Establishing the learning curve for achieving competency in performing colonoscopy: A systematic review

Gastrointestinal Endoscopy

Volumn 80, Issue 3, 2014, Pages 410-416

  Shahidi, Neal ^a   Ou, George ^a   Telford, Jennifer ^a   Enns, Robert ^a  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

Abbreviations; cecal intubation rate; cecal intubation time; CIR; CIT; colonoscopy; CSPY; ICIR; independent cecal intubation rate; Mayo Colonoscopy Skills Assessment Tool; MCSAT; total procedural time; TPT

Indexed keywords

COLONOSCOPY; ENDOSCOPIST; GASTROENTEROLOGY; HEALTH CARE UTILIZATION; HEMOSTASIS; HUMAN; LEARNING CURVE; PATIENT CARE; POLYPECTOMY; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROFESSIONAL COMPETENCE; REVIEW; SURGICAL TRAINING; SYSTEMATIC REVIEW; CLINICAL COMPETENCE; EDUCATION;

CLINICAL COMPETENCE; COLONOSCOPY; HUMANS; LEARNING CURVE;

EID: 84906310313     PISSN: 00165107     EISSN: 10976779     Source Type: Journal    
DOI: 10.1016/j.gie.2014.04.056     Document Type: Review

References (37)

1. D.K. Rex, J.L. Petrini, and T.H. Baron et al. Quality indicators for colonoscopy Am J Gastroenterol 101 2006 873 885
2. G. Minoli, G. Meucci, and A. Prada et al. Quality assurance and colonoscopy Endoscopy 31 1999 522 527
3. R.S. Wington, J.O.A. Nicolas, and L.L. Blank Procedural skills of the general internist: a survey of 2500 physicians Ann Intern Med 111 1989 1023 1034
4. R.S. Wington, L.L. Blank, and J.O.A. Nicolas et al. Procedural skills training in internal medicine residencies Ann Intern Med 111 1989 932 938
5. R.A. Wington, L.L. Blank, and H. Monsur et al. Procedural skills of practicing gastroenterologists. A national survey of 700 members of the American College of Physicians Ann Intern Med 113 1990 540 546
6. O.W. Cass, M.L. Freeman, and J. Cohen et al. Acquisition of competency in endoscopic skills (ACES) during training: a multicenter study [abstract] Gastrointest Endosc 43 1996 308
7. ASGE Principles of training in gastrointestinal endoscopy Gastrointest Endosc 49 1999 845 853
8. American Board of Surgery. ABS Statement on GI Endoscopy. Available at: http://www.absurgery.org/default.jsp?newsgiresponse. Accessed February 24, 2014.
9. S. Johna, and D. Klaristenfeld Surgery resident training in endoscopy: the saga continues Arch Surg 146 2011 899 900
10. ASGE Training Committee Principles of training in GI endoscopy Gastrointest Endosc 75 2012 231 235
11. J. Romagnuolo, R. Enns, and T. Ponich et al. Canadian credentialing guidelines for colonoscopy Can J Gastroenterol 22 2008 17 22
12. B.R. Parry, and S.M. Williams Competency and the colonoscopist: a learning curve Austr NZ J Surg 61 1991 419 422
13. O.W. Cass, M.L. Freeman, and C.J. Peine et al. Objective evaluation of endoscopy skills during training Ann Intern Med 118 1993 40 44
14. J.B. Marshall Technical proficiency of trainees performing colonoscopy: a learning curve Gastrointest Endosc 42 1995 287 291
15. A. Chak, G.S. Cooper, and E.W. Blades et al. Prospective assessment of colonoscopic intubation skills in trainees Gastrointest Endosc 44 1996 54 57
16. P.S. Tassios, D. Ladas, and I. Grammenos et al. Acquisition of competence in colonoscopy: a learning curve for trainees Endoscopy 31 1999 702 706
17. J. Church, J. Oakley, and J. Milsom et al. Colonoscopy training: the need for patience (patients) Austr NZ J Surg 72 2002 89 91
