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New colonoscopy skills assessment tool developed for trainees
Date:12/15/2010

OAK BROOK, Ill. Dec. 15, 2010 Researchers at the Mayo Clinic in Rochester, Minn., have developed a new skills assessment tool for colonoscopy trainees. A report outlining the development and validation of the Mayo Colonoscopy Skills Assessment Tool (MCSAT), designed for the assessment of cognitive and motor skills during colonoscopy training, appears in the December issue of GIE: Gastrointestinal Endoscopy, the monthly peer-reviewed scientific journal of the American Society for Gastrointestinal Endoscopy (ASGE).

Ensuring that gastroenterology fellows and surgery residents achieve competence in colonoscopy is one of the goals of every training program. Despite this, defining what constitutes "competence" in colonoscopy and having a standardized means to formally assess it have remained elusive. Training programs traditionally use informal global evaluation methods in which, toward the end of training, supervising staff make a subjective judgment as to the overall preparedness of the trainee to operate alone. The lack of standardized and measurable end points makes it difficult to reproduce such judgments.

To date, the vast majority of literature on competency in colonoscopy has focused on very limited performance parameters such as trying to define how many procedures are required for a trainee to reach a specified cecal intubation rate rather than defining the specific skills of competence. As a result, training guidelines based on these limited data suggest that trainees require hands-on experience with approximately 140 supervised colonoscopies before competency assessment can be attempted. Since these initial recommendations have come out, various other numbers have been cited in the published literature, ranging from 150 to as high as 500 procedures before competency may be assessed.

"What is needed is the development of an ongoing, formalized assessment method that assesses a broad range of both motor and cognitive ski
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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