Computerized feedback during colonoscopy training leads to improved performance: a randomized trial

Gastrointestinal Endoscopy
Andreas Slot VilmannLars Konge

Abstract

Simulation-based training in colonoscopy is increasingly replacing the traditional apprenticeship method to avoid patient-related risk. Mentoring during simulation is necessary to provide feedback and to motivate, but expert supervisors are a scarce resource. We aimed to determine whether computerized feedback in simulated colonoscopy would improve performance, optimize time spent practicing, and optimize the pattern of training. Forty-four participants were recruited and randomized to either a feedback group (FG) or a control group (CG). Participants were allowed 2 hours of self-practice during which they could practice as they saw fit on 2 different cases: 1 easy and 1 difficult. The CG practiced without feedback, but the participants in the FG were given a score of progression every time they reached the cecum. All participants were tested on a different case after end of training. The primary outcome was the progression score in the final case, and secondary outcomes were time spent practicing and the training pattern. Regression analysis adjusting for sex was done because of an uneven sex distribution between groups (P = .026) and significantly higher performance scores by men (37.6, standard deviation [SD] 25.9) compared ...Continue Reading

Citations

Nov 23, 2019·BMC Medical Education·Andreas FollmannMichael Czaplik
Jun 1, 2021·Journal of the Canadian Association of Gastroenterology·Rishad KhanSamir C Grover

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