Upper gastrointestinal disease, including gastric and oesophageal lesions (e.g., ulcers, polyps, early gastric cancer)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Surgical trainee at Senior House Officer (SHO) level or equivalent. 2. Enrolled in a postgraduate surgical training programme with exposure to upper GI endoscopy. 3. Some prior exposure to oesophagogastroduodenoscopy (observation or supervised performance). 4. Able and willing to provide informed consent.
Exclusion criteria
Exclusion criteria: 1. Extensive prior independent endoscopy experience (e.g., JAG-certified). 2. Previous participation in similar OGD simulation studies. 3. Inability or unwillingness to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lesion detection rate during OGD — proportion of pathology-positive simulated cases in which the trainee correctly identifies a lesion and assigns the correct anatomical localisation, assessed via the simulator’s image-based reporting workflow at the end of each case (images must be labelled to site and pathology declared). Measured per participant across their five pathology-positive cases and compared between groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Procedure completion time: Time (minutes/seconds) to complete each simulated OGD, captured automatically by the simulator; summarised per participant across 10 cases and compared between groups. 2. Adherence to photo-documentation guidance: Number and distribution of anatomical sites imaged per case (e.g., proportion of required landmarks captured); summarised per participant and compared between groups. 3. Additional descriptive measure: Baseline trainee experience and knowledge relevant to OGD quality and photo-documentation from the pre-study questionnaire, used to characterise the cohort and as covariates in sensitivity analyses. | — |
Countries
Ireland