Training with a computer-based simulator achieves basic manual skills required for upper endoscopy: a randomized controlled trial☆,☆☆
Section snippets
Simulator
The interactive computer-based simulator (GI-Mentor; Simbionix Ltd., Lod, Israel) used in the study includes a specially designed mannequin, a computer simulation program, an endoscope and accessories specifically devised by the manufacturer, a force-feedback system, and 10 scenarios for upper endoscopy in realistic clinical situations. The case scenarios are arranged from simple to more difficult. The system records the time taken to reach the duodenum, the lesions correctly identified,
Results
All trainees randomized to the SIM group completed the 10 hours of preclinical training, as planned. More than 200 procedures were performed in patients per each group. The trainees performed up to 20 upper-GI procedures. However, 6 trainees in the SIM group and 7 in the non-SIM group performed one or two procedures less than planned because of the temporary assignment to other clinical activities, with the result that the sequence of consecutive procedures was interrupted. No attempted
Discussion
Endoscopy simulators have several expected advantages: patients are spared prolonged, possibly incomplete and painful procedures; the number of supervised procedures required to achieve competence is reduced; the level of assistance from instructors is reduced; and the learning time is shortened. To our knowledge, there is no prospective randomized study of the efficacy of a computer-based upper-endoscopy simulator in which its potential contributions to training are evaluated in a clinical
References (17)
Evaluation of trainee competence
Gastrointest Endosc Clin N Am
(1995)- et al.
Systematic evaluation of complications related to endoscopy in a training setting: a prospective 30-day outcomes study
Gastrointest Endosc
(2003) Live endoscopy demonstrations are great but. [editorial]
Gastrointest Endosc
(2000)- et al.
Novel methods for endoscopic training
Gastrointest Endosc Clin N Am
(1995) - et al.
The future of simulators in GI endoscopy: an unlikely possibility or a virtual reality?
[editorial] Gastrointest Endosc
(2002) - Principles of training in gastrointestinal endoscopy. Manchester (MA): American Society for Gastrointestinal Endoscopy;...
- et al.
Objective evaluation of endoscopy skills during training
Ann Intern Med
(1993) principles of training in gastrointestinal endoscopy
Gastrointest Endosc
(1999)
Cited by (78)
Virtual reality simulation in training endoscopic skills: A systematic review
2021, Laparoscopic, Endoscopic, and Robotic SurgeryCitation Excerpt :Eleven of these studies reported outcomes that showed the intervention group as performing significantly better than the control group. Twelve studies compared the total procedure times between groups (Table 4).17–20,25,26,28,29,31–33,38 Four studies reported a significant difference between groups, with all demonstrating a shorter procedure time by the VR training (intervention) group.
Endoscopic simulators
2019, Gastrointestinal EndoscopyUse of Augmented Reality and Virtual Reality Technologies in Endoscopic Training
2018, Clinical Gastroenterology and HepatologyCitation Excerpt :Results showed that the group that trained with a simulator had improvement in subjective and objective measures of colonoscopy competency including a significantly faster time to the cecum, a shorter total procedure time, and improved efficiency. In another study, Di Giulio et al6 examined the use of the Simbionix GI mentor for training in esophagogastroduodenoscopy. Although no difference was observed between the simulator and nonsimulator groups in terms of the ability to intubate the esophagus, trainees in the simulator group were able to complete the procedure without verbal assistance and received significantly more positive feedback from supervising attendings.
Simulator training in gastrointestinal endoscopy – From basic training to advanced endoscopic procedures
2016, Best Practice and Research: Clinical GastroenterologyA Review of Endoscopic Simulation: Current Evidence on Simulators and Curricula
2016, Journal of Surgical EducationEffects of Simulation-Based Training in Gastrointestinal Endoscopy: A Systematic Review and Meta-analysis
2014, Clinical Gastroenterology and Hepatology
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The present study was supported by an educational grant from Bracco SpA, Milano, Italy.
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Presented, in part, as a poster at the annual meeting of Digestive Diseases Week, May 20-23, 2001, Atlanta, Georgia (Gastrointest Endosc 2001;53:AB81).