Poor performance and inadequate training in colonoscopy in the United Kingdom has been reported.
Several centers across the United Kingdom run intensive hands-on training courses but their efficacy has not been established.
Dr Noriko Suzuki and colleagues from England assessed the benefit of the accelerated colonoscopy training course.
An audit was conducted for the 50 trainees who individually attended the course.
The investigative team's objectives were to increase core knowledge and improve the basic hand skills required for colonoscopy.
The skills included 3 microteaching, 2 computer simulator and 4 hands-on training sessions within 4 days.
|Pre- and post-course scores for basic handling technique was 59 vs 67|
The investigators performed 2 multiple-choice question papers.
Performance parameters measured at the beginning and end of the course were the Direct Observation of Procedural Skills using visual analog scales for all aspects of colonoscopy.
The team found that the multiple-choice question score significantly increased.
Direct Observation of Procedural Skills demonstrated an improvement in clinical skills.
Pre- and post-course mean scores for general approach was 75 vs 81.
The investigators observed that pre- and post-course scores for basic handling technique was 59 vs 67.
Understanding and control of looping pre-course scores were 54, and the post-course score was 67.
The team noted that cecal/ileal intubation pre- and post-course scores were 61 vs 76, and the respective scores for extubation techniques were 65 and 77.
All trainees had a high level of satisfaction and found the hands-on training most beneficial.
Dr Suzuki's team commented, “This intensive course improves core knowledge and clinical skills in colonoscopy, which maximizes hands-on training, which may accelerate the learning curve.”