The compactEASIE is a feasible training model for endoscopic novices: a prospective randomised trial.

Full Abstract

BACKGROUND:
The objective benefit of a training using the compact Erlangen Active Simulator for Interventional Endoscopy-simulator was demonstrated in two prospective educational trials (New York, France). The present study analysed whether endoscopic novices are able to reach a comparable level of endoscopic skills as in the above-described projects.

METHODS:
Twenty-seven endoscopic novices (medical students, first year residents) were enrolled in this prospective, randomised trial. The compact Erlangen Active Simulator for Interventional Endoscopy-simulator with an upper GI-organ package and blood perfusion system was used as a training tool. Basic evaluation of endoscopic skills was performed after a practical and theoretical course in diagnostic upper GI endoscopy followed by a stratified randomisation according to the rating in endoscopic skills into intensive (n=14) and control group (n=13). The intensive group was trained 12 times every second week over 7 months in 4 endoscopic disciplines (manual skills, injection therapy, haemoclip, band ligation) by skilled endoscopist (three trainees/simulator). Assessment was performed (single steps/overall) using an analogue scale from 1 to 10 (1=worst, 10=optimal performance) by expert tutors. The control group was not trained. Blinded final evaluation of all participants was performed in January 2003.

RESULTS:
We observed in all techniques applied a significant improvement of endoscopic skills and of the performance time in the intensive group compared to the control group (p<0.001). The comparison with the previous projects showed that the intensively trained novices achieved comparable levels of performance to the GI fellows in the New York and France Project (at least 80% of the median score in three out of four techniques).

CONCLUSION:
Endoscopic novices acquired notable skills in interventional endoscopy in the simulator by an intensive, periodical training using the compactEASIE.

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Author information

Author/s: Maiss, J (J); Millermann, L (L); Heinemann, K (K); Naegel, A (A); Peters, A (A); Matthes, K (K); Hahn, E G (EG); Hochberger, J (J);

Affiliation: Department of Medicine I, University of Erlangen-Nuremberg, Ulmenweg 18, D-91054 Erlangen, Germany.

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver (Dig Liver Dis), published in Netherlands. (Language: eng)

Reference: 2007-Jan; vol 39 (issue 1) : pp 70-8; discussion 79-80

Dates: Created 2007/01/08; Completed 2007/04/20;

PMID: 16942923, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Clinical Competence
Computer-Assisted Instruction - methods
Education, Medical, Graduate - methods
Endoscopes, Gastrointestinal
France
Gastroenterology - education
Hemostasis, Endoscopic - education; instrumentation

Hemostasis, Endoscopic - education; instrumentation
Humans
Models, Anatomic
New York
Prospective Studies
Students, Medical - statistics & numerical data
Time Factors

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