Understanding the Impact of Endoscopy Immersion Training in Regional Endoscopy Academies: is it Value for Money?
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Rate of improvement in DOPS (Direct Observation of Procedural Skills) score during immersion training compared to base hospital training
研究概览
简要总结
Endoscopy services are under significant pressure and endoscopy training academies and immersion training are under review at a national level. To date, there has been no comprehensive evaluation of the different approaches to immersion training or a large-scale study looking at its impact on trainees and/or endoscopy services. The purpose of this study is to perform a process, impact and economic evaluation of current immersion training practices to determine if they are impactful and value for money.
详细描述
Retrospective quantitative analysis involves endoscopists (training between January 2022 and the study start date) who may (or may not) have undertaken immersion training. Prospectively analysis will be performed to evaluate the impact of immersion training.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Endoscopy trainees (Surgical, Gastroenterology or CE) who have received (or are soon to undertake) immersion training in either gastroscopy or colonoscopy
排除标准
- 未提供
研究组 & 干预措施
Endoscopy trainees who have received (or are soon to undertake immersion training
结局指标
主要结局
Rate of improvement in DOPS (Direct Observation of Procedural Skills) score during immersion training compared to base hospital training
时间窗: 6 months from start of data collection
Rate of change in DOPS supervision assessment overall score - % of ratings competent for independent practice. Case matched interrupted time series analysis immersion trainees versus non-immersion trainees.
Caecal intubation rate (CIR)/ duodenal (D2) intubation rate improvement during immersion training compared to base hospital training?
时间窗: 6 months from start of data collection
% of procedures where trainee endoscopist advances the whole length of the colon to the caecum / successful intubation of the second part of the duodenum (D2) without assistance. Case matched interrupted time series analysis immersion trainees versus non-immersion trainees.
Improvement in time, and number of procedures, required for certification during immersion training compared to base hospital training?
时间窗: 6 months from start of data collection
Number of days between starting training and achieving certification (allowing for breaks in training e.g. parental leave) and number of procedures performed between starting training and achieving full certification. Case matched interrupted time series analysis immersion trainees versus non-immersion trainees.
Increase in number of endoscopies performed independently post certification following immersion training compared to base hospital training?
时间窗: 6 months from start of data collection
Number of endoscopies performed independently 3 months / 6 months/ 12 months post-certification. Case matched interrupted time series analysis immersion trainees versus non-immersion trainees.
Improvement in confidence scores following immersion training.
时间窗: 6 months from start of data collection
Do trainees feel more confident following immersion training? Survey and/or in-depth interviews with immersion trainees.
次要结局
未报告次要终点