A multicenter, simulation-based skills training collaborative using shared GI mentor II systems: results from the Texas association of surgical skills laboratories (TASSL) flexible endoscopy curriculum

Abstract

The feasibility of sharing educational and training resources among institutions was demonstrated. Likewise, the concept of "mobile simulation" appears to be useful and effective, with three of the four institutions involved successfully in implementing the training curriculum during a fixed period. Additionally, subjects who completed the training demonstrated both subjective and objective improvements in flexible endoscopy skills.

Current Status of Simulation-Based Training in Graduate Medical Education

“…34 Study participants showed significant improvements in objective flexible endoscopy skills, and the curriculum was found to be educationally useful and effective. Gomez and colleagues 14 used this curriculum with the addition of practice on 10 colon cases on the GI Mentor II simulator to show that flexible endoscopy skills transferred to the clinical environment.…”

“…Previous research comparing time-, repetition-, and proficiency-based training protocols has shown that learners who practice according to the proficiency-based protocol achieve higher levels of performance with little variability among trainees, even when total training time and repetitions are held constant among these training protocols. 30 Proficiency metrics have been established and validated for many surgical tasks, such as knot tying and suturing, 31,32 laparoscopic skills, 33 and endoscopic skills, 34 and continue to add to the growing body of data supporting the use of simulationbased training in GME.…”

“…org. The TASSL group has published research in the use of simulation in multicenter settings for residents 34 and to evaluate competency in the FLS program among surgery faculty. 61…”

Evaluation of surgical training in the era of simulation

“…Shirai et al [59] 2008 20 residents OGD 11 items 5-grade scale Van Sickle et al [60] 2011 41 trainees Colonoscopy GI Mentor Ⅱ and GAGES OGD: Oesophago-gastro-duodenoscopy; GI: Gastrointestinal; PEG: Percutaneous Endoscopic Gastroscopy; GAGES: Global Assessment of Gastrointestinal Endoscopic Skills.…”

“…Only 1 study [50] assessed trainees' performances using multimodal assessment tools which were OSATS, ICSAD and final product analysis (FPA) (leakage and permeability of an anastomosis). In another study [60] , endoscopic skills were assessed by a combination of the simulator-based scores and Global Assessment of Gastrointestinal Endoscopic Skills (GAGES) scores. Two studies developed intensive boot camp session for new residents in order to boost their basic technical skills at the start of their training programme [52,54] .…”