Colorectal Cancer, Harm Reduction, Perforation During Colonoscopy
Conditions
Keywords
Education, Training, Fast track, Colonoscopy
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,
Interventions
BEHAVIORALTraining of junior doctors
Training program
Sponsors
Nordsim
Aalborg University Hospital
Study design
Observational model
COHORT
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MCSAT (Mayo Clinical Skills Assessment Tool) | 12 weeks | Measured at day 0,5,10,15 and 20. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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 - Time to cecum | 12 weeks | Computer generated score (Simulator test performed at day 0, 10 and 20)colonoscopies) |
| 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 - Total score | 12 weeks | Computer generated score (Simulator test performed at day 0, 10 and 20) |
Countries
Denmark
Contacts
Primary ContactLasse Pedersen, m.d.
Outcome results
None listed