Self-assessment with pediatric inflammatory bowel disease endoscopy scoring tools: A quality improvement pilot study

Abstract

Endoscopy is a fundamental component pediatric gastroenterology (GI), with one of its primary applications being the evaluation and management of patients with inflammatory bowel disease (IBD). However, there is variation in education and experience of gastroenterologists with pediatric IBD endoscopy, which can affect the quality of patient care. This quality improvement pilot study assessed familiarity and comfort with key endoscopic assessment tools (13 questions) pre- and post- an evidence-based group presentation. Both fellow and attending pediatric gastroenterologists had low levels of comfort with endoscopic Crohn's disease scoring, IBD phenotype classification, postoperative IBD scoring, and IBD dysplasia screening. The review presentation significantly enhanced their comfort, with this effect persisting for several months among fellows. To improve the quality of care for IBD patients, it would be beneficial to periodically review endoscopic guidelines in continuing medical education for pediatric gastroenterologists providing IBD care.

Keywords: Crohn's disease; fellow; ulcerative colitis.

Figure 1

Attendings' and fellows' average question score (level of agreement of feeling comfortable with a topic) pre‐, post‐, and 3 months postreview of pediatric inflammatory bowel disease endoscopy. Attending' 3 months postreview was not evaluated. p‐value < 0.05 was considered significant.