Trainee participation is associated with increased small adenoma detection

Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy

“…This is consistent with a recent study showing that trainee involvement did not significantly increase overall adenoma detection, although it did increase detection rates of small adenomas. 21 Recently, Lebwohl et al 22 noted that 25% of patients had an adenoma seen on repeat colonoscopy that had been missed during initial colonoscopy in the setting of suboptimal bowel preparation. Our study found an even higher prevalence of patients (33.8%) with adenomas missed on initial examination.…”

A tandem colonoscopy study of adenoma miss rates during endoscopic training: a venture into uncharted territory

“…Others have also reported similar findings. 6,7 We did not randomize our patients to undergo examination by a trainee of a particular experience level. Thus, it is possible that we have selection biases.…”

Stability of Increased Adenoma Detection at Colonoscopy. Follow-Up of an Endoscopic Quality Improvement Program-EQUIP-II

“…It was previously shown that a fl at lesion training program can be benefi cial to increasing adenoma detection rates ( 28 ). In addition, the presence of a trainee can also infl uence and increase ADR ( 29,30 ).…”