Fast Track Module Based Colonoscopy Training Programme for Surgical Trainees at North Jutland Surgical Departments
Specially educated trainers will be responsible for colonoscopy training of junior doctors. The educated trainers will have attended seminars held by Valori et al.
The following fast track colonoscopy training program for junior doctors will consist of: 1) Endoscopy simulation training and theory course 2) supervised and partly supervised lower endoscopy. 3) Directly observed practical skills according graded by MCSAT (Mayo Clinical Skills Assessment Tool) .
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Initially a "train the trainers" program will begin with 3 sessions held by Valori et al. at Aalborg University Hospital. 6 Trainers are expected to be trained during the "train the trainers" program. The doctors selected for the "train the trainers" program are doctors specialized in abdominal surgery with an extensive lower GI-endoscopy experience and who is considered to have an excellent teaching ability to educate junior doctor.
The training program for junior doctors consist of the following:
- Initial 1 day endoscopy simulation and theory at Nordsim. Endoscopy simulation scores will be monitored.
- 20 days of fully supervised colonoscopies (max booking of 6 colonoscopies pr day). Trainer is always present in the endoscopy room
- MCSAT (Mayo Clinical Skills Assessment Tool) will be used to grade the trainee multiple times and planned at day 0,5,10,15 and 20. Multiple graders will be used.
- Simulator test will be held at day 0, 10 and 20 colonoscopies to validate progress and compare simulator generated measures with MCSAT. Both the AccuTouch and Symbionix simulator will be used,
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Lasse Pedersen, m.d.
- Phone Number: (+45) 97661212
- Email: lasse.pedersen@rn.dk
Study Locations
-
-
-
Aalborg, Denmark, 9000
- Recruiting
- NordSim, Aalborg University Hospital
-
Contact:
- Lasse L Pedersen, m.d.
- Phone Number: +4597661212
- Email: lasse.pedersen@rn.dk
-
Principal Investigator:
- Inge Bernstein, PhD, MHM
-
Hjörring, Denmark, 9800
- Recruiting
- Hjörring Hospial
-
Contact:
- Lasse Pedersen, m.d.
- Phone Number: +45 97661212
- Email: lasse.pedersen@rn.dk
-
-
Jutland
-
Hobro, Jutland, Denmark, 9500
- Recruiting
- Aalborg University Hospital:Hobro
-
Contact:
- Lasse Pedersen, m.d.
- Phone Number: +45 97661212
- Email: lasse.pedersen@rn.dk
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Doctors currently enrolled in PGY1, 2 and 3 - Danish equivalents: introduktionsstilling, hoveduddannelse 1, 2.
- Able to arrange colonoscopy training in such a way that the total program can be completed in 12 weeks.
- Able to perform supervised upper endoscopy.
Exclusion Criteria:
- Less than 4 months left at current job position.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Junior Doctors
Surgical trainees (PGY1, 2 and 3 - Danish equivalents: introduktionsstilling, hoveduddannelse 1, 2).
|
Training program
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
MCSAT (Mayo Clinical Skills Assessment Tool)
Time Frame: 12 weeks
|
Measured at day 0,5,10,15 and 20.
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Endoscopy training computer generated data - Percentage of colon visualized
Time Frame: 12 weeks
|
Computer generated score (Simulator test performed at day 0, 10 and 20)
|
12 weeks
|
|
Endoscopy training computer generated data - Time to cecum
Time Frame: 12 weeks
|
Computer generated score (Simulator test performed at day 0, 10 and 20)colonoscopies)
|
12 weeks
|
|
Endoscopy training computer generated data - Estimated patient pain
Time Frame: 12 weeks
|
Computer generated score (Simulator test performed at day 0, 10 and 20)
|
12 weeks
|
|
Endoscopy training computer generated data: Percentage spent with clear view
Time Frame: 12 weeks
|
Computer generated score (Simulator test performed at day 0, 10 and 20)
|
12 weeks
|
|
Endoscopy training computer generated data - Total score
Time Frame: 12 weeks
|
Computer generated score (Simulator test performed at day 0, 10 and 20)
|
12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Lasse Pedersen, m.d., Aaborg University Surgical Department
Publications and helpful links
General Publications
- Sedlack RE. Training to competency in colonoscopy: assessing and defining competency standards. Gastrointest Endosc. 2011 Aug;74(2):355-366.e1-2. doi: 10.1016/j.gie.2011.02.019. Epub 2011 Apr 23. Erratum In: Gastrointest Endosc. 2011 Sep;74(3):729.
- Fried GM, Marks JM, Mellinger JD, Trus TL, Vassiliou MC, Dunkin BJ. ASGE's assessment of competency in endoscopy evaluation tools for colonoscopy and EGD. Gastrointest Endosc. 2014 Aug;80(2):366-7. doi: 10.1016/j.gie.2014.03.019. No abstract available.
- Preisler L, Svendsen MBS, Nerup N, Svendsen LB, Konge L. Simulation-based training for colonoscopy: establishing criteria for competency. Medicine (Baltimore). 2015 Jan;94(4):e440. doi: 10.1097/MD.0000000000000440.
- Kaminski MF, Anderson J, Valori R, Kraszewska E, Rupinski M, Pachlewski J, Wronska E, Bretthauer M, Thomas-Gibson S, Kuipers EJ, Regula J. Leadership training to improve adenoma detection rate in screening colonoscopy: a randomised trial. Gut. 2016 Apr;65(4):616-24. doi: 10.1136/gutjnl-2014-307503. Epub 2015 Feb 10.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AalborgH1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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