Journal article
Effect of individualized feedback on learning curves in EGD and colonoscopy: a cluster randomized controlled trial
Gastrointestinal endoscopy, v 91(4), pp 882-893.e4
01 Apr 2020
PMID: 31715173
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background and Aims: Gastroenterology fellowships need to ensure that trainees achieve competence in upper endoscopy (EGD) and colonoscopy. Because the impact of structured feedback remains unknown in endoscopy training, this study compared the effect of structured feedback with standard feedback on trainee learning curves for EGD and colonoscopy.
Methods: In this multicenter, cluster, randomized controlled trial, trainees received either individualized quarterly learning curves or feedback standard to their fellowship. Assessment was performed in all trainees using the Assessment of Competency in Endoscopy tool on 5 consecutive procedures after every 25 EGDs and colonos-copies. Individual learning curves were created using cumulative sum (CUSUM) analysis. The primary outcome was the mean CUSUM score in overall technical and overall cognitive skills.
Results: In all, 13 programs including 132 trainees participated. The intervention arm (6 programs, 51 trainees) contributed 558 EGD and 600 colonoscopy assessments. The control arm (7 programs, 81 trainees) provided 305 EGD and 468 colonoscopy assessments. For EGD, the intervention arm (-.7 [standard deviation {SD}, 1.3]) had a superior mean CUSUM score in overall cognitive skills compared with the control arm (1.6 [SD, .8], P=.03) but not in overall technical skills (intervention, -.26 [SD, 1.4]; control, 1.76 [SD,.7]; P=.06). For colonoscopy, no differences were found between the 2 arms in overall cognitive skills (intervention, -.7 [SD, 1.3]; control, .7 [SD, 1.3]; P=.95) or overall technical skills (intervention, .1 [SD, 1.5]; control, -.1 [SD, 1.5]; P=.77).
Conclusions: Quarterly feedback in the form of individualized learning curves did not affect learning curves for EGD and colonoscopy in a clinically meaningful manner.
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Details
- Title
- Effect of individualized feedback on learning curves in EGD and colonoscopy: a cluster randomized controlled trial
- Creators
- Samuel Han - University of Colorado Anschutz Medical CampusJoshua C. Obuch - Geisinger Medical CenterRajesh N. Keswani - Northwestern UniversityMatt Hall - Cincinnati Childrens Hosp Med Ctr, Childrens Hosp Assoc, Cincinnati, OH 45229 USASwati G. Patel - University of Colorado Anschutz Medical CampusPaul Menard-Katcher - University of Colorado Anschutz Medical CampusViolette Simon - University of Colorado Anschutz Medical CampusEze Ezekwe - University of Colorado Anschutz Medical CampusEva Aagaard - Washington University in St. LouisAsyia Ahmad - Drexel UniversitySaad Alghamdi - Washington University in St. LouisKerri Austin - University of Wisconsin–MadisonBryan Brimhall - University of North Carolina at Chapel HillCharles Broy - Advocate Lutheran General HospitalLinda Carlin - Translational SciencesMatthew Cooley - Ascension Providence HospitalJack A. Di Palma - University of South AlabamaAnna M. Duloy - University of Colorado Anschutz Medical CampusDayna S. Early - Washington University in St. LouisSwan Ellert - Translational SciencesEric A. Gaumnitz - University of Wisconsin–MadisonJatinder Goyal - University of MiamiPriya Kathpalia - University of California, San FranciscoLukejohn Day - University of California, San FranciscoNajwa El-Nachef - University of California, San FranciscoDavid Kerman - University of MiamiRobert H. Lee - University of California, IrvineTisha Lunsford - Mayo ClinicMohit Mittal - University of California, IrvineKirsten Morigeau - Division of Gastroenterology, University of Texas Health San Antonio, San Antonio, Texas, USAStanley Pietrak - Drexel UniversityMichael Piper - Ascension Providence HospitalAnand S. Shah - Icahn School of Medicine at Mount SinaiAlan B. Shapiro - Advocate Lutheran General HospitalAmandeep Shergill - University of California, San FranciscoWilliam Sonnier - University of South AlabamaCari Sorrell - Division of Gastroenterology, University of Texas Health San Antonio, San Antonio, Texas, USAShivakumar Vignesh - SUNY Downstate Medical CenterSachin Wani - University of Colorado Anschutz Medical Campus
- Publication Details
- Gastrointestinal endoscopy, v 91(4), pp 882-893.e4
- Publisher
- Elsevier
- Number of pages
- 16
- Grant note
- Finch Therapeutics American College of Gastroenterology Clinical Research Award University of Colorado Department of Medicine Outstanding Early Scholars Program NIH T32DK007038; NIH/NCRR UL1TR002535 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Gastroenterology and Hepatology; Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000521958200025
- Scopus ID
- 2-s2.0-85077147696
- Other Identifier
- 991019169535004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Gastroenterology & Hepatology