Evidence map›Paper›PMID 25634177›Full record

ArticleMedicine2015

Simulation-based training for colonoscopy: establishing criteria for competency.

Louise Preisler, Morten Bo Søndergaard Svendsen, Nikolaj Nerup, Lars Bo Svendsen, Lars Konge

Registry-linked trialAbstract read
In one paragraph

Article in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02425657 (Fast Track Module Based Colonoscopy Training Programme for Surgical Trainees at North Jutland Surgical Departments), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02425657 unknown statusnot on this mapstarted 2016, after this paper: background citation

Fast Track Module Based Colonoscopy Training Programme for Surgical Trainees at North Jutland Surgical Departments

TypeobservationalSponsorAalborg University HospitalRan2016 to 2021Enrolled15ConditionsHarm Reduction, Perforation During Colonoscopy, Colorectal CancerArmsTraining of junior doctors
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Objective assessment of colonoscope manipulation skills in colonoscopy training.International journal of computer assisted radiology and surgery · 2018
    Article
  9. A System to Assess the Competency for Interpretation of Esophageal Manometry Identifies Variation in Learning Curves.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2017
    Article
  10. Article
  11. Review
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Louise PreislerFrom the Department of Surgical Gastroenterology and transplantation, Rigshospitalet, and Copenhagen University (LP,LBS), Centre for Clinical Education (CEKU) and Copenhagen University (MBSS,LK), Department of Surgical Gastroenterology, University hospital of Herlev (NN), Copenhagen University Hospital, Herlev, The Capital Region of Denmark.
Morten Bo Søndergaard Svendsen
Nikolaj Nerup
Lars Bo Svendsen
Lars Konge

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to create simulation-based tests with credible pass/fail standards for 2 different fidelities of colonoscopy models. Only competent practitioners should perform colonoscopy. Reliable and valid simulation-based tests could be used to establish basic competency in colonoscopy before practicing on patients. Twenty-five physicians (10 consultants with endoscopic experience and 15 fellows with very little endoscopic experience) were tested on 2 different simulator models: a virtual-reality simulator and a physical model. Tests were repeated twice on each simulator model. Metrics with discriminatory ability were identified for both modalities and reliability was determined. The contrasting-groups method was used to create pass/fail standards and the consequences of these were explored. The consultants significantly performed faster and scored higher than the fellows on both the models (P < 0.001). Reliability analysis showed Cronbach α = 0.80 and 0.87 for the virtual-reality and the physical model, respectively. The established pass/fail standards failed one of the consultants (virtual-reality simulator) and allowed one fellow to pass (physical model). The 2 tested simulations-based modalities provided reliable and valid assessments of competence in colonoscopy and credible pass/fail standards were established for both the tests. We propose to use these standards in simulation-based training programs before proceeding to supervised training on patients.

Indexed as

Clinical CompetenceComputer-Assisted InstructionManikinsAdultColonoscopyEducational MeasurementFemaleHumansMaleMiddle AgedProspective Studies

Identifiers

PMID25634177
PMCPMC4602958

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.