Acquiring and maintaining competency in gastrointestinal endoscopy

Dubé, Catherine; Rostom, Alaa

doi:10.1016/j.bpg.2016.05.004

Cited by 24 publications

(21 citation statements)

References 25 publications

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“…One study showed that use of SMS and a telephone call 2 days prior to colonoscopy improved BP in both groups compared with controls 36 . Although the authors concluded that SMS was more cost-effective than a telephone call, its use has several limitations: the need for a significant technological and investment base 37 ; inability to exchange information with a patient, which does not allow for proper exercise of patient-centered medicine with shared-decision 38 ; and potentially increased anxiety in patients who do not use SMS regularly. Prior training with SMS also is necessary.…”

Section: Discussionmentioning

confidence: 99%

A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

et al. 2017

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Background and study aims Addition of a reminder program to conventional indications improves colonoscopy. The aim of this study was to evaluate the effectiveness of a short telephone call reminder (STCR) on a patient’s first colonoscopy. Patients and methods One day before colonoscopy, we made a STCR of < 10 minutes to 141 randomly selected patients of 258 recruited. The STCRs informed patients about the procedure date, indications for taking laxatives, and dietetic requirements. Questions were clarified only when patients asked directly. We evaluated bowel preparation, quality indicators, and patient satisfaction. Data were expressed as mean ± SD and percentages. Statistical differences were evaluated by Student’s t and Chi squared tests; alpha = 0.05. All authors had access to the study data and reviewed and approved the final manuscript. Results The STCR group had better bowel preparation which was demonstrated by higher completion frequency (97.16 % vs. 82.05 %), in less time (4.52 ± 3.06 vs. 5.38 ± 3.03 hours) intake of laxative, and higher Boston’s scale (7.66 ± 2.42 vs. 5.2 ± 1.65). Quality indicators of colonoscopy were better in patients that received a STCR [cecal intubation rate: 100.00 % vs. 87.18 %; polyp detection: 42.55 % vs. 9.4 %; and cecal arrival time (min): 12.09 ± 3.62 vs. 15.09 ± 5.02]. STCR patients were more satisfied (97.87 % vs. 55.56 %) and would repeat colonoscopy (21.99 % vs. 11.11 %). Conclusions A simple additional step such as a STCR improves quality of bowel preparation, quality indicators, and satisfaction of patients undergoing their first colonoscopy. Clinical trial registry in Mexico City General Hospital: DI/16/107/3/108.

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Section: Discussionmentioning

confidence: 99%

A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

et al. 2017

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“…Therefore, they have to be equipped with leadership skills, which are relevant in effectively managing the goal setting process. Previous research has shown that transformational leadership behaviors can be developed in courses or training programs (e.g., Kelloway et al, 2000 ; Dvir et al, 2002 ). Such interventions may be tailored to specifically target the dissemination and pursuit of organizational goals.…”

Section: Discussionmentioning

confidence: 99%

“…Attributes of the situation and properties of the message a leader delivers, thus need to fit in order to best motivate followers ( Berson et al, 2015 ). Accordingly, apart from learning to develop and articulate inspiring visions to increase the importance of organizational goals, training participants also need to learn about the goal setting theory and how goals need to be formulated and conveyed like it is already done in various transformational leadership trainings (e.g., Barling et al, 1996 ; Kelloway et al, 2000 ). In this context, leaders need to learn in which situations best to use either kind of communication strategy.…”

Section: Discussionmentioning

confidence: 99%

The Path Is the Goal: How Transformational Leaders Enhance Followers’ Job Attitudes and Proactive Behavior

2018

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While leading through goals is usually associated with a task-oriented leadership style, the present work links goal setting to transformational leadership. An online survey with two time points was conducted with employees to investigate the influence of transformational leadership on followers’ job satisfaction, organizational commitment, and proactive behavior via goal attributes. Findings indicate that transformational leaders influence the extent to which followers evaluate organizational goals as important and perceive them as attainable. Multiple mediation analysis revealed that these goal attributes transmit the effect of transformational leadership on followers’ job attitudes and proactive behavior. However, goal importance and goal attainability seem to be of differential importance for the different outcomes.

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“…Recommendations regarding the minimum number of procedures required for achieving competence differ among various societies ( Table 1 ). This method scores over others in terms of receiving direct supervision and feedback from an expert [ 5 ]. However, the fact that only one expert endoscopist assumes responsibility for the teaching process and acquisition/refining of manual skills is a disadvantage.…”

Section: Current Status Of Egd Training In Koreamentioning

confidence: 99%

“…Moreover, training often fails to keep up with the requirements of modern EGD practices due to rapid technological advancements in EGD instruments. This has led to a critical review of the apprenticeship model [ 5 ]. Therefore, in the interest of patient health and safety, it is essential to shorten the time required for trainees to gain competence through the development of effective training programs.…”

Section: Current Status Of Egd Training In Koreamentioning

confidence: 99%

Training in Endoscopy: Esophagogastroduodenoscopy

Kim

2017

Clin Endosc

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Gastrointestinal endoscopy is important in diagnosis, treatment, and prevention of many diseases of the digestive tract. The ability to perform esophagogastroduodenoscopy (EGD) safely, effectively, and efficiently has become the mainstay of gastroenterology practice. In Korea, EGD education is usually imparted as a component of gastroenterology training programs during fellowship. In this review, we discuss the general principles of EGD training. Formal curriculum development with devising clear goals and effective training methods should be developed in the future.

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Acquiring and maintaining competency in gastrointestinal endoscopy

Cited by 24 publications

References 25 publications

A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

The Path Is the Goal: How Transformational Leaders Enhance Followers’ Job Attitudes and Proactive Behavior

Training in Endoscopy: Esophagogastroduodenoscopy

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