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Knowledge of quality measures in endoscopy among trainees is unknown. Dr Jenn Hian Koo and colleagues from New York, USA assessed knowledge of endoscopy-related quality indicators among U.S. trainees, and determined whether it improves with a Web-based intervention. The team performed a randomized, controlled study of trainees identified from the American Society for Gastrointestinal Endoscopy membership database. Participants were invited to complete an 18-question online test. Respondents were randomized to receive a Web-based tutorial (intervention) or not. The test was readministered 6 weeks after randomization to determine the intervention's impact. The team's main outcome measurements in included baseline knowledge of endoscopy-related quality indicators and impact of the tutorial.  | | 44% knew the adenoma detection rate benchmark | | Gastrointestinal Endoscopy |
The research team reported that a total of 347 of 1220 trainees completed the test. The team noted that the mean percentage of correct responses was 55%. For screening colonoscopy, 44% knew the adenoma detection rate benchmark, 42% identified the cecal intubation rate goal, and 74% knew the recommended minimum withdrawal time. A total of 208 of 347 trainees completed the second test. The research team observed that baseline scores were similar for the tutorial, and no tutorial groups. The researchers observed that scores improved after intervention for the tutorial group but remained unchanged in the no tutorial group. On multivariate analysis, each additional year in training, training at an academic institution, and receiving the tutorial were associated with scores in the upper tertile. Dr Koo's team commented, "Knowledge of endoscopy-related quality performance measures is low among trainees but can improve with a Web-based tutorial." "Gastroenterology training programs may need to incorporate a formal didactic curriculum to supplement practice-based learning of quality standards in endoscopy."
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