Effect of virtual endoscopy simulator training on performance of upper gastrointestinal endoscopy in patients: a randomized controlled trial
| Autor: | Arnulf Ferlitsch, M. Homoncik, A. Puespoek, Rainer Schoefl, W. Miehsler, M. Schoeniger-Hekele, Alfred Gangl, H. Hofer |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Gastrointestinal Diseases medicine.medical_treatment education Endoscopy Gastrointestinal Statistics Nonparametric law.invention Young Adult Randomized controlled trial law medicine Intubation Humans In patient Computer Simulation Single-Blind Method Young adult Simulation Aged Pain Measurement Aged 80 and over medicine.diagnostic_test business.industry Esophagogastroduodenoscopy Gastroenterology Middle Aged Upper gastrointestinal endoscopy Endoscopy Education Medical Graduate Time and Motion Studies Physical therapy Clinical Competence business Computer-Assisted Instruction |
| Zdroj: | Endoscopy. 42(12) |
| ISSN: | 1438-8812 |
| Popis: | BACKGROUND Skills in gastrointestinal endoscopy mainly depend on experience and practice. Patients upon whom trainees perform their first endoscopic examinations are likely to suffer more discomfort and prolonged procedures. Training on endoscopy simulators may reduce the time required to reach competency in patient endoscopy. PATIENTS AND METHODS Residents in internal medicine without experience of endoscopy were randomized to a group who trained on a simulator before conventional training (group S) or one that received conventional training only (group C) before starting upper gastrointestinal endoscopy in patients. After endoscopy, discomfort and pain were evaluated by patients, who were blind to the beginners' training status. Results in terms of time, technique (intubation, pyloric passage, J-maneuver), and diagnosis of pathological entities were evaluated by experts. RESULTS From 2003 to 2007, 28 residents were enrolled. Comparing group S with group C in their first ten endoscopic examinations in patients, time taken to reach the duodenum (239 seconds (range 50 - 620) vs. 310 seconds (110 - 720; P |
| Databáze: | OpenAIRE |
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