The SAFE-T assessment tool: derivation and validation of a web-based application for point-of-care evaluation of gastroenterology fellow performance in colonoscopy

Gastrointestinal Endoscopy
Navin L KumarJohn R Saltzman

Abstract

Attending assessment is a critical part of endoscopic education for gastroenterology fellows. The aim of this study was to develop and validate a concise assessment tool to evaluate real-time fellow performance in colonoscopy administered via a web-based application. The Skill Assessment in Fellow Endoscopy Training (SAFE-T) tool was derived as a novel 5-question evaluation tool that captures both summative and formative feedback adapted into a web-based application. A prospective study of 15 gastroenterology fellows (5 fellows each from years 1 to 3 of training) was performed using the SAFE-T tool. An independent reviewer evaluated a subset of these procedures and completed the SAFE-T tool and Mayo Colonoscopy Skills Assessment Tool (MCSAT) for reliability testing. Twenty-six faculty completed 350 SAFE-T evaluations of the 15 fellows in the study. The mean SAFE-T overall score (year 1, 2.00; year 2, 3.84; year 3, 4.28) differentiated each sequential fellow year of training (P < .0001). The mean SAFE-T overall score decreased with increasing case complexity score, with straightforward cases compared with average cases (4.07 vs 3.50, P < .0001), and average cases compared with challenging cases (3.50 vs 3.08, P = .0134). In dual...Continue Reading

References

Sep 26, 2003·Medical Education·Susan M Downing
Jan 26, 2007·The New England Journal of Medicine·Ronald M Epstein
May 9, 2007·Gastroenterology·UNKNOWN American Association for the Study of Liver DiseasesUNKNOWN American Society for Gastrointestinal Endoscopy
Jul 10, 2007·American Journal of Surgery·Jason ParkRichard K Reznick
Aug 21, 2007·Endoscopy·S Thomas-GibsonB P Saunders
Jan 10, 2012·Gastrointestinal Endoscopy·John Roger BartonUNKNOWN UK Joint Advisory Group for Gastrointestinal Endoscopy
Aug 18, 2012·Gastrointestinal Endoscopy·Robert E SedlackAshley L Faulx
Nov 19, 2013·Gastrointestinal Endoscopy·Robert E SedlackLiz Rajan
Sep 7, 2014·Journal of Surgical Education·Brian C GeorgeJonathan P Fryer
Feb 28, 2015·Annals of the American Thoracic Society·Patricia A Kritek

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Citations

Nov 19, 2019·The American Journal of Gastroenterology·Keith SiauJohn T Anderson
Aug 20, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Justin L SewellChristy K Boscardin
Jul 19, 2018·Current Treatment Options in Gastroenterology·Keith SiauPaul Dunckley
Aug 16, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Kevin Z Huang, Navin L Kumar

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