Original articleClinical endoscopyGastrointestinal Endoscopy Competency Assessment Tool: development of a procedure-specific assessment tool for colonoscopy
Section snippets
Study design
Delphi methodology was used to achieve consensus among a panel of endoscopy experts regarding standardized criteria for the assessment of competence of clinicians performing colonoscopy. The Delphi method is a research technique that draws on the collective intelligence of a panel of experts to achieve consensus on a specific topic through the use of iterative rounds of anonymous questionnaires.29 Content validity is “the degree to which elements of an assessment instrument are relative to and
Panel of participants
Of the 68 endoscopy experts initially contacted, 55 responded. Experts were from 44 centers internationally and had performed an average of 612 (range 0-2600) colonoscopies over the preceding year. The characteristics of the panel of participants are described in Table 1.
Delphi process
Of the 55 panelists, 55 (100%) completed the round-1 survey, 43 (78.18%) round 2, 38 (69.09%) round 3, 36 (65.45%) round 4 and 37 (67.27%) round 5. There were no significant differences in demographic characteristics between
Discussion
Recent changes in the medical training environment, including a greater emphasis on patient safety and efficiency, an increased complexity of cases, and work hour restrictions, have resulted in decreased trainee independence and time for hands-on clinical training.35 These changes, along with the variable learning curve for colonoscopy,10 emphasize the need for assessment tools capable of objectively and reproducibly documenting trainee progress over time. The GiECAT was developed specifically
Acknowledgments
The authors thank the expert panelists who participated in the Delphi process. The authors would like to thank Drs Brian Hodges and Dorcas Beaton for their insightful comments.
References (49)
Teaching and testing technical skills
Am J Surg
(1993)- et al.
Prospective assessment of colonoscopic intubation skills in trainees
Gastrointest Endosc
(1996) - et al.
Randomized controlled trial of virtual reality simulator training: transfer to live patients
Am J Surg
(2007) - et al.
Procedural performance in gastrointestinal endoscopy: an assessment and self-appraisal tool
Am J Surg
(2008) - et al.
Use of video and magnetic endoscope imaging for rating competence at colonoscopy: validation of a measurement tool
Gastrointest Endosc
(2002) - et al.
Non-technical skills assessment in surgery
Surg Oncol
(2011) - et al.
A critical review of the delphi technique as a research methodology for nursing
Int J Nurs Stud
(2001) - et al.
Delphi as a method to establish consensus for diagnostic criteria
J Clin Epidemiol
(2003) - et al.
Collaboration, communication, management, and advocacy: teaching surgeons new skills through the CanMEDS project
World J Surg
(2003) - et al.
The next GME accreditation system—rationale and benefits
N Engl J Med
(2012)
Competency-based postgraduate training: Can we bridge the gap between theory and clinical practice?
Acad Med
Competency-based medical education: theory to practice
Med Teach
Competency based medical training: Review
BMJ
Assessment in medical education
N Engl J Med
Canadian credentialing guidelines for colonoscopy
Can J Gastroenterol
Principles of privileging and credentialing for endoscopy and colonoscopy
Gastrointest Endosc
The impact of endoscopists' experience and learning curves and interendoscopist variation on colonoscopy completion rates
Endoscopy
Measuring the quality of endoscopy
Am J Gastroenterol
Global rating scales
Objective assessment of technical skills in surgery
BMJ
Defining and assessing professional competence
JAMA
Modifications in endoscopic practice for pediatric patients
Gastrointest Endosc
Towards continuous improvement of endoscopy standards: validation of a colonoscopy assessment form
Colorect Dis
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DISCLOSURE: This study was supported by an American Society for Gastrointestinal Endoscopy Quality in Endoscopic Research Award. C. Walsh is a doctoral fellow of the CIHR Canadian Child Health Clinician Scientist Training Program and is the recipient of a Department of Paediatrics Research Fellowship (Hospital for Sick Children) award and a Postgraduate Medical Education Award, University of Toronto. H. Carnahan is supported by the BMO Chair in Health Professions Education Research. No funding organization had any role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript. All other authors disclosed no financial relationships relevant to this publication.
If you would like to chat with an author of this article, you may contact Dr Walsh at [email protected].