Scaffidi Michael A, Khan Rishad, Grover Samir C, Gimpaya Nikko, Walsh Catharine M
School of Medicine, Faculty of Health Sciences, Queen's University, Kingston, Canada.
Division of Gastroenterology, St. Michael's Hospital, University of Toronto, Toronto, Canada.
J Can Assoc Gastroenterol. 2020 Jun 23;4(4):151-157. doi: 10.1093/jcag/gwaa020. eCollection 2021 Aug.
Endoscopists use self-assessment to monitor the development and maintenance of their skills. The accuracy of these self-assessments, which reflects how closely one's own rating corresponds to an external rating, is unclear.
In this narrative review, we critically examine the current literature on self-assessment in gastrointestinal endoscopy with the aim of informing training and practice and identifying opportunities to improve the methodological rigor of future studies.
In the seven included studies, the evidence regarding self-assessment accuracy was mixed. When stratified by experience level, however, novice endoscopists were least accurate in their self-assessments and tended to overestimate their performance. Studies examining the utility of video-based interventions using observation of expert benchmark performances show promise as a mechanism to improve self-assessment accuracy among novices.
Based on the results of this review, we highlight problematic areas, identify opportunities to improve the methodological rigor of future studies on endoscopic self-assessment and outline potential avenues for further exploration.
内镜医师使用自我评估来监测其技能的发展和维持情况。这些自我评估的准确性，即反映个人评分与外部评分的相符程度，尚不清楚。
在这篇叙述性综述中，我们批判性地审视了当前关于胃肠内镜检查自我评估的文献，旨在为培训和实践提供信息，并确定提高未来研究方法严谨性的机会。
在纳入的七项研究中，关于自我评估准确性的证据参差不齐。然而，按经验水平分层时，新手内镜医师的自我评估最不准确，且往往高估自己的表现。通过观察专家基准表现来检验基于视频的干预措施效用的研究显示，有望作为提高新手自我评估准确性的一种机制。
基于本综述的结果，我们突出了存在问题的领域，确定了提高未来内镜自我评估研究方法严谨性的机会，并概述了进一步探索的潜在途径。
