Advertisement

 

 

Simulation-Based Training of Non-Technical Skills in Colonoscopy: Protocol for a Randomized Controlled Trial.

Simulation-Based Training of Non-Technical Skills in Colonoscopy: Protocol for a Randomized Controlled Trial.
Author Information (click to view)

Khan R, Scaffidi MA, Walsh CM, Lin P, Al-Mazroui A, Chana B, Kalaichandran R, Lee W, Grantcharov TP, Grover SC,


Khan R, Scaffidi MA, Walsh CM, Lin P, Al-Mazroui A, Chana B, Kalaichandran R, Lee W, Grantcharov TP, Grover SC, (click to view)

Khan R, Scaffidi MA, Walsh CM, Lin P, Al-Mazroui A, Chana B, Kalaichandran R, Lee W, Grantcharov TP, Grover SC,

Advertisement
Share on FacebookTweet about this on TwitterShare on LinkedIn

JMIR research protocols 2017 08 046(8) e153 doi 10.2196/resprot.7690
Abstract
BACKGROUND
Non-technical skills (NTS), such as communication and professionalism, contribute to the safe and effective completion of procedures. NTS training has previously been shown to improve surgical performance. Moreover, increases in NTS have been associated with improved clinical endoscopic performance. Despite this evidence, NTS training has not been tested as an intervention in endoscopy.

OBJECTIVE
The aim of this study is to evaluate the effectiveness of a simulation-based training (SBT) curriculum of NTS on novice endoscopists’ performance of clinical colonoscopy.

METHODS
Novice endoscopists were randomized to 2 groups. The control group received 4 hours of interactive didactic sessions on colonoscopy theory and 6 hours of SBT. Hours 5 and 6 of the SBT were integrated scenarios, wherein participants interacted with a standardized patient and nurse, while performing a colonoscopy on the virtual reality (VR) simulator. The NTS (intervention) group received the same teaching sessions but the last hour was focused on NTS teaching. The NTS group also reviewed a checklist of tasks relevant to NTS concepts prior to each integrated scenario case and was provided with dedicated feedback on their NTS performance during the integrated scenario practice. All participants were assessed at baseline, immediately after training, and 4 to 6 weeks post-training. The primary outcome measure is colonoscopy-specific performance in the clinical setting.

RESULTS
In total, 42 novice endoscopists completed the study. Data collection and analysis is ongoing. We anticipate completion of all assessments by August 2017. Data analysis, manuscript writing, and subsequent submission for publication is expected to be completed by December 2017.

CONCLUSIONS
Results from this study may inform the implementation of NTS training into postgraduate gastrointestinal curricula. NTS curricula may improve attitudes towards patient safety and self-reflection among trainees. Moreover, enhanced NTS may lead to superior clinical performance and outcomes in colonoscopy.

TRIAL REGISTRATION
Clinicaltrial.gov NCT02877420; https://www.clinicaltrials.gov/ct2/show/NCT02877420 (Archived by WebCite at http://www.webcitation.org/6rw94ubXX NCT02877420).

Submit a Comment

Your email address will not be published. Required fields are marked *

18 + eighteen =

[ HIDE/SHOW ]