Interactive training with a novel simulation model for upper gastrointestinal endoscopic hemostasis improves trainee technique and confidence.

Autor:	Kanno T; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.; R & D Division of Career Education for Medical Professionals, Medical Education Center, Jichi Medical University, Shimotsuke, Japan., Arata Y; Graduate Medical Education Center, Tohoku University Hospital, Sendai, Japan., Greenwald E; Division of Gastroenterology, McMaster University Faculty of Health Sciences, Hamilton, Canada., Moayyedi P; Division of Gastroenterology, McMaster University Faculty of Health Sciences, Hamilton, Canada., Suzuki S; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Hatayama Y; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Saito M; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Jin X; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Hatta W; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Uno K; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Asano N; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Imatani A; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Kagaya Y; Faculty of Medical Science and Welfare, Tohoku Bunka Gakuen University, Sendai, Japan., Koike T; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan., Masamune A; Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Jazyk:	angličtina
Zdroj:	Endoscopy international open [Endosc Int Open] 2024 Feb 28; Vol. 12 (2), pp. E245-E252. Date of Electronic Publication: 2024 Feb 28 (Print Publication: 2024).
DOI:	10.1055/a-2248-5110
Abstrakt:	Background and study aims Endoscopic hemostasis is a life-saving procedure for gastrointestinal bleeding; however, training for it is often performed on real patients and during urgent situations that put patients at risk. Reports of simulation-based training models for endoscopic hemostasis are scarce. Herein, we developed a novel simulator called "Medical Rising STAR-Ulcer type" to practice endoscopic hemostasis with hemoclips and coagulation graspers. This study aimed to evaluate the reproducibility of the clinical difficulty of this model and the effectiveness of simulation-based training for clipping hemostasis. Patients and methods This was a prospective educational study. Fifty gastroenterology residents from Japan and Canada were recruited to participate in a simulation-based training program. The primary outcome was the success rate for clipping hemostasis. We measured differences in trainee subjective assessment scores and evaluated the co-occurrence network based on comments after training. Results The hemostasis success rate of the trainees significantly increased after instruction (64% vs. 86%, P < 0.05). The success rate for ulcers in the upper body of the stomach (59%), a high-difficulty site, was significantly lower than that for ulcers in the antrum, even after feedback and instruction. Trainee self-perceived proficiency and confidence significantly improved after simulation-based training ( P < 0.05). Co-occurrence network analysis showed that trainees valued a structured learning approach, acknowledged simulator limitations, and recognized the need for continuous skill refinement. Conclusions Our study demonstrates the potential of our simulation-based training model as a valuable tool for improving technical skills and confidence in trainees learning to perform endoscopic hemostasis. Competing Interests: Conflict of Interest Dr. Takeshi Kanno has a joint research fund from Denka company. However, the company had no control over this work’s interpretation, writing, or publication. The remaining authors have no conflict of interest to declare. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).)
Databáze:	MEDLINE
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