Simulation-based training for colonoscopy: establishing criteria for competency

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Standard

Simulation-based training for colonoscopy : establishing criteria for competency. / Preisler, Louise; Svendsen, Morten Bo Søndergaard; Nerup, Nikolaj; Svendsen, Lars Bo; Konge, Lars.

I: Medicine (Baltimore), Bind 94, Nr. 4, 2015.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Preisler, L, Svendsen, MBS, Nerup, N, Svendsen, LB & Konge, L 2015, 'Simulation-based training for colonoscopy: establishing criteria for competency', Medicine (Baltimore), bind 94, nr. 4. https://doi.org/10.1097/MD.0000000000000440

APA

Preisler, L., Svendsen, M. B. S., Nerup, N., Svendsen, L. B., & Konge, L. (2015). Simulation-based training for colonoscopy: establishing criteria for competency. Medicine (Baltimore), 94(4). https://doi.org/10.1097/MD.0000000000000440

Vancouver

Preisler L, Svendsen MBS, Nerup N, Svendsen LB, Konge L. Simulation-based training for colonoscopy: establishing criteria for competency. Medicine (Baltimore). 2015;94(4). https://doi.org/10.1097/MD.0000000000000440

Author

Preisler, Louise ; Svendsen, Morten Bo Søndergaard ; Nerup, Nikolaj ; Svendsen, Lars Bo ; Konge, Lars. / Simulation-based training for colonoscopy : establishing criteria for competency. I: Medicine (Baltimore). 2015 ; Bind 94, Nr. 4.

Bibtex

@article{781c3fe0ec0949a6931199585f50683f,
title = "Simulation-based training for colonoscopy: establishing criteria for competency",
abstract = "The aim of this study was to create simulation-based tests with credible pass/fail standards for 2 different fidelities of colonoscopy models. Only competent practitioners should perform colonoscopy. Reliable and valid simulation-based tests could be used to establish basic competency in colonoscopy before practicing on patients. Twenty-five physicians (10 consultants with endoscopic experience and 15 fellows with very little endoscopic experience) were tested on 2 different simulator models: a virtual-reality simulator and a physical model. Tests were repeated twice on each simulator model. Metrics with discriminatory ability were identified for both modalities and reliability was determined. The contrasting-groups method was used to create pass/fail standards and the consequences of these were explored. The consultants significantly performed faster and scored higher than the fellows on both the models (P < 0.001). Reliability analysis showed Cronbach α = 0.80 and 0.87 for the virtual-reality and the physical model, respectively. The established pass/fail standards failed one of the consultants (virtual-reality simulator) and allowed one fellow to pass (physical model). The 2 tested simulations-based modalities provided reliable and valid assessments of competence in colonoscopy and credible pass/fail standards were established for both the tests. We propose to use these standards in simulation-based training programs before proceeding to supervised training on patients.",
author = "Louise Preisler and Svendsen, {Morten Bo S{\o}ndergaard} and Nikolaj Nerup and Svendsen, {Lars Bo} and Lars Konge",
year = "2015",
doi = "10.1097/MD.0000000000000440",
language = "English",
volume = "94",
journal = "Medicine (Baltimore)",
issn = "0025-7974",
publisher = "Wolters Kluwer Health, Inc.",
number = "4",

}

RIS

TY - JOUR

T1 - Simulation-based training for colonoscopy

T2 - establishing criteria for competency

AU - Preisler, Louise

AU - Svendsen, Morten Bo Søndergaard

AU - Nerup, Nikolaj

AU - Svendsen, Lars Bo

AU - Konge, Lars

PY - 2015

Y1 - 2015

N2 - The aim of this study was to create simulation-based tests with credible pass/fail standards for 2 different fidelities of colonoscopy models. Only competent practitioners should perform colonoscopy. Reliable and valid simulation-based tests could be used to establish basic competency in colonoscopy before practicing on patients. Twenty-five physicians (10 consultants with endoscopic experience and 15 fellows with very little endoscopic experience) were tested on 2 different simulator models: a virtual-reality simulator and a physical model. Tests were repeated twice on each simulator model. Metrics with discriminatory ability were identified for both modalities and reliability was determined. The contrasting-groups method was used to create pass/fail standards and the consequences of these were explored. The consultants significantly performed faster and scored higher than the fellows on both the models (P < 0.001). Reliability analysis showed Cronbach α = 0.80 and 0.87 for the virtual-reality and the physical model, respectively. The established pass/fail standards failed one of the consultants (virtual-reality simulator) and allowed one fellow to pass (physical model). The 2 tested simulations-based modalities provided reliable and valid assessments of competence in colonoscopy and credible pass/fail standards were established for both the tests. We propose to use these standards in simulation-based training programs before proceeding to supervised training on patients.

AB - The aim of this study was to create simulation-based tests with credible pass/fail standards for 2 different fidelities of colonoscopy models. Only competent practitioners should perform colonoscopy. Reliable and valid simulation-based tests could be used to establish basic competency in colonoscopy before practicing on patients. Twenty-five physicians (10 consultants with endoscopic experience and 15 fellows with very little endoscopic experience) were tested on 2 different simulator models: a virtual-reality simulator and a physical model. Tests were repeated twice on each simulator model. Metrics with discriminatory ability were identified for both modalities and reliability was determined. The contrasting-groups method was used to create pass/fail standards and the consequences of these were explored. The consultants significantly performed faster and scored higher than the fellows on both the models (P < 0.001). Reliability analysis showed Cronbach α = 0.80 and 0.87 for the virtual-reality and the physical model, respectively. The established pass/fail standards failed one of the consultants (virtual-reality simulator) and allowed one fellow to pass (physical model). The 2 tested simulations-based modalities provided reliable and valid assessments of competence in colonoscopy and credible pass/fail standards were established for both the tests. We propose to use these standards in simulation-based training programs before proceeding to supervised training on patients.

U2 - 10.1097/MD.0000000000000440

DO - 10.1097/MD.0000000000000440

M3 - Journal article

C2 - 25634177

VL - 94

JO - Medicine (Baltimore)

JF - Medicine (Baltimore)

SN - 0025-7974

IS - 4

ER -

ID: 135097363