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Dig Endosc. 2015 Sep;27(6):687-91. doi: 10.1111/den.12458. Epub 2015 Mar 24.

Structured endoscopic ultrasonography (EUS) training program improved knowledge and skills of trainees: Results from the Asian EUS Group.

Author information

1
Department of Gastroenterology and Hepatology, National University Hospital, Singapore.
2
University of Santo Tomas Hospital, Manila, Philippines.
3
108 Military Hospital, Hanoi, Vietnam.
4
Raffles Hospital, Singapore.
5
Lahore General Hospital, Lahore, Pakistan.
6
Department of Surgery, Rajavithi Hospital, Bangkok, Thailand.
7
Department of Surgery, University of Colombo, Colombo, Sri Lanka.
8
Institute of Advanced Endoscopy, Mumbai, India.
9
Department of Gastroenterology, Shanghai Changhai Hospital, Shanghai, China.
10
Kitasato University East Hospital, Tokyo, Japan.
11
Department of Gastroenterology, Asan Medical Center, Seoul, Republic of Korea.
12
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
13
Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.
14
Center for Interventional Endoscopy, Florida Hospital, Orlando, USA.
15
Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto, Japan.
16
Department of Medicine, National University Health System University Medicine Cluster, Singapore.

Abstract

BACKGROUND AND AIM:

A major reason impeding the growth of endoscopic ultrasound (EUS) in Asia is the lack of training availability. We aimed to prospectively evaluate the effectiveness of a short-term structured EUS training program in improving the knowledge and skill of EUS among trainees.

METHODS:

The study was conducted in six workshops in six countries including Sri Lanka, Pakistan, Thailand, Vietnam, Singapore and Philippines, within a year. Trainees were evaluated using written and skill tests before and after completion of the training.

RESULTS:

Pre- and post-workshop written tests from a total of 62 trainees were analyzed. Compared with pre-training, the trainees improved significantly in the overall mean (± SD) scores after the training (66.0 ± 0.3% to 77.5 ± 0.2%, P < 0.0001). Thirty-one trainees were randomly selected to undergo a skill test before and after the course. Compared with pre-training, the proportions of trainees who succeeded in locating each structure post-training were: celiac axis (36-80.5%), pancreatic body (51.5-80.5%), pancreatic body and tail (42-77.5%), splenic vein and artery (48.5-84%), left kidney (60-83%), and spleen (47-83%). Overall, there was a significant improvement in the proportion of trainees' successful localization of structures post-training compared to before training (P < 0.0001).

CONCLUSION:

Following a structured training program, trainees' knowledge and skills in EUS improved significantly. Structured training courses appear to be an effective way of imparting EUS knowledge and skills to aspiring endosonographers in the Asian region.

KEYWORDS:

education; endoscopic ultrasonography; endoscopy; gastrointestinal; training

PMID:
25652212
DOI:
10.1111/den.12458
[Indexed for MEDLINE]

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