Fast Track Module Based Colonoscopy Training Programme for Surgical Trainees at North Jutland Surgical Departments

• Conditions: Harm Reduction; Colorectal Cancer; Perforation During Colonoscopy
• Interventions: Behavioral: Training of junior doctors

• Registration Number: NCT02425657
• Lead Sponsor: Aalborg University Hospital

Brief Summary

Specially educated trainers will be responsible for colonoscopy training of junior doctors. The educated trainers will have attended seminars held by Valori et al.

The following fast track colonoscopy training program for junior doctors will consist of: 1) Endoscopy simulation training and theory course 2) supervised and partly supervised lower endoscopy. 3) Directly observed practical skills according graded by MCSAT (Mayo Clinical Skills Assessment Tool) .

Detailed Description

Initially a "train the trainers" program will begin with 3 sessions held by Valori et al. at Aalborg University Hospital. 6 Trainers are expected to be trained during the "train the trainers" program. The doctors selected for the "train the trainers" program are doctors specialized in abdominal surgery with an extensive lower GI-endoscopy experience and who is considered to have an excellent teaching ability to educate junior doctor.

The training program for junior doctors consist of the following:

* Initial 1 day endoscopy simulation and theory at Nordsim. Endoscopy simulation scores will be monitored.

* 20 days of fully supervised colonoscopies (max booking of 6 colonoscopies pr day). Trainer is always present in the endoscopy room

* MCSAT (Mayo Clinical Skills Assessment Tool) will be used to grade the trainee multiple times and planned at day 0,5,10,15 and 20. Multiple graders will be used.

* Simulator test will be held at day 0, 10 and 20 colonoscopies to validate progress and compare simulator generated measures with MCSAT. Both the AccuTouch and Symbionix simulator will be used,

Study Timeline

• Study First Submitted: 2015-04-10
• Study First Submitted QC: 2015-04-21
• Study First Posted: 2015-04-24
• Study Start: 2016-09-14
• Status Verified: 2019-07
• Last Update Submitted: 2019-07-02
• Last Update Posted: 2019-07-05
• Primary Completion: 2020-07-01
• Study Completion: 2021-07-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 15

Inclusion Criteria

• Doctors currently enrolled in PGY1, 2 and 3 - Danish equivalents: introduktionsstilling, hoveduddannelse 1, 2.
• Able to arrange colonoscopy training in such a way that the total program can be completed in 12 weeks.
• Able to perform supervised upper endoscopy.

Exclusion Criteria

• Less than 4 months left at current job position.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Junior Doctors	Training of junior doctors	Surgical trainees (PGY1, 2 and 3 - Danish equivalents: introduktionsstilling, hoveduddannelse 1, 2).

Primary Outcome Measures

Name	Time	Method
MCSAT (Mayo Clinical Skills Assessment Tool)	12 weeks	Measured at day 0,5,10,15 and 20.

Secondary Outcome Measures

Name	Time	Method
Endoscopy training computer generated data - Estimated patient pain	12 weeks	Computer generated score (Simulator test performed at day 0, 10 and 20)
Endoscopy training computer generated data: Percentage spent with clear view	12 weeks	Computer generated score (Simulator test performed at day 0, 10 and 20)
Endoscopy training computer generated data - Percentage of colon visualized	12 weeks	Computer generated score (Simulator test performed at day 0, 10 and 20)
Endoscopy training computer generated data - Total score	12 weeks	Computer generated score (Simulator test performed at day 0, 10 and 20)
Endoscopy training computer generated data - Time to cecum	12 weeks	Computer generated score (Simulator test performed at day 0, 10 and 20)colonoscopies)

Trial Locations

Locations (3)

Aalborg University Hospital:Hobro; 🇩🇰 Hobro, Jutland, Denmark

NordSim, Aalborg University Hospital; 🇩🇰 Aalborg, Denmark

Hjörring Hospial; 🇩🇰 Hjörring, Denmark