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

ese skills was created. A "blueprint" of the tool was designed that broke down colonoscopy skills into basic motor and cognitive competency areas. The blueprint was derived from a review of professional society recommendations and published reviews, and by a focus group of nine expert endoscopists at the Mayo Clinic (Rochester, Minn.).

After its development, the blueprint was reviewed by this panel and, after multiple revisions and refinement, was deemed to contain the core cognitive and motor domains of colonoscopy training. Based on these domain items, the expert panel next identified 14 distinct skills (six cognitive and eight motor) that are necessary to be minimally competent in routine colonoscopy. From this list of skills, the items found on the MCSAT were created through the development of survey questions and a categorical scoring system for each of the identified core skills.

The MCSAT was integrated into the Mayo GI endoscopy database software where all other procedure data are also recorded. The database keeps track of the trainee's order of procedure completion by date and time, thus pairing the individual MCSAT results with a specific procedure within the continuum of an individual's training experience. As a result, trainee performance can be monitored sequentially, and improvement from one point of their training to another can be tracked (ie, comparisons of the first, 150th, or 300th procedure).

Results

Over a nearly three-year period, 41 fellows performed 6,390 colonoscopies and 58 different staff endoscopists completed 3,936 MCSAT forms on these procedures. MCSAT stages were divided into three groups: novice (20 procedures), intermediate (150 procedures), and advanced (300 procedures). Researchers found an improvement in both cognitive and motor skills as the clinician progressed through the stages of colonoscopy training. The improvement of the clinician suggests MCSAT is able to demonstrate differen
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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