A143 Impact of a Simulation-Based Augmented Reality Curriculum on Polypectomy Skills Among Novice Endoscopists: A Randomized Controlled Trial

Khan, Rishad; Scaffidi, Michael A.; Gimpaya, Nikko; Tham, Daniel; Atalla, Michael; Al‐Mazroui, Ahmed; Gholami, Reza; Satchwell, Joshua B.; Walsh, Catharine M.; Grover, Samir C.

doi:10.1093/jcag/gwz047.142

Cited by 2 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding polypectomy, the optimal simulator approach has not yet been established. Interim results of a randomised trainee cohort study have failed to show a significant increase in DOPyS performance in the group that received specific augmented reality training in addition to conventional simulator based training 80. At present, it is unclear what proportion of polypectomy training should consist of cognitive didactics, use of simulation/ex vivo models, observation of experts or supervised hands-on polypectomy.…”

Section: Recommendation Statementsmentioning

confidence: 99%

“…Interim results of a randomised trainee cohort study have failed to show a significant increase in DOPyS performance in the group that received specific augmented reality training in addition to conventional simulator based training. 80 At present, it is unclear what proportion of polypectomy training should consist of cognitive didactics, use of simulation/ex vivo models, observation of experts or supervised hands-on polypectomy. There is a lack of robust data on the efficacy and effectiveness of training interventions which increase trainees’ competencies and this has led to practice variation in different institutions and countries.…”

Section: Recommendation Statementsmentioning

confidence: 99%

See 1 more Smart Citation

JAG consensus statements for training and certification in flexible sigmoidoscopy

Siau

Pelitari

Green

et al. 2023

Frontline Gastroenterol

View full text Add to dashboard Cite

IntroductionJoint Advisory Group (JAG) certification in endoscopy is awarded when trainees attain minimum competency standards for independent practice. A national evidence-based review was undertaken to update standards for training and certification in flexible sigmoidoscopy (FS).MethodsA modified Delphi process was conducted between 2019 and 2020 with multisociety representation from experts and trainees. Following literature review and Grading of Recommendations, Assessment, Development and Evaluations appraisal, recommendation statements on FS training and certification were formulated and subjected to anonymous voting to obtain consensus. Accepted statements were peer-reviewed by national stakeholders for incorporation into the JAG FS certification pathway.ResultsIn total, 41 recommendation statements were generated under the domains of: definition of competence (13), acquisition of competence (17), assessment of competence (7) and postcertification support (4). The consensus process led to revised criteria for colonoscopy certification, comprising: (A) achieving key performance indicators defined within British Society of Gastroenterology standards (ie, rectal retroversion >90%, polyp retrieval rate >90%, patient comfort <10% with moderate-severe discomfort); (B) minimum procedure count ≥175; (C) performing 15+ procedures over the preceding 3 months; (D) attendance of the JAG Basic Skills in Lower gastrointestinal Endoscopy course; (E) satisfying requirements for formative direct observation of procedural skill (DOPS) and direct observation of polypectomy skill (SMSA level 1); (F) evidence of reflective practice as documented on the JAG Endoscopy Training System reflection tool and (G) successful performance in summative DOPS.ConclusionThe UK standards for training and certification in FS have been updated to support training, uphold standards in FS and polypectomy, and provide support to the newly independent practitioner.

show abstract

Section: Recommendation Statementsmentioning

confidence: 99%

Section: Recommendation Statementsmentioning

confidence: 99%

JAG consensus statements for training and certification in flexible sigmoidoscopy

Siau

Pelitari

Green

et al. 2023

Frontline Gastroenterol

View full text Add to dashboard Cite

show abstract

“…Regarding polypectomy, the optimal simulator approach has not yet been established. Interim results of a randomised trainee cohort study have failed to show a significant increase in DOPyS performance in the group that received specific augmented reality training in addition to conventional simulator-based training 81. At present, it is unclear what proportion of polypectomy training should consist of cognitive didactics, use of simulation/ex vivo models, observation of experts or supervised hands-on polypectomy.…”

Section: Recommendation Statementsmentioning

confidence: 99%

“…Interim results of a randomised trainee cohort study have failed to show a significant increase in DOPyS performance in the group that received specific augmented reality training in addition to conventional simulator-based training. 81 At present, it is unclear what proportion of polypectomy training should consist of cognitive didactics, use of simulation/ex vivo models, observation of experts or supervised hands-on polypectomy. There is a lack of robust data on the efficacy and effectiveness of training interventions which increase trainees’ competencies and this has led to practice variation in different institutions and countries.…”

Section: Recommendation Statementsmentioning

confidence: 99%

JAG consensus statements for training and certification in colonoscopy

Siau

Pelitari

Green

et al. 2023

Frontline Gastroenterol

View full text Add to dashboard Cite

IntroductionIn the UK, endoscopy certification is awarded when trainees attain minimum competency standards for independent practice. A national evidence-based review was undertaken to update and develop standards and recommendations for colonoscopy training and certification.MethodsUnder the oversight of the Joint Advisory Group (JAG), a modified Delphi process was conducted between 2019 and 2020 with multisociety expert representation. Following literature review and Grading of Recommendations, Assessment, Development and Evaluations appraisal, recommendation statements on colonoscopy training and certification were formulated and subjected to anonymous voting to obtain consensus. Accepted statements were peer reviewed by JAG and relevant stakeholders for incorporation into the updated colonoscopy certification pathway.ResultsIn total, 45 recommendation statements were generated under the domains of: definition of competence (13), acquisition of competence (20), assessment of competence (8) and postcertification support (4). The consensus process led to revised criteria for colonoscopy certification, comprising: (1) achieving key performance indicators defined within British Society of Gastroenterology standards (ie, unassisted caecal intubation rate >90%, rectal retroversion >90%, polyp detection rate >15%+, polyp retrieval rate >90%, patient comfort <10% with moderate–severe discomfort); (2) minimum procedure count 280+; (3) performing 15+ procedures over the preceding 3 months; (4) attendance of the JAG Basic Skills in Colonoscopy course; (5) terminal ileal intubation rates of 60%+ in inflammatory bowel disease; (6) satisfying requirements for formative direct observation of procedure skills (DOPS) and direct observation of polypectomy skills (Size, Morphology, Site, Access (SMSA) level 2); (7) evidence of reflective practice as documented on the JAG Endoscopy Training System reflection tool; (8) successful performance in summative DOPS.ConclusionThe UK standards for training and certification in colonoscopy have been updated, culminating in a single-stage certification process with emphasis on polypectomy competency (SMSA Level 2+). These standards are intended to support training, improve standards of colonoscopy and polypectomy, and provide support to the newly independent practitioner.

show abstract

A143 Impact of a Simulation-Based Augmented Reality Curriculum on Polypectomy Skills Among Novice Endoscopists: A Randomized Controlled Trial

Cited by 2 publications

References 0 publications

JAG consensus statements for training and certification in flexible sigmoidoscopy

JAG consensus statements for training and certification in flexible sigmoidoscopy

JAG consensus statements for training and certification in colonoscopy

Contact Info

Product

Resources

About