Sundaram Easwaramoorthy, Chandrasekar Sakthivel, Agarwalla Ramesh, Govindaraj Kanagaraj, Desarkar Satyapriya, Yasmine Jaseema, Khanna Subhash, Manickavasakam Kanagavel, Popat Sunil D
Department of Minimal Access Surgery, Lotus Hospital, Erode, Tamil Nadu, India.
Department of Surgery, Lotus Hospital, Erode, Tamil Nadu, India.
J Minim Access Surg. 2023 Apr-Jun;19(2):227-233. doi: 10.4103/jmas.jmas_205_22.
Competence in flexible endoscopy is essential for all surgeons during this era of minimal access surgery. However, fewer surgeons have expertise in endoscopy due to a lack of training and interest. The Indian Association of Gastrointestinal Endo Surgeons devised a short-structured training course in the art and science of endoscopy.
This study aimed to find the impact of the endoscopy training course (Endoscopic Fellowship of Indian Association of Gastrointestinal Endo Surgeons [EFIAGES]) in improving the endoscopic skill of surgeons.
Twenty-two-part electronic survey forms were sent to all 375 candidates who took the course between 2016 and 2019 for this retrospective observational study.
The following outcome measures were noted, namely technical competence in endoscopy before the course, delegate feedback about the course modules, volume of endoscopies before and after the course and quality indicators such as reaching up to duodenum (D2) and caecum before and after the course.
Statistical analysis of the impact of the course was done using Chi-square test.
Responses from 262 out of a total of 375 candidates were received. Seventy-seven per cent of trainees were pleased with content and mode of conduct of the course. The quality indicator of gastroscopy with the ability to reach D2 in 90% of the caseload was achieved by only 28% of trainees before the EFIAGES. This increased to 72% of candidates after the course and similar results were seen with colonoscopy also. Most of the candidates noted a distinct improvement in their endoscopic navigation skills subsequent to the course.
Endoscopy skill transfer was possible with a short-structured endoscopy course. The surgical fraternity should realise the importance of endoscopy skills in the current era of surgical practice.
在这个微创手术时代，灵活的内镜操作能力对所有外科医生来说都至关重要。然而，由于缺乏培训和兴趣，具备内镜专业知识的外科医生越来越少。印度胃肠内镜外科医生协会设计了一门关于内镜技术与科学的短期结构化培训课程。
本研究旨在探究内镜培训课程（印度胃肠内镜外科医生协会内镜奖学金课程[EFIAGES]）对提高外科医生内镜操作技能的影响。
为这项回顾性观察研究，向2016年至2019年间参加该课程的所有375名学员发送了包含22个部分的电子调查问卷。
记录了以下结果指标，即课程开始前的内镜技术能力、学员对课程模块的反馈、课程前后的内镜检查量以及诸如课程前后到达十二指肠（D2）和盲肠的质量指标。
使用卡方检验对该课程的影响进行统计分析。
共收到375名学员中262人的回复。77%的学员对课程内容和授课方式感到满意。在EFIAGES课程之前，只有28%的学员能够在90%的病例中达到胃镜检查到达D2的质量指标。课程结束后，这一比例增至72%，结肠镜检查也有类似结果。大多数学员表示课程结束后他们的内镜导航技能有明显提高。
通过短期结构化内镜课程可以实现内镜技能的传授。外科界应认识到在当前手术实践时代内镜技能的重要性。
