Impact of a Virtual Endoscopy Training Curriculum in Novice Endoscopists: First Experience in Argentina
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Impact of a Virtual Endoscopy Training Curriculum in Novice Endoscopists: First Experience in Argentina María Marta Piskorz1,2 · Andrés Wonaga1,2 · Lorena Bortot1,2 · María Eugenia Linares1,2 · Valentina Araya1 · Juan Ignacio Olmos1,2 · Mónica Gardey3 · Claudio Perretta1 · Jorge A. Olmos1,2 Received: 22 July 2019 / Accepted: 31 July 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background Virtual reality simulation in gastrointestinal endoscopy is an educational tool that allows repetitive instruction in a non-patient care environment. Aim To determine the impact of a virtual endoscopy training curriculum applying an objective pre- and post-training analysis on trainee endoscopists. Methods A before–after training study was carried out. Subjects were first year fellows of gastroenterology, who completed a questionnaire and then performed two pre-training simulated cases. The virtual endoscopy training curriculum consisted of an 8-h workday utilizing two GI MENTOR™ in a specialized clinical simulation center. After the training, all subjects completed the same two cases they did in the pre-training. Pre- and post-training results’ comparisons were made by paired t test. Results Totally, 126 subjects were included (mean age 30 years, 61% female). A significant improvement from pre- to posttraining was observed in psychomotor skills (total time, percentage, and number of balloons exploded) and endoscopic skills (cecal intubation time, percentage of examined mucosa, and efficacy of screening). There was also an improvement in the quality of the endoscopic study; percentage of examined mucosa over 85% showed a significant improvement post-training with an adjusted OR of 2.72 (95% CI 1.51–4.89, p = 0.001). Conclusions Virtual endoscopy training curriculum produces a significant improvement in the trainee endoscopists performance and their psychomotor skills and introduces the concept of a quality endoscopic study in a non-patient, risk-free environment. Keywords Virtual simulator · Computer simulation · Endoscopy · Training · Education and competence Abbreviations GI Gastrointestinal VS Virtual simulator VE Virtual endoscopy NE Novice endoscopists VR Virtual reality
* Andrés Wonaga [email protected] 1
Simulación médica Roemmers (SIMMER), Fray Justo Sarmiento 2350, Buenos Aires, Argentina
2
Hospital de Clínicas José de San Martin, Universidad de Buenos Aires, Buenos Aires, Argentina
3
Secretaria de Asuntos Académicos, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina
Introduction Traditional GI endoscopy learning model was taught from a senior endoscopist to a novice, in a clinical setting. This approach is limited by patient safety and comfort, time of the procedure, and decreased efficiency in the endoscopy unit [1]. Simulation-based training in endoscopy provides a learner-centered experience, allowing trainees to learn from mistakes in a low-risk environment. Two recent systematic reviews conclud
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