Evidence map›Paper›PMID 33644672›Full record

ArticleJournal of the Canadian Association of Gastroenterology2021

Colonoscopy Trainers Experience Greater Stress During Insertion than Withdrawal: Implications for Endoscopic Curricula.

Madeline Lemke, Alison Banwell, Natalie Rubinger, Michelle Wiepjes, Mark Ropeleski, Stephen Vanner, Lawrence Hookey

Abstract read
In one paragraph

Article in Journal of the Canadian Association of Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Madeline LemkeGastrointestinal Diseases Research Unit, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0002-6067-5419
Alison BanwellGastrointestinal Diseases Research Unit, Queen's University, Kingston, Ontario, Canada.
Natalie RubingerGastrointestinal Diseases Research Unit, Queen's University, Kingston, Ontario, Canada.
Michelle WiepjesGastrointestinal Diseases Research Unit, Queen's University, Kingston, Ontario, Canada.
Mark RopeleskiGastrointestinal Diseases Research Unit, Queen's University, Kingston, Ontario, Canada.
Stephen VannerGastrointestinal Diseases Research Unit, Queen's University, Kingston, Ontario, Canada.
Lawrence HookeyGastrointestinal Diseases Research Unit, Queen's University, Kingston, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal colonoscopy training curricula should minimize stress and cognitive load. This study aimed to determine whether withdrawal or insertion colonoscopy skills training is associated with less stress or cognitive load for trainees or trainers.

methodsIn Phase I, participants were randomized to train on either insertion or withdrawal in a simulated environment. In Phase II, participants were randomized to begin with either insertion or withdrawal in patient encounters. Salivary cortisol levels, heart rate, and State-Trait Anxiety Inventory (STAI) surveys were used to assess stress in trainees and trainers. NASA Task Load Index (TLX) survey was used to assess cognitive workload in trainees.

resultsIn Phase I, trainee stress increased during the simulation training during both withdrawal and insertion compared to baseline, while trainer stress changed minimally. Cognitive load was higher for trainees during withdrawal (

conclusionTrainees and trainers exhibit important differences in stress during colonoscopy skills training. Trainees reported more stress during simulation training and greatest cognitive load during simulation withdrawal, whereas trainers reported greatest stress during patient encounters, particularly training of insertion techniques. Attention to the effect of stress on trainees and trainers and the drivers of stress is warranted and could be incorporated in competency based medical education.

Indexed as

ColonoscopyEndoscopyMedical educationSimulationTraining

Identifiers

PMID33644672
PMCPMC7898374

What OpenQuestion holds

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Registered trials

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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.