- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03495141
Outcomes in Simulated Endoscopy Training
March 4, 2024 updated by: University of Oklahoma
Simbionix GI Mentor Simulated Endoscopy Training
Eligible participants are those who are members of the general surgery residency pediatric gastroenterology fellowship, and adult gastroenterology fellowship.
Through a randomized-controlled trial, participants will fill out a baseline set of demographic information including year of training, approximate number of colonoscopies to date, specialty, age, sex and handedness.
Participation in this activity is completely voluntary.
Trainees will be randomized to one of two groups.
Either first participating in an unassisted colonoscopy module twice and then taking a questionnaire and then transitioning to a supervised/coached colonoscopy module session twice and taking a questionnaire, versus the reverse, in which the participant first partakes in a supervised/coached colonoscopy module session twice and then transitions to performing a colonoscopy module twice, unassisted.
Objective measures will be assessed by the module software and supervising faculty.
Specifically, using individuals' survey responses to see if early supervision improves survey scores.
Survey questions focus on student learning, completing module objectives and faculty performance in simulation.
The survey will also ask subjects to self-rate their scores and comfort level with endoscopy skills.
Survey responses will not be linked to an individuals' performance in their program training and endoscopy coaches will not be made aware of the survey responses.
Study Overview
Status
Recruiting
Intervention / Treatment
Detailed Description
This will be a randomized controlled trial in which eligible participants will be members of the general surgery residency and adult gastroenterology fellowship.
Investigators will ask all consenting participants to fill out a baseline set of demographic information including their year of training, the approximate number of colonoscopies to date, specialty, age, sex and dominant-handedness.
Additional questions to be asked will inquire about the participant's experience in regard to the unassisted and supervision/coached colonoscopy module experience.
Participation in this activity is completely voluntary, and the participating trainee is under no obligation to complete or finish the simulation or subsequent surveys The participant will be randomized to one of two groups.
A computer program will make this random assignment.
Neither the participant nor their physician coach will be able to choose which group they will be in.
Participants will either first partake in an unassisted colonoscopy module twice (case one and case two) and then transition to a supervised/coached colonoscopy module session twice (case three and case four).
The alternative is in which the participant first partakes in a supervised/coached colonoscopy module session twice (case one and case two) and then transitions to performing an unassisted colonoscopy module twice (case three and case four).
A questionnaire examining training experience will be administered after case # 4 in both groups.
This survey will take approximately 5 minutes to complete.
Other objective measures will be assessed by supervising faculty and other metrics acquired through the simulator software.
Individuals' survey responses will be used to see if early supervision improves trainee satisfaction and perceptions on survey scores.
Participants will attend one individual training session date that will satisfy the designed simulation experience.
The trainee can stop participating in this study at any time and participation in the study is voluntary and trainees may choose not to participate.
It is important to note that refusal to participate will not affect a learner's access to the training center and will not affect their standing in their respective training program.
The results will not be included in their official training record.
Note no prior procedural or technical knowledge is required.
Enrollment will continue for the 2018-2019 academic year and possibly academic years thereafter.
Study Type
Interventional
Enrollment (Estimated)
50
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: William Tierney, MD
- Phone Number: 405-271-5428
- Email: William-Tierney@ouhsc.edu
Study Contact Backup
- Name: Molly Disbrow, MD
- Phone Number: 405-559-1450
- Email: molly-disbrow@ouhsc.edu
Study Locations
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73104
- Recruiting
- University of Oklahoma
-
Contact:
- Samantha Harbert
- Phone Number: 405-271-2045
- Email: Samantha-Harbert@ouhsc.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
22 years to 50 years (Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Consenting trainees of adult and pediatric gastroenterology fellowships and general surgery residencies at the University of Oklahoma Health Sciences Center.
Exclusion Criteria:
- Unwilling to consent.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Supervised
Participants first take part in supervised/coached colonoscopy module session twice (case one and case two) and then transition to performing an unassisted colonoscopy module twice (case three and case four).
|
Supervision involves coaching the trainee on insertion and withdrawal technique in a standard colonoscopy in a novice trainee
|
Active Comparator: Unsupervised
Participants will either first partake in an unsupervised colonoscopy module twice (case one and case two) and then transition to a supervised/coached colonoscopy module session twice (case three and case four).
|
Supervision involves coaching the trainee on insertion and withdrawal technique in a standard colonoscopy in a novice trainee
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of mucosa inspected
Time Frame: through study completion, an average of 1 year
|
The primary outcome will be the difference in percentage of mucosa inspected between the two study groups based on the report of the simulator after each of 4 predefined cases
|
through study completion, an average of 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to reach cecum
Time Frame: through study completion, an average of 1 year
|
Time to reach cecum after time of colonoscope insertion
|
through study completion, an average of 1 year
|
Participant satisfaction score
Time Frame: through study completion, an average of 1 year
|
Participants will be asked to self-report satisfaction with supervised and unsupervised endoscopic simulator experiences
|
through study completion, an average of 1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: William Tierney, MD, University of Oklahoma
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 6, 2018
Primary Completion (Estimated)
December 31, 2024
Study Completion (Estimated)
December 31, 2024
Study Registration Dates
First Submitted
March 13, 2018
First Submitted That Met QC Criteria
April 10, 2018
First Posted (Actual)
April 11, 2018
Study Record Updates
Last Update Posted (Actual)
March 6, 2024
Last Update Submitted That Met QC Criteria
March 4, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- 8244
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
Participant data will only be known to PI and co-investigator (this writer) and de-identified data will be used for statistical analysis.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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