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. 2017 Mar;5(3):E190-E197.
doi: 10.1055/s-0042-119949.

An international survey of polypectomy training and assessment

K Patel  1 , A Rajendran  2 , O Faiz  1 , M D Rutter  3 , C Rutter On Behalf Of Bsg Trainees Section  4 , R Jover  5 , I Koutroubakis  6 , W Januszewicz  7 , M Ferlitsch  8 , E Dekker  9 , D MacIntosh  10 , S C Ng  11 , T Kitiyakara  12 , H Pohl  13 , S Thomas-Gibson  1
Affiliations

An international survey of polypectomy training and assessment

K Patel et al. Endosc Int Open. 2017 Mar.

Abstract

Background and study aims Colonic polypectomy is acknowledged to be a technically challenging part of colonoscopy. Training in polypectomy is recognized to be often inconsistent. This study aimed to ascertain worldwide practice in polypectomy training. Patients and methods An electronic survey was distributed to endoscopic trainees and trainers in 19 countries asking about their experiences of receiving and delivering training. Participants were also asked about whether formal polypectomy training guidance existed in their country. Results Data were obtained from 610 colonoscopists. Of these responses, 348 (57.0 %) were from trainers and 262 (43.0 %) from trainees; 6.6 % of trainers assessed competency once per year or less often. Just over half (53.1 %) of trainees had ever had their polypectomy technique formally assessed by any trainer. Approximately half the trainees surveyed (51.1 %) stated that the principles of polypectomy had only ever been taught to them intermittently. Of those trainees with the most colonoscopy experience, who had performed over 500 procedures, 48.2 % had had training on removing large polyps of over 10 mm; 46.2 % (121 respondents) of trainees surveyed held no record of the polypectomies they had performed. Only four of the 19 countries surveyed had specific guidelines on polypectomy training. Conclusions A significant number of competent colonoscopists have never been taught how to perform polypectomy. Training guidelines worldwide generally give little direction as to how trainees should acquire polypectomy skills. The learning curve for polypectomy needs to be defined to provide reliable guidance on how to train colonoscopists in this skill.

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Conflict of interest statement

Competing interests None

Figures

Fig. 1
Fig. 1
Countries or territories participating in the study.
Fig. 2
Fig. 2
Trainer responses by country.
Fig. 3
Fig. 3
Trainee responses by country.
Fig. 4
Fig. 4
Frequency of polypectomy competency assessments by trainers.
Fig. 5
Fig. 5
Number of colonoscopies performed by trainees.
Fig. 6
Fig. 6
Number of colonoscopies performed by trainees and proportion taught the principles of polypectomy.
Fig. 7
Fig. 7
Number of colonoscopies performed by trainees and proportion taught the principles of endoscopic mucosal resection (EMR).
Fig. 8
Fig. 8
Number of colonoscopies performed by trainees and proportion who had received specific training for larger polyps.
See this image and copyright information in PMC

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