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Gastrointest Endosc. 2012 Jul;76(1):100-6.e1-4. doi: 10.1016/j.gie.2012.01.019. Epub 2012 Mar 14.

Knowledge of quality performance measures associated with endoscopy among gastroenterology trainees and the impact of a web-based intervention.

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  • 1Division of Liver and Digestive Diseases at Columbia University Medical Center, New York, New York 10032, USA.

Abstract

BACKGROUND:

Knowledge of quality measures in endoscopy among trainees is unknown.

OBJECTIVE:

To assess knowledge of endoscopy-related quality indicators among U.S. trainees and determine whether it improves with a Web-based intervention.

DESIGN:

Randomized, controlled study.

SETTING:

Multicenter.

PARTICIPANTS:

This study involved trainees identified from the American Society for Gastrointestinal Endoscopy membership database.

INTERVENTION:

Participants were invited to complete an 18-question online test. Respondents were randomized to receive a Web-based tutorial (intervention) or not. The test was readministered 6 weeks after randomization to determine the intervention's impact.

MAIN OUTCOME MEASUREMENTS:

Baseline knowledge of endoscopy-related quality indicators and impact of the tutorial.

RESULTS:

A total of 347 of 1220 trainees (28%) completed the test; the mean percentage of correct responses was 55%. For screening colonoscopy, 44% knew the adenoma detection rate benchmark, 42% identified the cecal intubation rate goal, and 74% knew the recommended minimum withdrawal time. A total of 208 of 347 trainees (59%) completed the second test; baseline scores were similar for the tutorial (n = 106) and no tutorial (n = 102) groups (56.4% vs 56.9%, respectively). Scores improved after intervention for the tutorial group (65%, P = .003) but remained unchanged in the no tutorial group. On multivariate analysis, each additional year in training (odds ratio [OR] 2.3; 95% confidence interval [CI], 1.5-3.4), training at an academic institution (OR 2.6; 95% CI, 1.1-6.3), and receiving the tutorial (OR 3.2; 95% CI, 1.7-5.9) were associated with scores in the upper tertile.

LIMITATIONS:

Low response rate.

CONCLUSION:

Knowledge of endoscopy-related quality performance measures is low among trainees but can improve with a Web-based tutorial. Gastroenterology training programs may need to incorporate a formal didactic curriculum to supplement practice-based learning of quality standards in endoscopy.

Copyright © 2012 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.

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