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Exploring Use of Endoscopy Simulation in North American Pediatric Gastroenterology Fellowship Training Programs.
J Pediatr Gastroenterol Nutr. 2020 01; 70(1):25-30.JP

Abstract

OBJECTIVES

Increasing evidence supports simulation-based training; however, limited data exist regarding its use in pediatric gastroenterology (GI). We explored the use of simulation-based endoscopy training in pediatric GI fellowship programs across North America.

METHODS

GI fellowship program directors (PDs) from the United States and Canada were surveyed between August to November 2018. The pretested, electronic survey comprised 3 sections: program demographics; details of current simulation-based training; and PDs' perceptions of endoscopy simulation. Responses were analyzed using descriptive statistics.

RESULTS

Forty-three of 71 (61%) PDs responded (6 Canadian, 37 US). Programs were predominantly academic (95%) and enrolled 1.87 ± 1.01 fellows/yr. Twenty-four programs (56%) reported using simulation for endoscopy training, whereas 8 (19%) used simulation for nonprocedural education. Only 2 programs (5%) used endoscopy simulation for assessment. Of those using simulation (n = 24), upper endoscopy and colonoscopy were trained most frequently, and mechanical simulators were used most commonly. Eight programs (33%) required simulation training prior to clinical performance. Although 10 programs (42%) provided protected training time, only 2 (8%) tracked hours. Three programs (13%) reported having an organized curriculum and 6 (25%) train their endoscopic trainers. Cost, time constraints, and lack of a standardized curriculum were perceived as key barriers to integration. Most PDs reported a need for endoscopy simulation to train both technical and nontechnical skills; however, they felt simulation cannot replace clinical experience.

CONCLUSION

PDs recognize the potential importance of endoscopy simulation, particularly for novices; however, only 56% report using it. Perceived barriers indicate the need for inexpensive portable simulators and a validated pediatric simulation curriculum to promote uptake.

Authors+Show Affiliations

Department of Pediatrics.Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition Rutgers New Jersey Medical School, Newark, NJ.Division of Gastroenterology, Hepatology and Nutrition and the Research and Learning Institutes, Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto, Toronto, Ontario, Canada.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31651805

Citation

Gabrani, Aayush, et al. "Exploring Use of Endoscopy Simulation in North American Pediatric Gastroenterology Fellowship Training Programs." Journal of Pediatric Gastroenterology and Nutrition, vol. 70, no. 1, 2020, pp. 25-30.
Gabrani A, Monteiro IM, Walsh CM. Exploring Use of Endoscopy Simulation in North American Pediatric Gastroenterology Fellowship Training Programs. J Pediatr Gastroenterol Nutr. 2020;70(1):25-30.
Gabrani, A., Monteiro, I. M., & Walsh, C. M. (2020). Exploring Use of Endoscopy Simulation in North American Pediatric Gastroenterology Fellowship Training Programs. Journal of Pediatric Gastroenterology and Nutrition, 70(1), 25-30. https://doi.org/10.1097/MPG.0000000000002525
Gabrani A, Monteiro IM, Walsh CM. Exploring Use of Endoscopy Simulation in North American Pediatric Gastroenterology Fellowship Training Programs. J Pediatr Gastroenterol Nutr. 2020;70(1):25-30. PubMed PMID: 31651805.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exploring Use of Endoscopy Simulation in North American Pediatric Gastroenterology Fellowship Training Programs. AU - Gabrani,Aayush, AU - Monteiro,Iona M, AU - Walsh,Catharine M, PY - 2019/10/28/pubmed PY - 2021/3/5/medline PY - 2019/10/26/entrez SP - 25 EP - 30 JF - Journal of pediatric gastroenterology and nutrition JO - J Pediatr Gastroenterol Nutr VL - 70 IS - 1 N2 - OBJECTIVES: Increasing evidence supports simulation-based training; however, limited data exist regarding its use in pediatric gastroenterology (GI). We explored the use of simulation-based endoscopy training in pediatric GI fellowship programs across North America. METHODS: GI fellowship program directors (PDs) from the United States and Canada were surveyed between August to November 2018. The pretested, electronic survey comprised 3 sections: program demographics; details of current simulation-based training; and PDs' perceptions of endoscopy simulation. Responses were analyzed using descriptive statistics. RESULTS: Forty-three of 71 (61%) PDs responded (6 Canadian, 37 US). Programs were predominantly academic (95%) and enrolled 1.87 ± 1.01 fellows/yr. Twenty-four programs (56%) reported using simulation for endoscopy training, whereas 8 (19%) used simulation for nonprocedural education. Only 2 programs (5%) used endoscopy simulation for assessment. Of those using simulation (n = 24), upper endoscopy and colonoscopy were trained most frequently, and mechanical simulators were used most commonly. Eight programs (33%) required simulation training prior to clinical performance. Although 10 programs (42%) provided protected training time, only 2 (8%) tracked hours. Three programs (13%) reported having an organized curriculum and 6 (25%) train their endoscopic trainers. Cost, time constraints, and lack of a standardized curriculum were perceived as key barriers to integration. Most PDs reported a need for endoscopy simulation to train both technical and nontechnical skills; however, they felt simulation cannot replace clinical experience. CONCLUSION: PDs recognize the potential importance of endoscopy simulation, particularly for novices; however, only 56% report using it. Perceived barriers indicate the need for inexpensive portable simulators and a validated pediatric simulation curriculum to promote uptake. SN - 1536-4801 UR - https://www.unboundmedicine.com/medline/citation/31651805/Exploring_Use_of_Endoscopy_Simulation_in_North_American_Pediatric_Gastroenterology_Fellowship_Training_Programs_ L2 - https://doi.org/10.1097/MPG.0000000000002525 DB - PRIME DP - Unbound Medicine ER -