2020
DOI: 10.1097/acm.0000000000002885
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A Prospective Multicenter Study Evaluating Endoscopy Competence Among Gastroenterology Trainees in the Era of the Next Accreditation System

Abstract: Purpose The Next Accreditation System requires training programs to demonstrate competence among trainees. Within gastroenterology (GI), there are limited data describing learning curves and structured assessment of competence in esophagogastroduodenoscopy (EGD) and colonoscopy. In this study, the authors aimed to demonstrate the feasibility of a centralized feedback system to assess endoscopy learning curves among GI trainees in EGD and colonoscopy. Method … Show more

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Cited by 9 publications
(16 citation statements)
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“…DOPS [25][26][27] GiECAT [33][34][35][36] Description of tool ACE/MCSAT [20][21][22][23] DOPS [25][26][27] GiECAT [33][34][35][36] Internal structure…”
Section: Ace/mcsat [20-23]mentioning
confidence: 99%
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“…DOPS [25][26][27] GiECAT [33][34][35][36] Description of tool ACE/MCSAT [20][21][22][23] DOPS [25][26][27] GiECAT [33][34][35][36] Internal structure…”
Section: Ace/mcsat [20-23]mentioning
confidence: 99%
“…Rigorous pass/fail cutpoint: used contrasting groups method to establish competency threshold of 3.5 for individual cognitive and motor domains, with competency benchmarks achieved by the average trainee after 250 colonoscopies, and by 90 % of trainees after 300 colonoscopies Impact on trainees: tracking trainees' learning curves allowed for early identification and remediation of core skills (two trainees who were behind in learning curves received additional training) For adult colonoscopy, the tools with the strongest validity evidence were the Assessment of Competency in Endoscopy (ACE) tool [20][21][22][23], the colonoscopy Direct Observation of Procedural Skills (DOPS) tool [25][26][27], and the Gastrointestinal Endoscopy Competency Assessment Tool (GiECAT) [33][34][35][36] (▶ Table 1). The ACE tool had strong validity evidence in all domains, except for internal structure.…”
Section: Consequencesmentioning
confidence: 99%
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“…The ASGE currently endorses the Assessment of Competency in Endoscopy tool, which assesses both technical and cognitive skills on 1–4 scoring system (6 individual skills for EGD, 12 individual skills for colonoscopy), of which the feasibility of using in a nation-wide system to provide real-time learning curves has been demonstrated. 7,8 For therapeutic maneuvers such as polypectomy, the Direct Observation of Polypectomy Skills has been developed and is now used in the certification process for colonoscopy in the UK. 9 More recently, the cold snare polypectomy assessment tool, which contains 12 items, was validated, offering a more practical evaluation tool than the 33-item Direct Observation of Polypectomy Skill.…”
Section: How To Assess Performancementioning
confidence: 99%
“…Endoscopic training focuses on not only the technical skills needed for endoscope manipulation, but also cognitive skills, such as lesion identification, and non-technical skills, such as communication and teamwork 1 . Novice endoscopists encounter a prolonged learning curve, as they need to master all three skill domains to provide safe, high-quality endoscopic care 2 3 . Despite EGD being a commonly performed procedure even taught to primary care physicians 4 , there is no standardized technique or curriculum.…”
mentioning
confidence: 99%