18. R.E. Sedlack, and J.C. Kolars Computer simulator training enhances the competency of gastroenterology fellows at colonoscopy: results of a pilot study Am J Gastroenterol 99 2004 33 37
19. J. Cohen, S.A. Cohen, and K.C. Vora et al. Multicenter, randomized, controlled trial of virtual-reality simulator training in acquisition of competency in colonoscopy Gastrointest Endosc 64 2006 361 368
20. S.H. Lee, I.K. Chung, and S.J. Kim et al. An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve Gastrointest Endosc 67 2008 683 689
21. J.J. Koornstra, S. Corporaal, and W.M. Giezen-Beintema et al. Colonoscopy training for nurse endoscopists: a feasibility study Gastrointest Endosc 69 2009 688 695
22. J.I. Chung, N. Kim, and M.S. Um et al. Learning curves for colonoscopy: a prospective evaluation of gastroenterology fellows at a single center Gut Liver 4 2010 31 35
23. B.J. Spier, M. Benson, and P.R. Pfau et al. Colonoscopy training in gastroenterology fellowships: determining competence Gastrointest Endosc 71 2010 319 324
24. R.E. Sedlack Training competency in colonoscopy: assessing and defining competency standards Gastrointest Endosc 74 2011 355 366
25. A. Elvevi, P. Cantu, and G. Maconi et al. Evaluation of hands-on training in colonoscopy: is a computer-based simulator useful? Dig Liver Dis 44 2012 580 584
26. M.A. Gromski, C.A. Miller, and S.H. Lee et al. Trainees' adenoma detection rate is higher if >/= 10 minutes is spent on withdrawal during colonoscopy Surg Endosc 26 2012 1337 1342
27. A.D. Koch, J. Haringsma, and E.J. Schoon et al. Competence measurement during colonoscopy training: the use of self-assessment of performance measures Am J Gastroenterol 107 2012 971 975
28. C.R. Selvasekar, S.D. Holubar, and R. Pendlimari et al. Assessment of screening colonoscopy competency in colon and rectal surgery fellows: a single institution experience J Surg Res 174 2012 e17 e23
29. H.J. Park, J.H. Hong, and H.S. Kim et al. Predictive factors affecting cecal intubation failure in colonoscopy trainees BMC Med Educ 13 2013 5
30. J.B. Marshall, and J.S. Barthel The frequency of total colonoscopy and terminal ileal intubation in the 1990s Gastrointest Endosc 39 1993 518 520
31. C.M. Walsh, S.C. Ling, and N. Khanna et al. Gastrointestinal Endoscopy Competency Assessment Tool: development of a procedure-specific assessment tool for colonoscopy Gastrointest Endosc 79 2013 798 807
32. ASGE Training Committee ASGE's assessment of competency in endoscopy evaluation tools for colonoscopy and EGD Gastrointest Endosc 79 2014 1 7
33. ASGE Training Committee Colonoscopy core curriculum Gastrointest Endosc 76 2012 482 490
34. American Board of Surgery. Flexible endoscopy curriculum. March 2014. Available at: http://www.absurgery.org/default.jsp?certgsqe-fec. Accessed April 2014.
35. American Academy of Family Physicians. Colonoscopy (Position Paper). June 13, 2013. Available at: http://s.aafp.org/?q=colonoscopy&q1=&x1= &first-search=0&search=Entire+Site. Accessed April 2014.
36. L.D. Eckert, M.W. Short, and J.E. Domagalski et al. Assessing colonoscopy training outcomes using quality indicators J Grad Med Educ 1 2009 89 92
37. S.T. Ward, M.A. Mohammed, and R. Walt et al. An analysis of the learning curve to achieve competency at colonoscopy using the JETS database Gut 2014 [Epub ahead of print]