Journal article
A Prospective Multicenter Study Evaluating Endoscopy Competence Among Gastroenterology Trainees in the Era of the Next Accreditation System
Academic medicine, v 95(2)
Feb 2020
PMID: 31335810
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The Next Accreditation System requires training programs to demonstrate competence among trainees. Within gastroenterology (GI), there are limited data describing learning curves and structured assessment of competence in esophagogastroduodenoscopy (EGD) and colonoscopy. In this study, the authors aimed to demonstrate the feasibility of a centralized feedback system to assess endoscopy learning curves among GI trainees in EGD and colonoscopy.
During academic year 2016-2017, the authors performed a prospective multicenter cohort study, inviting participants from multiple GI training programs. Trainee technical and cognitive skills were assessed using a validated competence assessment tool. An integrated, comprehensive data collection and reporting system was created to apply cumulative sum analysis to generate learning curves that were shared with program directors and trainees on a quarterly basis.
Out of 183 fellowships invited, 129 trainees from 12 GI fellowships participated, with an overall trainee participation rate of 72.1% (93/129); the highest participation level was among first-year trainees (90.9%; 80/88), and the lowest was among third-year trainees (51.2%; 27/53). In all, 1,385 EGDs and 1,293 colonoscopies were assessed. On aggregate learning curve analysis, third-year trainees achieved competence in overall technical and cognitive skills, while first- and second-year trainees demonstrated the need for ongoing supervision and training in the majority of technical and cognitive skills.
This study demonstrated the feasibility of using a centralized feedback system for the evaluation and documentation of trainee performance in EGD and colonoscopy. Furthermore, third-year trainees achieved competence in both endoscopic procedures, validating the effectiveness of current training programs.
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Details
- Title
- A Prospective Multicenter Study Evaluating Endoscopy Competence Among Gastroenterology Trainees in the Era of the Next Accreditation System
- Creators
- Samuel Han - University of Colorado Anschutz Medical CampusJoshua C Obuch - Geisinger Medical CenterAnna M Duloy - University of Colorado Anschutz Medical CampusRajesh N Keswani - University of Colorado Anschutz Medical CampusMatt HallViolette Simon - University of Colorado Anschutz Medical CampusEze Ezekwe - University of Colorado Anschutz Medical CampusPaul Menard-Katcher - University of Colorado Anschutz Medical CampusSwati G Patel - University of Colorado Anschutz Medical CampusEva Aagard - Washington University School of MedicineBryan Brimhall - University of North Carolina at Chapel HillAsyia Ahmad - Drexel UniversitySaad Alghamdi - University of Colorado Anschutz Medical CampusMichael D Brown - Rush UniversityCharles Broy - Advocate Lutheran General HospitalLinda Carlin - University of Colorado Anschutz Medical CampusPriyanka Chugh - Icahn School of Medicine at Mount SinaiSean E Connolly - Ochsner Health SystemD Matthew Cooley - Unity HospitalKevin Cowley - Ochsner Health SystemJack A Di Palma - University of South AlabamaDayna S Early - DOM - GastroenterologySwan Ellert - University of Colorado Anschutz Medical CampusEric A Gaumnitz - University of Wisconsin–MadisonKevin A Ghassemi - University of California at Los AngelesEdward Lebovics - New York Medical CollegeRobert H Lee - University of California, IrvineTisha Lunsford - Mayo Clinic, Scottsdale AZ.Julia Massaad - Emory UniversityMohit Mittal - Kaiser PermanenteKirsten Morigeau - Idaho Gastroenterology AssociatesStanley Pietrak - Drexel UniversityMichael Piper - St. John Providence Health SystemAnand S Shah - Advocate Lutheran General HospitalAlan Shapiro - Icahn School of Medicine at Mount SinaiWilliam Sonnier - University of South AlabamaCari Sorrell - Lubbock Digestive Disease AssociatesShivakumar Vignesh - SUNY Downstate Medical CenterShani Woolard - Emory UniversitySachin Wani - University of Colorado Anschutz Medical Campus
- Publication Details
- Academic medicine, v 95(2)
- Publisher
- Lippincott
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Gastroenterology and Hepatology; Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000529216900031
- Scopus ID
- 2-s2.0-85078687048
- Other Identifier
- 991019168579304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Scientific Disciplines
- Health Care Sciences & Services