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

ces in each stage of training for both motor and cognitive skills. The study concluded that the MCSAT provides a valid means to objectively assess individual cognitive and motor skills in a continuous manner throughout colonoscopy training. The resultant data can eventually be used to establish average learning curves in colonoscopic skills and define competency thresholds based on performance scores rather than basing assessment simply on numbers of procedures performed.

Researchers noted that one of the limitations of these results is that this research is limited to a single institution, thus introducing possible biases. Once validated, a multicenter study would be advisable to prove broader generalizability of the MCSAT results across institutional boundaries. They also noted that this form does not provide a means to specifically track adenoma (precancerous polyp) detection rates. This was considered but found to be problematic because determining which polyps are eventually identified as adenomas would require considerable retroactive data entry once pathology results become available after a procedure. In the future, however, the addition of simple polyp detection rates should be easy for the form to accommodate.

In an accompanying editorial, Jonathan Cohen, MD, FASGE, Division of Gastroenterology, New York University, states, "Their (Sedlack et al) work represents an important step forward in the evolution of skills measurement in colonoscopy and holds promise both as a training tool in itself and as a means of better assessing the acquisition of competency in this area."


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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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