Surgical Endoscopy

, Volume 24, Issue 10, pp 2556–2561

Surgical resident’s training in colonoscopy: numbers, competency, and perceptions

  • Bret J. Spier
  • Emily T. Durkin
  • Andrew J. Walker
  • Eugene Foley
  • Eric A. Gaumnitz
  • Patrick R. Pfau
Article

DOI: 10.1007/s00464-010-1002-5

Cite this article as:
Spier, B.J., Durkin, E.T., Walker, A.J. et al. Surg Endosc (2010) 24: 2556. doi:10.1007/s00464-010-1002-5

Abstract

Background

There is currently great discrepancy in the training requirements between medical societies regarding the recommended threshold number of colonoscopies needed to assess for technical competence. Our goal was to determine the number of colonoscopies performed by surgical residents, rate of cecal intubation, as well as trainee perceptions of colonoscopy training after completion of their training period.

Methods

This study consisted of a 12-item electronic survey completed by 21 surgical residents after their 2-month endoscopy rotation at a tertiary care, urban referral center. This survey assessed numbers of colonoscopies performed, number successful to the cecum, and perceptions of training in colonoscopy. The cecal intubation rate was used as a surrogate marker of technical competence.

Results

Twenty-one surgical residents performed a mean of 80 ± 35 total colonoscopies during the 2-month rotation. The average cecal intubation rate was 47% (range 9–78%). Resident comfort level for independently performing a total colonoscopy was scored a mean 3.6 on scale of 1–5 (5 = most comfortable), and 43% of the surgical residents planned on performing colonoscopy after residency training.

Conclusions

Surgical residents can obtain the recommended threshold for colonoscopy (N = 50) during a standard 2-month rotation. However, no resident was able to achieve technical competence in colonoscopy as defined by a 90% cecal intubation rate. These data suggest that the method of training of general surgery residents in colonoscopy may need reappraisal.

Keywords

ColonoscopyTrainingCompetencyGeneral surgery

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Bret J. Spier
    • 1
  • Emily T. Durkin
    • 2
  • Andrew J. Walker
    • 1
  • Eugene Foley
    • 2
  • Eric A. Gaumnitz
    • 1
  • Patrick R. Pfau
    • 1
  1. 1.Section of Gastroenterology and Hepatology, Department of MedicineUniversity of Wisconsin Medical SchoolMadisonUSA
  2. 2.Department of SurgeryUniversity of Wisconsin Hospital and ClinicsMadisonUSA