Towards continuous improvement of endoscopy standards: Validation of a colonoscopy assessment form.

Hdl Handle:
http://hdl.handle.net/10147/207291
Title:
Towards continuous improvement of endoscopy standards: Validation of a colonoscopy assessment form.
Affiliation:
National Surgical Training Centre, Royal College of Surgeons in Ireland, RCSI, House, 12 St Stephen's Green, Dublin 2 Department of Gastroenterology Department , of Surgery, Beaumont Hospital, Beaumont, Dublin 9.
Citation:
Colorectal Dis. 2011 Nov 9. doi: 10.1111/j.1463-1318.2011.02883.x.
Journal:
Colorectal disease : the official journal of the Association of Coloproctology of, Great Britain and Ireland
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207291
DOI:
10.1111/j.1463-1318.2011.02883.x
PubMed ID:
22093083
Abstract:
Aim: Assessment of procedural colonoscopy skills is an important and topical. The aim of this study was to develop and validate a competency-based colonoscopy assessment form that would be easy to use, suitable for the assessment of junior and senior endoscopists and potentially be a useful instrument to detect differences in performance standards following different training interventions. Method: A standardised assessment form was developed incorporating a checklist with dichotomous yes/no responses and a global assessment section incorporating several different elements. This form was used prospectively to evaluate colonoscopy cases during the period of the study in several university teaching hospitals. Results were analysed using ANOVA with Bonferroni corrections for post-hoc analysis. Results: 81 procedures were assessed, performed by eight consultant and 19 trainee endoscopists. There were no serious errors. When divided into three groups based on previous experience (novice, intermediate and expert) the assessment form demonstrated statistically significant differences between all three groups (p<0.05). When separate elements were taken into account, the global assessment section was a better discriminator of skill level than the checklist. Conclusion: This form is a valid, easy to use assessment method. We intend to use it to assess the value of simulator training in trainee endoscopists. It also has the potential to be a useful training tool when feedback is given to the trainee.
Language:
ENG
ISSN:
1463-1318 (Electronic); 1462-8910 (Linking)

Full metadata record

DC FieldValue Language
dc.date.accessioned2012-02-01T10:04:07Z-
dc.date.available2012-02-01T10:04:07Z-
dc.date.issued2012-02-01T10:04:07Z-
dc.identifier.citationColorectal Dis. 2011 Nov 9. doi: 10.1111/j.1463-1318.2011.02883.x.en_GB
dc.identifier.issn1463-1318 (Electronic)en_GB
dc.identifier.issn1462-8910 (Linking)en_GB
dc.identifier.pmid22093083en_GB
dc.identifier.doi10.1111/j.1463-1318.2011.02883.xen_GB
dc.identifier.urihttp://hdl.handle.net/10147/207291-
dc.description.abstractAim: Assessment of procedural colonoscopy skills is an important and topical. The aim of this study was to develop and validate a competency-based colonoscopy assessment form that would be easy to use, suitable for the assessment of junior and senior endoscopists and potentially be a useful instrument to detect differences in performance standards following different training interventions. Method: A standardised assessment form was developed incorporating a checklist with dichotomous yes/no responses and a global assessment section incorporating several different elements. This form was used prospectively to evaluate colonoscopy cases during the period of the study in several university teaching hospitals. Results were analysed using ANOVA with Bonferroni corrections for post-hoc analysis. Results: 81 procedures were assessed, performed by eight consultant and 19 trainee endoscopists. There were no serious errors. When divided into three groups based on previous experience (novice, intermediate and expert) the assessment form demonstrated statistically significant differences between all three groups (p<0.05). When separate elements were taken into account, the global assessment section was a better discriminator of skill level than the checklist. Conclusion: This form is a valid, easy to use assessment method. We intend to use it to assess the value of simulator training in trainee endoscopists. It also has the potential to be a useful training tool when feedback is given to the trainee.en_GB
dc.language.isoENGen_GB
dc.titleTowards continuous improvement of endoscopy standards: Validation of a colonoscopy assessment form.en_GB
dc.contributor.departmentNational Surgical Training Centre, Royal College of Surgeons in Ireland, RCSI, House, 12 St Stephen's Green, Dublin 2 Department of Gastroenterology Department , of Surgery, Beaumont Hospital, Beaumont, Dublin 9.en_GB
dc.identifier.journalColorectal disease : the official journal of the Association of Coloproctology of, Great Britain and Irelanden_GB
dc.description.provinceLeinster-

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