Su1075 Development of a High Resolution Esophageal Manometry (HREM) Training System Identifies Significant Variation in HREM Learning Curves

Yadlapati, Rena; Keswani, Rajesh N.; Ciolino, Jody D.; Grande, David; Listernick, Zoe; Carlson, Dustin A.; Castell, Donald O.; Dunbar, Kerry B.; Gawron, Andrew J.; Gyawali, C. Prakash; Katz, Philip O.; Lacy, Brian E.; Spechler, Stuart J.; Vela, Marcelo F.; Adler, Jeffrey M.; Alghamdi, Saad; Ali, Muhammad Zeeshan; Atiq, Omair; Bill, Jason G.; Brown, Jeffrey W.; Guentner, Amanda; Horner, Brian; Horsley‐Silva, Jennifer L.; Laing, Patrick; Martin, Donald J.; Martin, J.; Pham, Tuan Anh; Platovsky, Anna; Schowalter, Joseph; Silon, Bryan; Singh, Gurshawn; Sleesman, Brett; Sloan, Joshua A.; Vance, Ralph B.; Pandolfino, John E.

doi:10.1016/s0016-5085(16)31591-8

Cited by 2 publications

(3 citation statements)

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“…We were able to monitor learning curves over time, and reported that many trainees achieved competency through web‐based training and active feedback. Importantly, we also identified trainees with slower rates of learning who would require more intensive education and supervision to achieve competency . This important work highlights the need to, first, understand learning curves for GI motility diagnostics.…”

Section: Competency Based Medical Education In Gastrointestinal Motilmentioning

confidence: 93%

Competency based medical education in gastrointestinal motility

Yadlapati

Keswani

Pandolfino

2016

Neurogastroenterology Motil

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Traditional apprenticeship based medical education methods focusing on subjective evaluations and case-volume requirements do not reliably produce clinicians that provide high-quality care in unsupervised practice. Consequently, training approaches are shifting towards competency based medical education, which incorporates robust assessment methods and credible standards of physician proficiency. However, current gastroenterology and hepatology training in the US continues to utilize procedural volume and global impressions without standardized criteria as markers of competence. In particular, efforts to optimize competency based training in gastrointestinal (GI) motility are not underway, even though GI motility disorders account for nearly half of outpatient gastroenterology visits. These deficiencies compromise the quality of patient care. Thus, there is a great need and opportunity to shift our focus in GI motility training towards a competency based approach. First, we need to understand rates of learning for individual diagnostic tests. Next, integrated systems that standardize training and monitor physician competency for GI motility diagnostics are required. In addition, certification processes to credential competent physicians need to be developed. These advances are critical to optimizing the quality of GI motility diagnostics in practice.

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Section: Competency Based Medical Education In Gastrointestinal Motilmentioning

confidence: 93%

Competency based medical education in gastrointestinal motility

Yadlapati

Keswani

Pandolfino

2016

Neurogastroenterology Motil

View full text Add to dashboard Cite

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“…A benchmark for competency in HRM interpretation has been suggested as interpreting 50 studies 1, 5 . However, a recent study of gastroenterology trainees found that <50% of trainees actually achieved competency at that experience level 2 . Obviously, it is more than just a matter of numbers.…”

Section: Hrm Interpretationmentioning

confidence: 99%

“…Consequently, high-resolution manometry (HRM) with 36 closely spaced pressure sensors, data display in the format of Clouse plots (color isobaric contours), and the Chicago Classification have become widely adopted into clinical practice representing an update from ‘conventional’ line tracing manometry. This evolution offers great promise in standardizing the performance and interpretation of esophageal manometric studies 1, 2 . However, it also challenges trainees and practitioners to become sufficiently familiar with HRM to effectively utilize it in their practice environment.…”

Section: Introductionmentioning

confidence: 99%