Training to use EUS-FNA : It is time to give up the human hands-on approach?

Barthet, Marc; Vanbiervliet, Geoffroy; Gonzalez, Jean‐Michel

doi:10.1055/s-0042-102957

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Doubling from 100 to 200 procedures showed a decrease in complications, therefore many advocates for more mentored biopsies before starting alone. [ 5 6 7 8 9 10 11 12 13 ] Moreover, in 2006, EUS training centers showed a range of 50–1100 procedures performed by their fellows with a mean of 200; at that time, 48% had achieved the ASGE-recommended 150 examinations.…”

Section: Introductionmentioning

confidence: 99%

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

et al. 2022

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Background and Objectives: EUS has evolved into a therapeutic modality for gastrointestinal disorders. Simulators, ex vivo models, and phantoms are the current teaching methods for therapeutic EUS (TEUS). We create and evaluate a high-fidelity simulated live animal model (HiFi SAM) for teaching endoscopists TEUS. Materials and Methods: Designing a curriculum that uses HiFi SAM and enables trainees to perform realistic procedures with expert mentors. Results: Twenty-seven trainees participated in a 3-day program with 6 h of theoretical and 14 h of hands using life HiFi SAM. Eighteen experts participated. Twenty-two (20–25) TEUS were defined for each HiFi SAM, and 616 were performed in all. Of 616/264 (43%) were evaluated with a mean of 88 per course (ranging between 80 and 95). Ninety-one percent (240/264) of the procedures were completed successfully. In 24, success was not achieved due to technical and/or model problems. Student rating of HiFi SAM was: 71% excellent rating (scale 8–10) and 95% excellent/good. The HiFi SAM procedure evaluation was (scale 1–5): fine-needle biopsy: 4.79, radiofrequency: 4.76, common bile duct and gallbladder drainage: 4.75, cystic drainages: 4.72, neurolysis: 4.55, microbiopsy: 4.50, and hepatogastric drainage: 4.04, with an overall satisfaction rate of 4.56 (91%). A short survey showed: 83% would recommend absolutely (17% most likely), 33% think that ITEC training was sufficient for their practice, and 66% would like additional training, especially more practice in specific techniques rather than more clinical case discussion. Regarding impact on their practice, 66% of the trainees started a new procedure and/or noted improvement in previous ones. Conclusion: HiFi SAM is a complex model; however, experts and trainees are satisfied with the training this new curriculum provided.

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Section: Introductionmentioning

confidence: 99%

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Doubling from 100 to 200 procedures showed a decrease in complications, therefore many advocates for more mentored biopsies before starting alone. [5][6][7][8][9][10][11][12][13] Moreover, in 2006, EUS training centers showed a range of 50-1100 procedures performed by their fellows with a mean of 200; at that time, 48% had achieved the ASGE-recommended 150 examinations.…”

Section: Introductionmentioning

confidence: 99%

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

et al. 2022

View full text Add to dashboard Cite

Background and Objectives: EUS has evolved into a therapeutic modality for gastrointestinal disorders. Simulators, ex vivo models, and phantoms are the current teaching methods for therapeutic EUS (TEUS). We create and evaluate a high-fidelity simulated live animal model (HiFi SAM) for teaching endoscopists TEUS. Materials and Methods: Designing a curriculum that uses HiFi SAM and enables trainees to perform realistic procedures with expert mentors. Results: Twenty-seven trainees participated in a 3-day program with 6 h of theoretical and 14 h of hands using life HiFi SAM. Eighteen experts participated. Twenty-two (20-25) TEUS were defined for each HiFi SAM, and 616 were performed in all. Of 616/264 (43%) were evaluated with a mean of 88 per course (ranging between 80 and 95). Ninety-one percent (240/264) of the procedures were completed successfully. In 24, success was not achieved due to technical and/or model problems. Student rating of HiFi SAM was: 71% excellent rating (scale 8-10) and 95% excellent/good. The HiFi SAM procedure evaluation was (scale 1-5): fine-needle biopsy: 4.79, radiofrequency: 4.76, common bile duct and gallbladder drainage: 4.75, cystic drainages: 4.72, neurolysis: 4.55, microbiopsy: 4.50, and hepatogastric drainage: 4.04, with an overall satisfaction rate of 4.56 (91%). A short survey showed: 83% would recommend absolutely (17% most likely), 33% think that ITEC training was sufficient for their practice, and 66% would like additional training, especially more practice in specific techniques rather than more clinical case discussion. Regarding impact on their practice, 66% of the trainees started a new procedure and/or noted improvement in previous ones. Conclusion: HiFi SAM is a complex model; however, experts and trainees are satisfied with the training this new curriculum provided.

show abstract

Training to use EUS-FNA : It is time to give up the human hands-on approach?

Cited by 2 publications

References 8 publications

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

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