Medizinische Klinik-Campus Innenstadt, Klinikum der Universität München, Ziemssenstrasse 1, Munich, Germany.
Endoscopy. 2011 Sep;43(9):802-7. doi: 10.1055/s-0030-1256372. Epub 2011 May 27.
Training standards in gastrointestinal endoscopy are poorly defined even though different simulators are increasingly used for skills training. In 2001 a new training concept called "GATE--gastroenterological education-training endoscopy" was established, which provides a combination of background theory, video demonstrations, and simulator training. We aimed to evaluate the acceptance and training effect of this training model.
In total, 98 physicians participating in four training courses were included. Data were collected on baseline characteristics, acceptance (5-point Likert scale), and pre- and post-course knowledge through a structured questionnaire (A-type and Pick-N multiple choice questions). A total of 13 trainees were randomly selected for additional simulator assessment of training effects on manual skills (5-point Likert scale).
A total of 78 trainees (80%) provided complete data sets. The evaluation showed a positive acceptance of the training program (value 1 and 2, Likert scale); for example, 88% of participants suggested the inclusion of the GATE course as an obligatory part of endoscopic education. There was a significant improvement in theoretical knowledge in the post-test set compared with the pre-test set (mean 3.27 ±1.30 vs. 1.69 ±1.01 points; P<0.001). The training effect on practical skill showed a significant reduction in time needed for a procedure (445 ±189 s vs. 274 ±129 s; P<0.01). The mean assessment rating for practical skills improved from 3.05 ±0.65 at baseline to 2.52 ±0.59 on Likert scale ( P=0.085).
The integrated GATE training improved theoretical knowledge and manual skill. The GATE courses have been accredited by the German Society of Gastroenterology, underlining the demand for implementing preclinical training courses in endoscopic training.
尽管越来越多地使用不同的模拟器进行技能培训，但胃肠道内镜的培训标准仍定义不明确。2001 年，建立了一种名为“GATE-胃肠病学教育-内镜”的新培训概念，它提供了背景理论、视频演示和模拟器培训的组合。我们旨在评估这种培训模式的接受程度和培训效果。
共有 98 名参加四门培训课程的医生被纳入研究。通过结构化问卷（A型和 Pick-N 多项选择题）收集基线特征、接受度（5 分 Likert 量表）以及课前和课后知识的数据。共有 13 名学员被随机挑选进行额外的模拟器评估，以评估培训对手工技能的影响（5 分 Likert 量表）。
共有 78 名学员（80%）提供了完整的数据集。评估结果显示，培训计划得到了积极的认可（Likert 量表值 1 和 2）；例如，88%的参与者建议将 GATE 课程纳入内镜教育的必修部分。与前测相比，后测的理论知识有显著提高（平均 3.27 ±1.30 分比 1.69 ±1.01 分；P<0.001）。实际技能培训效果显著，手术所需时间减少（445 ±189 秒比 274 ±129 秒；P<0.01）。实际技能的平均评估评分从基线时的 3.05 ±0.65 提高到 Likert 量表上的 2.52 ±0.59（P=0.085）。
综合 GATE 培训提高了理论知识和手工技能。德国胃肠病学会已经认可了 GATE 课程，这强调了在内镜培训中实施临床前培训课程的需求。
