The use of computer-based colonoscopy simulation in the training of gastroenterology fellows
Richard M. Warneke, The University of Texas Medical Branch Graduate School of Biomedical Sciences, United States
The University of Texas Medical Branch Graduate School of Biomedical Sciences . Awarded
Objective. The purpose of this study was to determine the criteria that define competency in colonoscopy and to investigate the role of computer-based colonoscopy simulation (CBCS) in the training of gastroenterologists.
Methods. Using a survey that included various aspects of colonoscopy, experienced endoscopists rated their importance in evaluating procedural competency. A CBCS was used to compare performance of three groups with differing levels of colonoscopy experience, performance after six months of actual colonoscopy training, performance compared to actual colonoscopy performance.
Results. There was general agreement among experienced endoscopists that both cognitive and technical skills should be included in competency assessment. Performance differences were observed when comparing physicians with little or no endoscopic experience to those with intermediate to advanced experience levels. Improved performance was observed after six months of bedside training.
Conclusion. The CBCS appears to mirror technical aspects of colonoscopy, and our work supports it's use in colonoscopy training.
Warneke, R.M. The use of computer-based colonoscopy simulation in the training of gastroenterology fellows. Master's thesis, The University of Texas Medical Branch Graduate School of Biomedical Sciences.
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