Trial Evaluating Endoscopy Competence Among Gastroenterology Trainees in the Era of the Next Accreditation System.

NCT02891304 | Completed

• 1 other identifier: 16-0782
• Study Type: observational
• Target: 157
• Locations: 0 countries
• Sites: N/A

Brief Summary

Hypothesis: ACE (The Assessment in Competency in Endoscopy Tool) tool for colonoscopy and EGD (Esophagogastroduodenoscopy) allows for reliable standardized learning curves, competency benchmarks, and creation of a centralized database that compares trainee performance amongst peers. Trainees receiving quarterly learning curves achieve competence in endoscopic procedures at a faster rate (ie less procedures) compared to trainees receiving usual feedback on endoscopic performance as established by their respective GI (gastrointestinal) fellowship program. Aims: To compare the number of procedures necessary to achieve competence in EGD and colonoscopy between trainees receiving learning curve performance feedback every three months in addition to standard feedback versus trainees receiving annual learning curve performance feedback in addition to standard feedback for these endoscopic procedures. To demonstrate the feasibility of development and adoption of a centralized database that would allow program directors and general GI trainees to generate performance reports in relation to national peers to provide real-time targeted performance feedback during training and evaluate trainee and GI fellowship program directors predictors of competence.

Conditions

Competency in General Endoscopic Surgical Procedures

Keywords

esophagogastroduodenoscopy

Outcome Measures

Primary Outcomes (1)

• ACE Tool Validation

  Primary Aim: Using the ACE tool with a comprehensive electronic data collection and reporting system, the primary aim of this study is to compare the number of procedures necessary to achieve competence in EGD and colonoscopy between trainees receiving learning curve performance feedback every three months in addition to standard feedback as provided by supervising attendings at a given institution versus trainees receiving annual learning curve performance feedback in addition to standard feedback for these endoscopic procedures as provided by supervising attendings at a given institution.

  3 years

Secondary Outcomes (1)

• Development of Centralized Performance Database

  3 years

Study Arms (2)

Quarterly Feedback

In addition to each center's traditional endoscopic feedback for trainees, centers/trainees will receive objective feedback every 3-months on trainee overall performance including learning curves on ACE tool performance, performance relative to de-identified anonymous peers on each of the individual skills (e.g. fine tip control), and the global assessment for technical and cognitive skill achievement. For those skills which are not advanced/superior - trainees will additionally receive links to online didactic videos which teach these skills.

Other: Quarterly Feedback

Annual Feedback

In addition to each center's traditional endoscopic feedback for trainees, centers/trainees will receive learning curves at the end of each training year. Learning curves, relative to de-identified anonymous peers will be provided to program directors annually (June).

Interventions

Quarterly Feedback OTHER

Learning curves received quarterly vs. annually

Quarterly Feedback

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Attendings and trainees in GI Fellowship Program

You may qualify if:

• Attendings and trainees in GI Fellowship Program

You may not qualify if:

• N/A

Sponsors & Collaborators

• University of Colorado, Denver: lead
• University of California, Los Angeles: collaborator
• University of California, Irvine: collaborator
• Drexel University College of Medicine: collaborator
• University of South Alabama: collaborator
• The University of Texas Health Science Center at San Antonio: collaborator
• Northwestern University: collaborator
• University Hospitals Cleveland Medical Center: collaborator
• Advocate Lutheran General Hospital: collaborator
• Washington University School of Medicine: collaborator
• Emory University: collaborator
• Rush University: collaborator
• Ochsner Health System: collaborator
• St. John Providence Health System: collaborator
• University of Wisconsin, Madison: collaborator
• State University of New York - Downstate Medical Center: collaborator
• University of North Carolina: collaborator
• University of Miami: collaborator
• New York Medical College: collaborator

Related Publications (1)

• Han S, Obuch JC, Keswani RN, Hall M, Patel SG, Menard-Katcher P, Simon V, Ezekwe E, Aagaard E, Ahmad A, Alghamdi S, Austin K, Brimhall B, Broy C, Carlin L, Cooley M, Di Palma JA, Duloy AM, Early DS, Ellert S, Gaumnitz EA, Goyal J, Kathpalia P, Day L, El-Nachef N, Kerman D, Lee RH, Lunsford T, Mittal M, Morigeau K, Pietrak S, Piper M, Shah AS, Shapiro AB, Shergill A, Sonnier W, Sorrell C, Vignesh S, Wani S. Effect of individualized feedback on learning curves in EGD and colonoscopy: a cluster randomized controlled trial. Gastrointest Endosc. 2020 Apr;91(4):882-893.e4. doi: 10.1016/j.gie.2019.10.032. Epub 2019 Nov 9.

  PMID: 31715173 DERIVED

Study Officials

• Sachin Wani, MD

  University of Colorado, Denver

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 29, 2016
• First Posted: September 7, 2016
• Study Start: July 1, 2016
• Primary Completion: June 15, 2018
• Study Completion: June 15, 2018
• Last Updated: August 17, 2021

Record last verified: 2021-08