The efficacy of training insertion skill on a physical model colonoscopy simulator. Plooy, A. M., Hill, A., Horswill, M. S., Cresp, A. S., Karamatic, R., Riek, S., Wallis, G. M., Burgess-Limerick, R., Hewett, D. G., & Watson, M. O. Endoscopy International Open, 4(12):E1252–E1260, December, 2016. 00007 ZSCC: 0000007
The efficacy of training insertion skill on a physical model colonoscopy simulator [link]Paper  doi  abstract   bibtex   
Background and study aims: Prior research supports the validity of performance measures derived from the use of a physical model colonoscopy simulator – the Kyoto Kagaku Colonoscope Training Model (Kyoto Kagaku Co. Ltd., Kyoto, Japan) – for assessing insertion skill. However, its use as a training tool has received little research attention. We assessed the efficacy of a brief structured program to develop basic colonoscope insertion skill through unsupervised practice on the model. , Participants and methods: This was a training study with pretesting and post-testing. Thirty-two colonoscopy novices completed an 11-hour training regime in which they practiced cases on the model in a colonoscopy simulation research laboratory. They also attempted a series of test cases before and after training. For each outcome measure (completion rates, time to cecum and peak force applied to the model), we compared trainees’ post-test performance with the untrained novices and experienced colonoscopists from a previously-reported validation study. , Results: Compared with untrained novices, trained novices had higher completion rates and shorter times to cecum overall (Ps \textless .001), but were out-performed by the experienced colono-scopists on these metrics (Ps \textless .001). Nevertheless, their performance was generally closer to that of the experienced group. Overall, trained novices did not differ from either experience-level comparison group in the peak forces they applied (P \textgreater .05). We also present the results broken down by case. , Conclusions: The program can be used to teach trainees basic insertion skill in a more or less self-directed way. Individuals who have completed the program (or similar training on the model) are better prepared to progress to supervised live cases.
@article{plooy_efficacy_2016,
	title = {The efficacy of training insertion skill on a physical model colonoscopy simulator},
	volume = {4},
	issn = {2364-3722},
	url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5161130/},
	doi = {10/gnbzhd},
	abstract = {Background and study aims: Prior research supports the validity of
performance measures derived from the use of a physical model colonoscopy
simulator – the Kyoto Kagaku Colonoscope Training Model (Kyoto Kagaku Co.
Ltd., Kyoto, Japan) – for assessing insertion skill. However, its use as a
training tool has received little research attention. We assessed the efficacy
of a brief structured program to develop basic colonoscope insertion skill
through unsupervised practice on the model. , 
Participants and methods: This was a training study with pretesting and
post-testing. Thirty-two colonoscopy novices completed an 11-hour training
regime in which they practiced cases on the model in a colonoscopy simulation
research laboratory. They also attempted a series of test cases before and after
training. For each outcome measure (completion rates, time to cecum and peak
force applied to the model), we compared trainees’ post-test performance with
the untrained novices and experienced colonoscopists from a
previously-reported validation study. , 
Results: Compared with untrained novices, trained novices had higher
completion rates and shorter times to cecum overall (Ps {\textless} .001), but
were out-performed by the experienced colono-scopists on these metrics
(Ps {\textless} .001). Nevertheless, their performance was generally closer
to that of the experienced group. Overall, trained novices did not differ from
either experience-level comparison group in the peak forces they applied
(P {\textgreater} .05). We also present the results broken down by case. , 
Conclusions: The program can be used to teach trainees basic insertion
skill in a more or less self-directed way. Individuals who have completed the
program (or similar training on the model) are better prepared to progress to
supervised live cases.},
	number = {12},
	urldate = {2021-11-05},
	journal = {Endoscopy International Open},
	author = {Plooy, Annaliese M. and Hill, Andrew and Horswill, Mark S. and Cresp, Alanna St.G. and Karamatic, Rozemary and Riek, Stephan and Wallis, Guy M. and Burgess-Limerick, Robin and Hewett, David G. and Watson, Marcus O.},
	month = dec,
	year = {2016},
	pmid = {27995185},
	pmcid = {PMC5161130},
	note = {00007 
ZSCC: 0000007 },
	keywords = {Unread},
	pages = {E1252--E1260},
}

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