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Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
The efficacy of training insertion skill on a physical model colonoscopy simulator
Endoscopy International Open, Vol.4(12), pp.E1252-E1260
2016
PMCID: PMC5161130
PMID: 27995185
Abstract
Background and study aims: Prior research supports the validity of performance measures derived from the use of a physical model colonoscopy simulator – the Kyoto Kagaku Colonoscope Training Model (Kyoto Kagaku Co. Ltd., Kyoto, Japan) – for assessing insertion skill. However, its use as a training tool has received little research attention. We assessed the efficacy of a brief structured program to develop basic colonoscope insertion skill through unsupervised practice on the model. Participants and methods: This was a training study with pretesting and post-testing. Thirty-two colonoscopy novices completed an 11-hour training regime in which they practiced cases on the model in a colonoscopy simulation research laboratory. They also attempted a series of test cases before and after training. For each outcome measure (completion rates, time to cecum and peak force applied to the model), we compared trainees’ post-test performance with the untrained novices and experienced colonoscopists from a previously-reported validation study. Results: Compared with untrained novices, trained novices had higher completion rates and shorter times to cecum overall (Ps < .001), but were out-performed by the experienced colonoscopists on these metrics (Ps < .001). Nevertheless, their performance was generally closer to that of the experienced group. Overall, trained novices did not differ from either experience-level comparison group in the peak forces they applied (P > .05). We also present the results broken down by case. Conclusions: The program can be used to teach trainees basic insertion skill in a more or less self-directed way. Individuals who have completed the program (or similar training on the model) are better prepared to progress to supervised live cases.
Details
- Title
- The efficacy of training insertion skill on a physical model colonoscopy simulator
- Authors
- Annaliese M Plooy (Author) - The University of QueenslandAndrew Hill (Author) - The University of QueenslandMark S Horswill (Author) - The University of QueenslandAlanna St.G Cresp (Author) - The University of QueenslandRozemary Karamatic (Author) - Metro North Health (Australia)Stephan Riek (Author) - The University of QueenslandGuy M Wallis (Author) - The University of QueenslandRobin Burgess-Limerick (Author) - The University of QueenslandDavid G Hewett (Author) - The University of QueenslandMarcus O Watson (Author) - The University of Queensland
- Publication details
- Endoscopy International Open, Vol.4(12), pp.E1252-E1260
- Publisher
- Georg Thieme Verlag KG
- Date published
- 2016
- DOI
- 10.1055/s-0042-114773
- ISSN
- 2196-9736; 2364-3722
- PMID
- 27995185; PMC5161130
- Copyright note
- Copyright © Georg Thieme Verlag KG Stuttgart. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY NC ND)
- Organisation Unit
- Graduate Research School; University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99472606302621
- Output Type
- Journal article
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