Impact of a Simulation-based Training Curriculum of Non-technical Skills on Colonoscopy Performance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- Difference in performance between two groups in clinical colonoscopy
研究概览
简要总结
The investigators aim to test a curriculum of non-technical skills (NTS) training for simulation-based training of colonoscopy. There is no known literature to date on the optimal approach on how to teach NTS in endoscopy. The objectives are to evaluate a simulation-based curriculum to teach NTS, to explore the relationship between NTS and other domains of competency, and understand how NTS are acquired in endoscopic training.
详细描述
This study will employ a randomized controlled two-arm design. All testing and training will take place at St. Michael's Hospital (30 Bond Street, Toronto, Ontario). During the study participants will be performing simulated lower endoscopic procedures on a virtual reality (VR) endoscopy simulator.
Description of Simulation Devices used
Low-Fidelity Simulator (Bench Top Model): The low-fidelity simulator is a validated bench-top endoscopy simulator that helps develop general endoscopic skills. The simulator is comprised of a series of vertical wooden barriers with numbered targets (holes) conforming to 27 different sequences of varying complexity. An Olympus paediatric videocolonoscope is used to navigate the defined sequences as quickly and accurately as possible, with visual output being displayed on a video monitor.
High-Fidelity Simulator: Virtual Reality Model: The high-fidelity simulator to be used for testing and training is the EndoVR® virtual reality (VR) endoscopy simulator. It models navigation through a colon, using a specialized endoscope that is inserted into a computer-based module with a screen showing the colonic lumen of a virtual patient. It provides both visual and haptic feedback related to the procedure. The VR simulator has a number of standardized case-based scenarios of varying complexity for colonoscopy.
Details of experimental design
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Novice endoscopists from general surgery, gastroenterology, or pediatrics gastroenterology residency programs at the University of Toronto
排除标准
- •If participants have performed more than 25 endoscopies
结局指标
主要结局
Difference in performance between two groups in clinical colonoscopy
时间窗: During clinical colonoscopy 4-6 weeks after NTS training curriculum
Each videotaped clinical colonoscopy will be independently assessed by two experienced endoscopists using the Joint Advisory Group for GI Endoscopy Direct Observation of Procedural Skills (JAG/DOPS). The raters will be blinded to the group assignment. Training on how to use the tool will be provided for raters by the investigators of the study.
次要结局
- Technical performance on a VR simulated colonoscopy - GiECAT(4-6 weeks)
- Participant self-efficacy(1 day)
- Patient comfort during clinical colonoscopies(4-6 weeks)
- Differences in procedural knowledge(One day)
- Clinical performance on clinical colonoscopies - GiECAT(4-6 weeks)
- Practice case length on simulator(1 day)
- Technical performance on a VR simulated colonoscopy - JAG/DOPS(4-6 weeks)
- Non-technical performance on clinical colonoscopies(4-6 weeks)
研究者
Samir Grover
MD, MEd, FRCPC
Unity Health Toronto