Evidence map›Paper›PMID 39484698›Full record

ArticleJournal of gastroenterology and hepatology2024

Prospective study on comparison of simulation-based mastery learning versus conventional apprentice-based learning for basic endoscopy training.

Hasan Maulahela, Roy M Soetikno, Tonya R Kaltenbach, Nagita Gianty Annisa, Nurul Amelia Rahayu Putri, Ari Fahrial Syam, Marcellus Simadibrata, Ardi Findyartini, Wresti Indriatmi

Abstract readComparative Study
In one paragraph

Article in Journal of gastroenterology and hepatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

9 authors.

Hasan MaulahelaDivision of Gastroenterology, Department of Internal Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Central Jakarta, Indonesia.ORCID https://orcid.org/0000-0002-0396-4433
Roy M SoetiknoSan Francisco Veteran Affairs Medical Centre, San Francisco, California, USA.
Tonya R KaltenbachSan Francisco Veteran Affairs Medical Centre, San Francisco, California, USA.
Nagita Gianty AnnisaDivision of Gastroenterology, Department of Internal Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Central Jakarta, Indonesia.
Nurul Amelia Rahayu PutriDivision of Gastroenterology, Department of Internal Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Central Jakarta, Indonesia.
Ari Fahrial SyamDivision of Gastroenterology, Department of Internal Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Central Jakarta, Indonesia.
Marcellus SimadibrataDivision of Gastroenterology, Department of Internal Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Central Jakarta, Indonesia.
Ardi FindyartiniDepartment of Medical Education, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Wresti IndriatmiDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimThe simulation-based mastery learning (SBML) method holds promise for improving the efficiency and effectiveness of endoscopy training. However, further study is required to establish its advantages over the traditional method. We aim to prospectively compare outcomes between gastrointestinal endoscopy trainees taught using SBML and those trained using conventional apprenticeship methods for upper endoscopy.

methodsWe performed a blinded, stepwise, comparative study with SBML participants deliberately practicing deconstructed steps of upper endoscopy and apprenticeship participants observing procedures. Three blinded trainers assessed trainees' skills using a validated esophagogastroduodenoscopy (EGD) tool pre-and post-training. The minimum pass standard (MPS) was set at a score > 2. We compared MPS of the groups using standard statistics and paired t-test.

resultsSix trainees were enrolled in the SBML group, and six in the conventional group. All trainees in the SBML group passed the minimum standard compared with the conventional group (P = 0.06). All trainees in the SBML group obtained significantly higher scores in overall basic GI endoscopic skills, esophageal, stomach, and duodenal observation skills than those of the conventional apprenticeship group (P < 0.05). The SBML curriculum led to three times more learning (Cohen's d = 6.5) than the conventional method (Cohen's d = 1.8).

conclusionThis prospective study supports SBML for upper endoscopy training compared with the traditional apprentice-based method. SBML resulted in a steeper learning curve, as trainees learned three times more during the same period. Furthermore, trainees developed a uniform competency level at the end of training.

Indexed as

Clinical CompetenceEndoscopy, GastrointestinalSimulation TrainingAdultEducational MeasurementEndoscopy, Digestive SystemFemaleGastroenterologyHumansLearningMaleProspective StudiesCompetency‐based educationCurriculum educationEndoscopyMastery learningSimulation training

Identifiers

PMID39484698
PMCPMC11660195

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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.