The learning curve to achieve satisfactory completion rates in upper GI endoscopy: an analysis of a national training database

Ward, Steve; Hancox, A; Mohammed, M A; Ismail, Tariq; Griffiths, Ewen A.; Valori, Roland; Dunckley, Paul

doi:10.1136/gutjnl-2015-310443

Cited by 63 publications

(57 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No significant additional changes occur in the brain's sensory field. [11][12][13][14] Most of these articles deal with clinical procedures in which motor skills are extremely difficult to distinguish from theoretical knowledge. After a certain number of repetitions, the performance peaks, with a plateau in the motor learning curve, and further training will not provide additional significant improvement.…”

Section: Methodsmentioning

confidence: 99%

Testing Motor Learning Curves Among Dental Students

Ben‐Gal

Katorza

Weiss³

et al. 2017

Journal of Dental Education

View full text Add to dashboard Cite

Motor learning up to reaching proficiency can be registered and displayed as a learning curve. Understanding the nature of the motor learning curves will allow proper planning of teaching. The aim of this study was to measure the rate of motor learning of novice dental students in preparing dental cavities. A total of 66 first-year students (21 males and 45 females) at a dental school in Israel participated in this 12-week study. In the first and last weeks, the students prepared 12 cavities in 45 minutes in a composite material plate, using a dental high-speed burr. In the ten weeks between tests, manual performance was measured by drilling two cavities, limited to 3.5 minutes per cavity. The results showed that improvement was significant (p<0.05) at two-week intervals in all cases except for the sixth and seventh weeks, when a significant increase was observed only after three weeks. The performance of the lowest performing students (those with grades in the lowest third of the class) remained low throughout the entire course. Further subdivision of the class into two groups showed that the upper half reached the minimum required performance in week 9, whereas the lower half achieved it only three weeks later. The authors concluded that the 12-week study was not sufficiently long for the learning curve to reach a plateau. Dental students present a variety of motor learning curves and different rates of proficiency acquisition, so understanding the nature of these curves, and the differences among students, may be useful in lesson planning to support the process of motor learning.

show abstract

Section: Methodsmentioning

confidence: 99%

Testing Motor Learning Curves Among Dental Students

Ben‐Gal

Katorza

Weiss³

et al. 2017

Journal of Dental Education

View full text Add to dashboard Cite

show abstract

“…The RAF-E records cannulation rates and other interventions such as stent removal or insertion. Historically, competence was merely based on ERCP numbers, but as van Ekkelenkamp et al and other studies show achieving a predefined action (eg, cannulation) is more important than procedure numbers per se 1 2 32 33. But when it comes to numbers, the Ekkelenkamp study showed successful common bile duct (CBD) cannulation in a virgin papilla of only 68% after 180 ERCPs.…”

Section: Training Methods For Ercp and Eusmentioning

confidence: 99%

Training in ERCP and EUS in the UK anno 2017

Bekkali

Johnson

2017

Frontline Gastroenterol

View full text Add to dashboard Cite

In the last 20 years, endoscopic retrograde cholangiopancreatography (ERCP) has evolved from being a diagnostic procedure to being almost exclusively therapeutic. Similarly, endoscopic ultrasound (EUS) is developing into ever-increasing therapeutic roles. Operator technique is central to diagnostic accuracy in EUS, as is effective and safer therapy for both ERCP and therapeutic EUS. Hence, effective training and robust standards for certification and revalidation are required to ensure ERCP and EUS in the UK are as effective and as safe as possible.

show abstract

“…Interestingly, the authors report an OR of 2.8 (p<0.001) for failed completion in procedures with any abnormal finding 1. This may indicate poor lesion recognition/assessment, and that trainers may take over when pathology is detected.…”

mentioning

confidence: 95%

“…We read with interest and commend the study by Ward and colleagues which explores the learning curve in gastroscopy 1. The authors apply a D2 intubation rate of >95% as a proxy marker of trainee competency, and conclude that 187–200 procedures are sufficient to achieve this, in line with Joint Advisory Group (JAG) certification criteria 2.…”

mentioning

confidence: 99%