Division of Gastroenterology, Children's Hospital Boston, Boston, Massachusetts 02115, USA.
Gastrointest Endosc. 2010 Jul;72(1):13-8. doi: 10.1016/j.gie.2010.02.041.
Integrating procedural training by using computer-based endoscopic simulators (CBES) into gastroenterology fellowships may facilitate technical skill development, while posing no additional risk to patients.
The aim of our study was to survey pediatric gastroenterology fellows about their experiences with and perceptions of CBES as compared with actual procedures, prior to and after exposure to both types of endoscopic learning.
All first-year trainees at Children's Hospital Boston (2003-2008) were invited to complete a written, pretraining questionnaire and then perform at least 10 each of CBES endoscopies and colonoscopies prior to performing actual procedures. Fellows completed a written, posttraining questionnaire after 4 months.
Survey responses.
All 25 first-year fellows (12 male, median age 30 years) over the 5-year period participated. Four months into their fellowships, fellows reported simulation to be helpful in increasing procedural skill and confidence. The number of sessions on the simulator was associated with reported increased colonoscopic skill and confidence (P = .032 and P = .007, respectively). All fellows reported it difficult to incorporate CBES into their work schedules. Only 28% of fellows reported performing 20 total CBES procedures, with most simulation sessions reportedly lasting less than 30 minutes. All participants rated faculty instruction with CBES as very helpful.
This was a single-site study of pediatric trainees and may be limited in generalizability.
A few short sessions with CBES may be perceived as useful for endoscopic skill acquisition by pediatric gastroenterology trainees. Further exploration into how to assimilate CBES into busy gastroenterology training programs may be warranted.
将基于计算机的内镜模拟器（CBES）的操作训练整合到胃肠病学研究员培训中可能有助于技术技能的发展，同时对患者没有额外的风险。
我们的研究旨在调查儿科胃肠病学研究员在接触 CBES 内镜模拟训练和实际操作之前和之后，对 CBES 的体验和看法，将其与实际操作进行比较。
所有在波士顿儿童医院（2003-2008 年）的第一年受训者都被邀请填写书面的预培训问卷，然后在进行实际操作之前，至少完成 10 次 CBES 内镜检查和结肠镜检查。研究员在 4 个月后完成书面的培训后问卷。
调查问卷回复。
在 5 年的时间里，所有 25 名第一年的研究员（12 名男性，中位数年龄 30 岁）都参加了研究。在他们的研究员培训的第四个月，研究员报告说模拟有助于提高程序技能和信心。模拟器上的培训次数与报告的结肠镜技能和信心的增加相关（分别为 P =.032 和 P =.007）。所有研究员报告说很难将 CBES 纳入他们的工作时间表。只有 28%的研究员报告总共进行了 20 次 CBES 操作，大多数模拟课程据报道持续不到 30 分钟。所有参与者都将 CBES 的教员指导评为非常有帮助。
这是一项针对儿科受训者的单站点研究，可能存在一定的局限性。
通过 CBES 进行几次短暂的培训课程可能被儿科胃肠病学研究员认为有助于获得内镜技能。进一步探索如何将 CBES 融入繁忙的胃肠病学培训计划可能是必要的。
