Preparing for the American Board of Surgery Flexible Endoscopy Curriculum: Development of multi-institutional proficiency-based training standards and pilot testing of a simulation-based mastery learning curriculum for the Endoscopy Training System

Franklin, Brenton R.; Placek, Sarah B.; Gardner, Aimee K.; Korndorffer, James R.; Wagner, Mercy D.; Pearl, Jonathan P.; Ritter, E. Matthew

doi:10.1016/j.amjsurg.2017.09.010

Cited by 11 publications

(7 citation statements)

References 35 publications

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“…Similar to our group's prior work, completion of the VR curriculum resulted in a high pass rate (100% for both proficiency and repetition curricula) and high scores (465.3 for proficiency curriculum, 489.6 for repetition curriculum) on the FES skills exam [10]. Several other groups have adopted their own endoscopy curricula using either the GI Mentor II or an alternative model to improve institutional FES scores [8,9,11,[20][21][22]. These findings continue to advocate for the use of simulation-based training for endoscopy training and preparation for the FES examination.…”

Section: Discussionsupporting

confidence: 66%

Transfer of virtual reality endoscopy training to live animal colonoscopy: a randomized control trial of proficiency vs. repetition-based training

et al. 2022

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Background Low first-time pass rates of the Fundamentals of Endoscopic Surgery (FES) exam stimulated development of virtual reality (VR) simulation curricula for test preparation. This study evaluates the transfer of VR endoscopy training to live porcine endoscopy performance and compares the relative effectiveness of a proficiency-based vs repetition-based VR training curriculum. Methods Novice endoscopists completed pretesting including the FES manual skills examination and Global Assessment of GI Endoscopic Skills (GAGES) assessment of porcine upper and lower endoscopy. Participants were randomly assigned one of two curricula: proficiency-based or repetition-based. Following curriculum completion, participants post-tested via repeat FES examination and GAGES porcine endoscopy assessments. The two cohorts pre-to-post-test differences were compared using ANCOVA. Results Twenty-two residents completed the curricula. There were no differences in demographics or clinical endoscopy experience between the groups. The repetition group spent significantly more time on the simulator (repetition: 242.2 min, SD 48.6) compared to the proficiency group (proficiency: 170.0 min, SD 66.3; p = 0.013). There was a significant improve-

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Section: Discussionsupporting

confidence: 66%

Transfer of virtual reality endoscopy training to live animal colonoscopy: a randomized control trial of proficiency vs. repetition-based training

et al. 2022

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“…Beginning in the 2016e2017 AY, residents on the ES rotation transitioned to the ETS curriculum. 5 Residents who did not have the opportunity to complete the ES rotation (ie, PGY 3 or higher in AY 2015) were provided the opportunity to complete the ETS curriculum before FES testing. As a program requirement, residents were required to successfully complete a simulationbased curriculum to receive an FES test voucher from the program.…”

Section: Methodsmentioning

confidence: 99%

“…8 In 2016, our ES rotation adopted a simulation-based mastery learning (SBML) curriculum using the Endoscopy Training System (ETS; Limbs and Things LLC, Bristol, UK). 5,9 Briefly, this curriculum uses 2 tabletop physical endoscopy simulator platforms and a standard endoscope to train 5 skills: scope manipulation, tool targeting, retroflexion, loop management, and mucosal inspection. Preparation for the cognitive portion of the FES examination included completion of the online FES didactic modules with additional supplemental readings.…”

Section: Introductionmentioning

confidence: 99%

Early implementation of Fundamentals of Endoscopic Surgery training using a simulation-based mastery learning curriculum

Dyke¹,

Franklin²,

Sweeney³

et al. 2021

Surgery

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“… 3 4 In this vein, several institutions developed their own proficiency-based simulation curricula to train for the skills component of the FES examination. 5 6 7 These curricula have utilized physical 5 7 and/or VR simulators 6 for training.…”

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confidence: 99%

Resident Endoscopy Experience Correlates Poorly with Performance on a Virtual Reality Simulator

et al. 2022

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Background Endoscopy training has become increasingly emphasized during general surgery residency as reflected by introduction of the Fundamentals of Endoscopic Surgery (FES) examination, which includes testing of skills on virtual reality (VR) simulators. Although studies exist to assess the ability of the simulator to differentiate between novices and experienced endoscopists, it is not well understood how simulators can differentiate skills among resident cohort. Objective To assess the utility of the VR simulator, we evaluated the correlation between resident endoscopy experience and performance on two VR simulator colonoscopy modules on the GI-BRONCH Mentor (Simbionix Ltd, Airport City, Israel). Methods Postgraduate years 2 to 5 residents completed “easy” and “difficult” VR colonoscopies, and performance metrics were recorded from October 2017 to February 2018 at Rutgers' two general surgery residency programs. Resident endoscopy experience was obtained through Accreditation Council for Graduate Medical Education case logs. Correlations between resident endoscopy experience and VR colonoscopy performance metrics were assessed using Spearman's rho (ρ) correlation statistic and bivariate logistic regression. Results Fifty-five residents out of 65 (84.6%) eligible participants completed the study. There were limited correlations found between resident endoscopy experience and FES performance metrics and no correlations were found between resident endoscopy experience and binary metrics of colonoscopy—ability to complete colonoscopy, ability to retroflex, and withdrawal time of less than 6 minutes. Conclusion The VR simulator may have a limited ability to discriminate between experience levels among resident cohort. Future studies are needed to further understand how well the VR simulator metrics correlate with resident endoscopy experience.

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Preparing for the American Board of Surgery Flexible Endoscopy Curriculum: Development of multi-institutional proficiency-based training standards and pilot testing of a simulation-based mastery learning curriculum for the Endoscopy Training System

Cited by 11 publications

References 35 publications

Transfer of virtual reality endoscopy training to live animal colonoscopy: a randomized control trial of proficiency vs. repetition-based training

Transfer of virtual reality endoscopy training to live animal colonoscopy: a randomized control trial of proficiency vs. repetition-based training

Early implementation of Fundamentals of Endoscopic Surgery training using a simulation-based mastery learning curriculum

Resident Endoscopy Experience Correlates Poorly with Performance on a Virtual Reality Simulator

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