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Randomized Controlled Trial
. 2020 Sep;32(6):940-948.
doi: 10.1111/den.13623. Epub 2020 Feb 18.

Non-technical skills curriculum incorporating simulation-based training improves performance in colonoscopy among novice endoscopists: Randomized controlled trial

Catharine M Walsh #  1   2 , Michael A Scaffidi #  3 , Rishad Khan  3 , Anuj Arora  3 , Nikko Gimpaya  3 , Peter Lin  3 , Joshua Satchwell  3 , Ahmed Al-Mazroui  3 , Omid Zarghom  3 , Suraj Sharma  3 , Alya Kamani  3 , Shai Genis  3 , Ruben Kalaichandran  3 , Samir C Grover  3   4
Affiliations
Randomized Controlled Trial

Non-technical skills curriculum incorporating simulation-based training improves performance in colonoscopy among novice endoscopists: Randomized controlled trial

Catharine M Walsh et al. Dig Endosc. 2020 Sep.

Abstract

Background and aims: Non-technical skills (NTS), involving cognitive, social and interpersonal skills that complement technical skills, are important for the completion of safe and efficient procedures. We investigated the impact of a simulation-based curriculum with dedicated NTS training on novice endoscopists' performance of clinical colonoscopies.

Methods: A single-blinded randomized controlled trial was conducted at a single center. Novice endoscopists were randomized to a control curriculum or a NTS curriculum. The control curriculum involved a didactic session, virtual reality (VR) simulator colonoscopy training, and integrated scenario practice using a VR simulator, a standardized patient, and endoscopy nurse. Feedback and training were provided by experienced endoscopists. The NTS curriculum group received similar training that included a small-group session on NTS, feedback targeting NTS, and access to a self-reflective NTS checklist. The primary outcome was performance during two clinical colonoscopies, assessed using the Joint Advisory Group Direct Observation of Procedural Skills (JAG DOPS) tool.

Results: Thirty-nine participants completed the study. The NTS group (n = 21) had superior clinical performance during their first (P < 0.001) and second clinical colonoscopies (P < .0.001), compared to the control group (n = 18). The NTS group performed significantly better on the VR simulator (P < 0.05) and in the integrated scenario (P < 0.05).

Conclusion: Our findings demonstrate that dedicated NTS training led to improved performance of clinical colonoscopies among novices.

Keywords: colonoscopy; education; non-technical skills; simulation-based training.

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References

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