Analysis of learning curves in gastroscopy training: the need for composite measures for defining competence

Siau, Keith; Kuwai, Toshio; Ishaq, Sauid

doi:10.1136/gutjnl-2017-314954

Cited by 8 publications

(8 citation statements)

References 4 publications

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“…In addition, this approach can be used more effectively and objectively for setting training standards and objective assessment with greater validity. 28 , 29 …”

Section: Discussionmentioning

confidence: 99%

Comparative Effectiveness of Teaching Obstetrics and Gynaecological Procedural Skills on Patients versus Models: A randomized trial

Bhutta

Yasmin

2018

Pak J Med Sci

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Objective:To compare the effectiveness of learning procedural skills on patients versus mannequins and models.Methods:Seventy four interns from two consecutive batches at the Department of Obstetrics and Gynaecolgy Unit-I at Jinnah Postgraduate Medical Center Karachi participated in the study between April and September 2014. Five basic skills; taking a cervical (Pap) smear, intrauterine contraceptive device insertion, manual vacuum aspiration, making/ suturing an episiotomy and active management of the third stage of labour were identified. Interns were randomly allocated to two training groups (Group-1 and 2 of thirty eight and thirty six trainees respectively), with Group-I received training on the five procedural skills on models and mannequins for four weeks while Group-II trained on patients initially. After an evaluation at four weeks the groups crossed over with a final evaluation at eight weeks. The evaluation was through identical objective structured assessment of technical skills on models and mannequins for both groups with standard checklists.Results:There was no significant difference in skills between the two groups at the four weeks assessment. However at the end of training, Group-1 trainees performed significantly better than Group 2 with higher overall tests scores (86.7 ± 2.7 versus 80.4 ± 4.8, p< 0.001). This difference was more marked in skills of intrauterine contraceptive device insertion, making and suturing an episiotomy and active management of third stage of labour.Conclusion:Our findings suggest that simulations using models and mannequins for developing procedural skills can be readily incorporated in training programs with potential benefits for teaching infrequently performed or more difficult procedures. Our data suggest potential benefits of initiation of trainings on simulations and mannequins followed by human subject exposure.

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“…In addition, this approach can be used more effectively and objectively for setting training standards and objective assessment with greater validity. 28 , 29 …”

Section: Discussionmentioning

confidence: 99%

Comparative Effectiveness of Teaching Obstetrics and Gynaecological Procedural Skills on Patients versus Models: A randomized trial

Bhutta

Yasmin

2018

Pak J Med Sci

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“…Competence has been defined by the American Society for Gastrointestinal Endoscopy as the ''minimal level of skill, knowledge, and/or expertise derived through training and experience that is required to safely and proficiently perform a task or procedure (2). It has been held that ''competence is not merely a destinationoriented end point; it is reliant on a combination of technical skills to perform a procedure in a safe and timely manner, and cognitive skills to interpret and adapt to findings'' (3).…”

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confidence: 99%

“…In clinical practice, it may, however, be difficult for faculty to distinguish the difference between ''direct supervision for most patients'' and ''direct supervision for some patients.'' In addition, the authors set level 1 as a ''participatory level,'' but most published level of supervision scales have had 5 levels in which level 1 is observation only (3)(4)(5). This includes the scales developed for the Pediatric Gastroenterology-specific EPAs (as well as those for the Pediatric Subspecialty Common EPAs) by the Subspecialty Pediatrics Investigator (SPIN) Network and the American Board of Pediatrics in which level 1 is ''trusted to observe only (5).''…”

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confidence: 99%

Quantifying Trainees' Competence in Upper Endoscopy

Alexander

Wenner²

2020

J. pediatr. gastroenterol. nutr.

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“…We are thankful for the letter of Siau et al 1 in response to our article describing the learning curve to satisfactory completion rates in upper GI endoscopy 2…”

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confidence: 99%

“…We would therefore argue that it is not a ‘trivial’ outcome, and focus on this measure is appropriate, especially during early stages of training. As Siau et al 1 state themselves, some trainees fail to attain adequate completion rates, even after 300 procedures.…”

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confidence: 99%

Response to ‘Analysis of learning curves in gastroscopy training: the need for composite measures for defining competence’ by Siau et al

Ward

Dunckley

2017

Gut

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Analysis of learning curves in gastroscopy training: the need for composite measures for defining competence

Cited by 8 publications

References 4 publications

Comparative Effectiveness of Teaching Obstetrics and Gynaecological Procedural Skills on Patients versus Models: A randomized trial

Comparative Effectiveness of Teaching Obstetrics and Gynaecological Procedural Skills on Patients versus Models: A randomized trial

Quantifying Trainees' Competence in Upper Endoscopy

Response to ‘Analysis of learning curves in gastroscopy training: the need for composite measures for defining competence’ by Siau et al

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