Acquisition of Competence in Paediatric Ileocolonoscopy With Virtual Endoscopy Training

This study prospectively compared the rates of skill acquisition in ileocolonoscopy in 2 consecutive groups of trainees in paediatric gastroenterology, with 1 cohort exposed to virtual endoscopy. All paediatric gastroenterology trainees rotating through our department during a 7-year period between 1997 and 2004 were formally assessed while performing ileocolonoscopies using a trainer case-by-case method. Fourteen consecutive trainees with no previous experience of ileocolonoscopy were assessed. Comparison of rates of skill acquisition and lesion recognition using multiple linear regressions revealed a significant acceleration of achievement of endoscopic goals (P < 0.0001) in the group with prior exposure to virtual endoscopy.

[1]  Brian J Dunkin,et al.  Validation of a flexible endoscopy simulator. , 2005, American journal of surgery.

[2]  R. Sedlack Endoscopic simulation: where we have been and where we are going. , 2005, Gastrointestinal endoscopy.

[3]  Juergen Hochberger,et al.  Training with the compactEASIE biologic endoscopy simulator significantly improves hemostatic technical skill of gastroenterology fellows: a randomized controlled comparison with clinical endoscopy training alone. , 2005, Gastrointestinal endoscopy.

[4]  R. Fanelli,et al.  Initial experience using an endoscopic simulator to train surgical residents in flexible endoscopy in a community medical center residency program. , 2005, Current surgery.

[5]  R. Schoefl,et al.  Evaluation of a virtual endoscopy simulator for training in gastrointestinal endoscopy. , 2002, Endoscopy.

[6]  A. Zaman,et al.  Use of a Variable-Stiffness Colonoscope Allows Completion of Colonoscopy after Failure with the Standard Adult Colonoscope , 2000, Endoscopy.

[7]  S. Raptis,et al.  Acquisition of Competence in Colonoscopy: The Learning Curve of Trainees , 1999, Endoscopy.

[8]  G. Davidson,et al.  Requirements for training to ensure competence of endoscopists performing invasive procedures in children. , 1998, Journal of pediatric gastroenterology and nutrition.

[9]  V. Fox,et al.  Clinical competency in pediatric endoscopy. , 1998, Journal of pediatric gastroenterology and nutrition.

[10]  R. Shaw,et al.  Effect of training on endoscopic intracorporeal knot tying. , 1997, Human reproduction.

[11]  C. Salisbury,et al.  The Australian Quality Assurance and Continuing Education Program as a model for the reaccreditation of general practitioners in the United Kingdom. , 1997, The British journal of general practice : the journal of the Royal College of General Practitioners.

[12]  E. Hassall,et al.  Requirements for training to ensure competence of endoscopists performing invasive procedures in children. Training and Education Committee of the North American Society for Pediatric Gastroenterology and Nutrition (NASPGN), the Ad Hoc Pediatric Committee of American Society for Gastrointestinal End , 1997, Journal of pediatric gastroenterology and nutrition.

[13]  C. Peine,et al.  Objective Evaluation of Endoscopy Skills during Training , 1993, Annals of Internal Medicine.

[14]  Kathleen J. Motil,et al.  Guidelines for training in pediatric gastroenterology , 1987 .