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Multicenter Study
. 2015 Dec 1:15:216.
doi: 10.1186/s12909-015-0494-z.

A competency framework for colonoscopy training derived from cognitive task analysis techniques and expert review

Christine M Zupanc  1 , Robin Burgess-Limerick  2 , Andrew Hill  3   4 , Stephan Riek  5 , Guy M Wallis  6 , Annaliese M Plooy  7 , Mark S Horswill  8 , Marcus O Watson  9   10   11 , David G Hewett  12   13
Affiliations
Multicenter Study

A competency framework for colonoscopy training derived from cognitive task analysis techniques and expert review

Christine M Zupanc et al. BMC Med Educ. .

Abstract

Background: Colonoscopy is a difficult cognitive-perceptual-motor task. Designing an appropriate instructional program for such a task requires an understanding of the knowledge, skills and attitudes underpinning the competency required to perform the task. Cognitive task analysis techniques provide an empirical means of deriving this information.

Methods: Video recording and a think-aloud protocol were conducted while 20 experienced endoscopists performed colonoscopy procedures. "Cued-recall" interviews were also carried out post-procedure with nine of the endoscopists. Analysis of the resulting transcripts employed the constant comparative coding method within a grounded theory framework. The resulting draft competency framework was modified after review during semi-structured interviews conducted with six expert endoscopists.

Results: The proposed colonoscopy competency framework consists of twenty-seven skill, knowledge and attitude components, grouped into six categories (clinical knowledge; colonoscope handling; situation awareness; heuristics and strategies; clinical reasoning; and intra- and inter-personal).

Conclusions: The colonoscopy competency framework provides a principled basis for the design of a training program, and for the design of formative assessment to gauge progress towards attaining the knowledge, skills and attitudes underpinning the achievement of colonoscopy competence.

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Figures

Fig. 1
Fig. 1
Proposed colonoscopy competency framework derived from cognitive task analysis techniques and expert review
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