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van Doorn SC, Bastiaansen BA, Thomas-Gibson S, et al. Polypectomy skills of gastroenterology fellows: can we improve them?. Endosc Int Open. 2016;4(2):E182-9doi: 10.1055/s-0041-109086.
van Doorn, S. C., Bastiaansen, B. A., Thomas-Gibson, S., Fockens, P., & Dekker, E. (2016). Polypectomy skills of gastroenterology fellows: can we improve them?. Endoscopy international open, 4(2), E182-9. https://doi.org/10.1055/s-0041-109086
van Doorn, Sascha C, et al. "Polypectomy skills of gastroenterology fellows: can we improve them?." Endoscopy international open vol. 4,2 (2016): E182-9. doi: https://doi.org/10.1055/s-0041-109086
van Doorn SC, Bastiaansen BA, Thomas-Gibson S, Fockens P, Dekker E. Polypectomy skills of gastroenterology fellows: can we improve them?. Endosc Int Open. 2016 Feb;4(2):E182-9. doi: 10.1055/s-0041-109086. Epub 2016 Jan 08. PMID: 26878046; PMCID: PMC4751015.
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Endosc Int Open. 2016 Feb;4(2):E182-9. doi: 10.1055/s-0041-109086. Epub 2016 Jan 08.

Polypectomy skills of gastroenterology fellows: can we improve them?.

Endoscopy international open

Sascha C van Doorn, Barbara A J Bastiaansen, Siwan Thomas-Gibson, Paul Fockens, Evelien Dekker

Affiliations

  1. Department of Gastroenterology and Hepatology, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.
  2. Wolfson Unit for Endoscopy, St. Mark's Hospital and Imperial College London, London, United Kingdom.

PMID: 26878046 PMCID: PMC4751015 DOI: 10.1055/s-0041-109086

Abstract

BACKGROUND AND AIMS: Currently, most training programs for gastroenterology (GI) fellows lack systematic training in polypectomy. Systematic education and direct feedback with the direct observational polypectomy skills (DOPyS) method is a simple and inexpensive way to train GI fellows in practical endoscopy. Our primary aim was to evaluate whether a lecture-based training course could improve the polypectomy skills of GI fellows. As a secondary aim, the interobserver agreement among the three assessors was evaluated.

PARTICIPANTS AND METHODS: We invited GI fellows to record five polypectomies, after which they attended a training course consisting of three lectures on polyps and polypectomy methods given by expert endoscopists. After training, the fellows recorded five polypectomies again. All videos were blindly assessed by three expert endoscopists, who used the DOPyS method.

RESULTS: Eight GI fellows participated in this study. There was no significant difference in the median overall competency scores before and after training; before training, 25 % (10/40) of the polypectomies were scored as "pass," compared with 37.5 % (15/40) after training (P = 0.56). The interobserver agreement among the experts was fair (intraclass correlation coefficient [ICC] 0.34, 95 % confidence interval [CI] 0.14 - 0.52).

CONCLUSIONS: Our lecture-based training course did not result in an improvement in overall competency scores for the polypectomy skills of GI fellows. Besides, the overall quality of the polypectomy techniques of the fellows was considered low. To optimize polypectomy training and competency, we believe that direct feedback in the endoscopy suite and hands-on training by dedicated teachers are essential.

References

  1. Gastrointest Endosc. 2012 Jan;75(1):98-106 - PubMed
  2. Med Teach. 2006 Sep;28(6):497-526 - PubMed
  3. Gut. 2016 Apr;65(4):607-15 - PubMed
  4. Dig Liver Dis. 2007 Jan;39(1):70-8; discussion 79-80 - PubMed
  5. Gastrointest Endosc. 2011 Aug;74(2):355-366.e1-2 - PubMed
  6. Gastrointest Endosc. 2010 Feb;71(2):335-41 - PubMed
  7. Scand J Gastroenterol. 2004 Sep;39(9):895-902 - PubMed
  8. Endoscopy. 2014 Mar;46(3):181-7 - PubMed
  9. Gastrointest Endosc. 2009 Nov;70(5):835-45 - PubMed
  10. Gastrointest Endosc. 2010 Dec;72(6):1125-33, 1133.e1-3 - PubMed
  11. Gastrointest Endosc. 2012 Mar;75(3):591-7 - PubMed
  12. Endoscopy. 2005 Jun;37(6):570-8 - PubMed
  13. Gut. 2014 Nov;63(11):1746-54 - PubMed
  14. Colorectal Dis. 2013 Feb;15(2):217-23; discussion 223 - PubMed
  15. Gastrointest Endosc. 2014 Mar;79(3):490-7 - PubMed
  16. Gastrointest Endosc. 2005 Feb;61(2):204-15 - PubMed
  17. Gastrointest Endosc. 2011 Jun;73(6):1232-9.e2 - PubMed
  18. Br J Cancer. 2012 Jul 10;107(2):255-9 - PubMed
  19. Gastrointest Endosc. 2012 Mar;75(3):568-75 - PubMed
  20. Med Educ. 2008 Apr;42(4):364-73 - PubMed
  21. Gastrointest Endosc. 2014 Sep;80(3):410-6 - PubMed
  22. Am J Surg. 2014 Jan;207(1):32-8 - PubMed
  23. N Engl J Med. 2012 Feb 23;366(8):687-96 - PubMed
  24. World J Gastroenterol. 2009 Dec 21;15(47):5907-15 - PubMed
  25. Biometrics. 1977 Mar;33(1):159-74 - PubMed
  26. Am J Gastroenterol. 2007 Apr;102(4):856-61 - PubMed
  27. Gastrointest Endosc. 2005 Dec;62(6):921-7 - PubMed

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