in medicine and surgery. In: Ericsson KA, Charness N, Feltovich PJ, Hoffman RR (eds), The Cambridge Handbook of Expertise and Expert Performance. New York: Cambridge University Press, 2006.
12 12 Chandrasekhara V, Kumta NA, Abu Dayyeh BK, et al.: Endoscopic Polypectomy Devices. Video GIE 2021 [in press].
13 13 ASGE Technology Committee: Polypectomy devices. Gastrointest Endosc 2007; 65:741–749.
14 14 Hewett DG: Cold snare polypectomy: optimizing technique and technology. Gastrointest Endosc 2015; 82:693–696.
15 15 Waye JD, Kahn O, Auerbach ME: Complications of colonoscopy and flexible sigmoidoscopy. Gastrointest Endosc Clin N Am 1996; 6:343–377.
16 16 Nivatvongs S: Complications in colonoscopic polypectomy: an experience with 1555 polypectomies. Dis Colon Rectum 1986; 28:825–830.
17 17 Norton ID, Wang L, Levine SA, et al.: Efficacy of colonic submucosal saline solution injection for the reduction of iatrogenic thermal injury. Gastrointest Endosc 2002; 56:95–99.
18 18 ASGE Standards of Practice Committee: Complications of colonoscopy. Gastrointest Endosc 2003; 57:441–445.
19 19 Prechel JA, Sedlack RE, Harreld FA, Sederquest MM: Looping and abdominal pressure: a visual guide to successful colonoscopy. Gastroenterol Nurs 2015; 38:289–294.
20 20 East JE, Suzuki N, Arebi N, Bassett P, Saunders BP: Position changes improve visibility during colonoscope withdrawal: a randomized, blinded, crossover trial. Gastrointest Endosc 2007; 65:263–269.
21 21 Cohen J, Cohen SA, Vora KC, et al.: Multicenter, randomized, controlled trial of virtual‐reality simulator training in acquisition of competency in colonoscopy. Gastrointest Endosc 2006; 64:361–368.
22 22 Sedlack RE: Simulators in training: defining the optimal role for various simulation models in the training environment. Gastrointest Endosc Clin N Am 2006; 16:553–563.
23 23 Sedlack RE, Kolars JC: Computer simulator training enhances the competency of gastroenterology fellows at colonoscopy: results of a pilot study. Am J Gastroenterol 2004; 99:33–37.
24 24 Ericsson KA: Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med 2004; 79:S70–S81.
25 25 Downing SM, Yudkowsky R: Assessment in Health Professions Education. New York: Routledge, 2009.
26 26 Gerson LB: Can colonoscopy simulators enhance the learning curve for trainees? [Review]. Gastrointest Endosc 2006; 64:369–374.
27 27 Haycock AV, Koch AD, Familiari P, et al.: Training and transfer of colonoscopy skills: a multinational randomized blinded controlled trial of simulator versus bedside training. Gastrointest Endosc 2010; 71(2):298–307.
28 28 Sedlack RE, Kolars JC: Colonoscopy curriculum development and performance‐based assessment criteria on a computer‐based endoscopy simulator. Acad Med 2002; 77:750–751.
29 29 Eversbusch A, Grantcharov TP: Learning curves and impact of psychomotor training on performance in simulated colonoscopy: a randomized trial using a virtual reality endoscopy trainer. Surg Endosc 2004; 18:1514–1518.
30 30 Aabakken L, Adamsen S, Kruse A: Performance of a colonoscopy simulator: experience from a hands on course. Endoscopy 2000; 32:911–913.
31 31 Sedlack