ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2017
A System to Assess the Competency for Interpretation of Esophageal Manometry Identifies Variation in Learning Curves.
Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The trial behind it
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Who cites it
10 citing papers in PubMed.
- Accuracy of Novice Raters for Esophageal Motility Classifications Using Functional Lumen Imaging Probe Panometry.Neurogastroenterology and motility · 2026Article
- Implementation and Analysis of a 5-Year Online Esophageal Motility Curriculum for Gastroenterology Fellows.Digestive diseases and sciences · 2024Article
- Utility of a new automated diagnostic program in high-resolution esophageal manometry.Journal of gastroenterology · 2021Article
- Esophageal Manometry Competency Program Improves Gastroenterology Fellow Performance in Motility Interpretation.The American journal of gastroenterology · 2020Article
- Tips for the Budding Esophagologist.Current gastroenterology reports · 2019Review
- New Developments in Esophageal Motility Testing.Current treatment options in gastroenterology · 2019Review
- Expert consensus document: Advances in the management of oesophageal motility disorders in the era of high-resolution manometry: a focus on achalasia syndromes.Nature reviews. Gastroenterology & hepatology · 2017Review
- High-resolution esophageal manometry: interpretation in clinical practice.Current opinion in gastroenterology · 2017Review
- Benchmarks for the interpretation of esophageal high-resolution manometry.Neurogastroenterology and motility · 2017Article
- High Resolution Manometry Vs Conventional Line Tracing for Esophageal Motility Disorders.Gastroenterology & hepatology · 2017Article
Corrections and comments
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Authors and funding
17 authors.
Funding
Abstract
BACKGROUND &
aimsQuality esophageal high-resolution manometry (HRM) studies require competent interpretation of data. However, there is little understanding of learning curves, training requirements, or measures of competency for HRM. We aimed to develop and use a competency assessment system to examine learning curves for interpretation of HRM data.
methodsWe conducted a prospective multicenter study of 20 gastroenterology trainees with no experience in HRM, from 8 centers, over an 8-month period (May through December 2015). We designed a web-based HRM training and competency assessment system. After reviewing the training module, participants interpreted 50 HRM studies and received answer keys at the fifth and then at every second interpretation. A cumulative sum procedure produced individual learning curves with preset acceptable failure rates of 10%; we classified competency status as competency not achieved, competency achieved, or competency likely achieved.
resultsFive (25%) participants achieved competence, 4 (20%) likely achieved competence, and 11 (55%) failed to achieve competence. A minimum case volume to achieve competency was not identified. There was no significant agreement between diagnostic accuracy and accuracy for individual HRM skills.
conclusionsWe developed a competency assessment system for HRM interpretation; using this system, we found significant variation in learning curves for HRM diagnosis and individual skills. Our system effectively distinguished trainee competency levels for HRM interpretation and contrary to current recommendations, found that competency for HRM is not case-volume specific.
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