Improving Competency and Metrics for PoLypectomy Skills Using Evaluation Tools and VidEo Feedback (COMPLETE)
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Colorectal Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 25 - Any |
| Updated: | 8/3/2018 |
| Start Date: | August 1, 2017 |
| End Date: | June 2020 |
Training for COMPLETE Polyp Resection During Colonoscopy -Improving Competency and Metrics for PoLypectomy Skills Using Evaluation Tools and VidEo Feedback
I plan to investigate the value of video-based feedback in endoscopic training -
specifically, the role of terminal video feedback as compared to usual concurrent feedback on
cold snare polypectomy technique in trainees, using Direct Observation of Polypectomy Skills
(DOPyS) competency score. I have focused the study on the competency of cold snare
polypectomy for subcentimeter polyps. The majority (>75%) of colon polyps are smaller than
one centimeter. Cold snare polypectomy has been shown, and recommended by the American
Society for Gastrointestinal Endoscopy (ASGE), to be an effective removal technique. However,
its widespread use and moreover, its teaching to trainees is lacking. It takes time and
resources to learn and teach endoscopic techniques. Our study will hope to identify a
mechanism through video-based feedback that could help to improve the translation of the
training of polypectomy skills to its actual performance, and to accelerate the learning
curve.
specifically, the role of terminal video feedback as compared to usual concurrent feedback on
cold snare polypectomy technique in trainees, using Direct Observation of Polypectomy Skills
(DOPyS) competency score. I have focused the study on the competency of cold snare
polypectomy for subcentimeter polyps. The majority (>75%) of colon polyps are smaller than
one centimeter. Cold snare polypectomy has been shown, and recommended by the American
Society for Gastrointestinal Endoscopy (ASGE), to be an effective removal technique. However,
its widespread use and moreover, its teaching to trainees is lacking. It takes time and
resources to learn and teach endoscopic techniques. Our study will hope to identify a
mechanism through video-based feedback that could help to improve the translation of the
training of polypectomy skills to its actual performance, and to accelerate the learning
curve.
Inclusion Criteria:
- Participants: Senior level UCSF gastroenterology trainees (2nd and 3rd year GI
fellows) rotating at the San Francisco Veterans Affairs Medical Center (SFVAMC).
- Patients undergoing elective routine colonoscopy procedure.
Exclusion Criteria:
- Participants: Junior level University of California, San Francisco (UCSF)
gastroenterology trainees (1st year GI fellows) rotating at the San Francisco Veterans
Affairs Medical Center, and senior level trainees who are not rotating at the SFVAMC.
- Patients: Patients undergoing undergoing emergency colonoscopy procedure.
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