Original ArticleTraining with the compactEASIE biologic endoscopy simulator significantly improves hemostatic technical skill of gastroenterology fellows: a randomized controlled comparison with clinical endoscopy training alone
Section snippets
Study design
Fellows in 3-year gastroenterology fellowship programs in 9 hospitals in New York City and environs were invited to participate in the project. Participants were asked to complete a questionnaire to document prior endoscopic experience in diagnostic and therapeutic procedures. At entry, all participants had already received some standard endoscopy training during their fellowship. The study design was prospective, two-armed, and randomized. The endoscopic experience of all participating fellows
Results
Thirty-seven fellows in gastroenterology (first-, second-, and third-year) from 9 New York City area training programs applied to participate in this pilot project. Of the 37 who applied, 28 who were able to commit to participation in all 3 predetermined weekend training sessions entered the trial. After the baseline assessment of skills, the 28 fellows were randomized by opening sealed envelopes into two equal groups: Group A (standard training) included 6 first-year, 4 second-year, and 4
Discussion
Optimal patient care and quality assurance relies heavily on the availability of well-trained physicians. Successful endoscopy training combines the acquisition of theoretical background knowledge with mastery and refinement of manual skills. Such practical skills typically are acquired by practicing on the patient, initially under the supervision of an experienced endoscopist. Videoendoscopy has been an important advance with respect to teaching.21 Endoscopy courses that demonstrate actual
Acknowledgments
A special thank you to all of the “blinded tutors” and the numerous “helping hands” who made this training project possible.
References (41)
How many times have you done this procedure, doctor?
Am J Gastroenterol
(2002)- et al.
Teaching endoscopy in the new millennium
Gastrointest Endosc
(2001) - et al.
A guideline for live endoscopy courses: an ASGE White Paper
Gastrointest Endosc
(2001) Retraining in endoscopy
Gastrointest Endosc Clin N Am
(1995)- et al.
The future of simulators in GI endoscopy: an unlikely possibility or a virtual reality?
Gastrointest Endosc
(2002) - et al.
Improved model for teaching interventional EUS
Gastrointest Endosc
(2000) - et al.
Neuer Endoskopie-Trainer f|r die therapeutische flexible Endoskopie
Z Gastroenterol
(1997) - et al.
Erlanger Ausbildungssimulator f|r die interventionelle Endoskopie (EASIE): Eine neue Perspektive f|r die qualitdtsorientierte praktische Ausbildung
Endoskopie heute
(1998) - et al.
EASIE—Erlangen Active Simulator for Interventional Endoscopy: a new biosimulation-model—first experiences gained in training workshops
Gastrointest Endosc
(1998) - et al.
Part 1. The Erlanger endo-trainer
Endoscopy
(2001)
Laparoscopic cholecystectomy. Training on a bio-simulation model with learning success documented using score-cards
Chirurg
Training simulators and education in gastrointestinal endoscopy: current status and perspectives in 2001
Endoscopy
miniEASIE—Ein neues, auf die Belange der interventionellen endoskopie reduziertes trainingsmodell [Abstract; German]
Endoskopie heute
EASIE-team-training ERCP: experiences with a new training concept for interventional ERCP
Endoscopy
Polypectomy, endoscopic staining techniques, mucosectomy: a new structured team training course in a close to reality endoscopy simulator (EASIE)
Endoscopy
The compact Erlangen Active Simulator for Interventional Endoscopy: a prospective comparison in structured team-training courses on “endoscopic hemostasis” for doctors and nurses to the “Endo-Trainer” model
Scand J Gastroenterol
The use of simulators for training in GI endoscopy
Endoscopy
Recommendations of the ESGE Workshop on Ethics in Teaching and Learning Endoscopy. First European Symposium on Ethics in Gastroenterology and Digestive Endoscopy, Kos, Greece, June 2003
Endoscopy
Gastrointest Endosc
ASGE technology evaluation report. Endoscopy simulators. May 1999. American Society for Gastrointestinal Endoscopy
Gastrointest Endosc
Cited by (138)
Endoscopic simulators
2019, Gastrointestinal EndoscopyASGE EndoVators Summit: simulators and the future of endoscopic training
2019, Gastrointestinal EndoscopyAn endoscopic training and assessment model for argon plasma coagulation
2019, Advances in Medical SciencesEndoscopic Simulators
2019, Clinical Gastrointestinal Endoscopy
The first author (J.H) and the second author (K.M.) contributed in equal parts as principal authors to this study.
The study is part of the medical thesis of Mr. Kai Matthes at the Friedrich-Alexander University of Erlangen, Germany.
The results of the study were presented in part as oral presentations at Digestive Diseases Week, May 19-23, 2002, San Francisco, California (Gastrointest Endosc 2002;55:AB77; Gastrointest Endosc 2002;55:AB78); Digestive Diseases Week, May 18-21, 2003, Orlando, Florida.
This study was supported by a research grant of the “Verein zur Foerderung der qualitaetsorientierten praktischen Weiterbildung in der Endoskopie e.V.” (Endo-Verein Erlangen), a noncommercial, nonprofit training organization of the City Court of Erlangen, Germany (Reg. No VR 1380).