OAK BROOK, Ill. – September 19, 2012 – The American Society for Gastrointestinal Endoscopy's (ASGE) Preservation and Incorporation of Valuable Endoscopic Innovations (PIVI) initiative addresses the use of endoscopy simulators for training and assessing skills in an article appearing in the September issue of GIE: Gastrointestinal Endoscopy, ASGE's monthly peer-reviewed scientific journal. This PIVI is one in a series of statements defining the diagnostic or therapeutic threshold that must be met for a technique or device to become considered appropriate for incorporation into clinical practice.
Simulator training can provide a student with a relaxed opportunity for repetitive practice of skills including those that might not be encountered with sufficient frequency during the course of a standard training program. Improving basic skills before actual patient experience could result in reduced patient discomfort. Manpower limitations of available endoscopic educators or cost considerations of the increased time that trainers must spend away from their clinical duties would support the use of simulation tools that might either shorten the learning curve or allow students to do more of their instruction independently.
"Although the use of simulators has become much more widespread, particularly via the use of ex vivo–based hands-on training courses by the ASGE at its Institute for Training and Technology in Oak Brook, Ill., and at many regional courses throughout the world, there is no consensus to date on just how much of a role they should play in standard training," said PIVI Committee Chair Jonathan Cohen, MD, FASGE. "Ultimately, the decision about whether to incorporate these technologies into a training program must rely on data regarding the magnitude of training benefits, any cost savings resulting from accelerated learning, the initial and ongoing expenses associated with the simulator work, and the local needs of the institution."
This PIVI reviews the current literature on simulator use in endoscopy and assesses what data are required to support a wider adoption of their use for endoscopy training and skills assessment. Specifically, the following two questions are considered: How much benefit must be demonstrated from the use of simulators to justify widespread adoption into standard endoscopy training? How reliable do simulator-based assessments need to be as a predictor of patient-based skills to justify their use in credentialing and recredentialing for endoscopy? The document outlines the following:
As professional societies work to better define the constituents and benchmarks for competency in various procedures, investigators and providers of simulators will need to focus their efforts on addressing current unmet needs, determining which trainees get the most benefit from which tools, and reducing the cost of simulation to improve access and use.
The PIVI committee (consisting of a committee of ASGE physician experts) in preparing the document, employed evidence-based methodology, using a MEDLINE and PubMed literature search to identify pertinent clinical studies on the topic. The PIVI is provided solely for educational and informational purposes and to support incorporating these endoscopic technologies into clinical practice. It should not be construed as establishing a legal standard of care. To read the full PIVI document, log on to ASGE's website at www.asge.org.
About the American Society for Gastrointestinal Endoscopy
Since its founding in 1941, the American Society for Gastrointestinal Endoscopy (ASGE) has been dedicated to advancing patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with more than 12,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education. Visit www.asge.org and www.screen4coloncancer.org for more information and to find a qualified doctor in your area.
Endoscopy is performed by specially-trained physicians called endoscopists using the most current technology to diagnose and treat diseases of the gastrointestinal tract. Using flexible, thin tubes called endoscopes, endoscopists are able to access the human digestive tract without incisions via natural orifices. Endoscopes are designed with high-intensity lighting and fitted with precision devices that allow viewing and treatment of the gastrointestinal system.
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.