Training and competence assessment in GI endoscopy: a systematic review

Abstract

The use of validated VR simulators in the early training setting accelerates the learning of practical skills. Learning curves are valuable for the continuous assessment of performance and are more relevant than threshold numbers. Future research will strengthen these conclusions by evaluating simulation-based as well as patient-based training in GI endoscopy. A complete curriculum with the assessment of competence throughout training needs to be developed for all GI endoscopy procedures.

Tablet computer-based multimedia enhanced medical training improves performance in gastroenterology and endoscopy board style exam compared with traditional medical education

“…One study even showed that a well-validated video trainer for assessment of laparoscopic skills was superior to a high-cost virtual reality system 3. Our concept would therefore nicely complement haptic simulators systematically reviewed by Ekkelenkamp et al 1 in blended training approaches to invasive procedure training, which have been shown to improve trainee skills 4. Residency and fellowship directors may consider adding computer devices, multimedia content and introduce blended learning to their respective training programmes.…”

“…We read with interest the paper by Ekkelenkamp et al ,1 who found that the early use of validated simulators during endoscopy training expedites the learning of procedural skills.…”

Assessments and skills improvement for endoscopists

“…There is a move away from a numbers-based criteria and towards competency-based assessment. A recent systematic review concluded that "learning curves are valuable for the continuous assessment of performance and are more relevant than threshold numbers" [4]. Ideally, several components of any skill should be assessed and each component should have a clear descriptor to minimise the influence of assessment biases.…”

Understanding Clinical Reasoning from Multiple Perspectives: A Conceptual and Theoretical Overview

“…Competence in colonoscopy requires experience with 150-200 colonoscopies under supervision (Ekkelenkamp et al 2016). That competence improves with practice is not surprising and known from, for instance, in chess (De Groot 1978).…”