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Endoscopic part-task training box scores correlate with endoscopic outcomes

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Abstract

Background

Competency in endoscopy has traditionally been based on number of procedures performed. With movement towards milestone-based accreditation, new standards of establishing competency are required. The Thompson Endoscopic Skills Trainer (TEST) is a training device previously shown to differentiate between novice and expert endoscopists. This study aims to correlate TEST scores to other markers of performance in endoscopy.

Methods

Trainees of a gastroenterology fellowship program were guided through the TEST. Their scores and sub-scores were correlated to their endoscopic metrics of performance, including adenoma detection rate, cecal intubation rate, cecal intubation time, withdrawal time, fentanyl usage, midazolam usage, pain score, overall procedure time, and performance on the ASGE Assessment of Competency in Endoscopy Tool (ACE Tool).

Results

The Overall Score positively correlated with the ACE Tool Total Score (r = 0.707, p = 0.010) and sub-scores (Cognitive Skills Score: r = 0.624, p = 0.030; Motor Skills Score: r = 0.756, p = 0.004), and negatively correlated with cecal intubation time (r = − 0.591, p = 0.043). The Gross Motor Score positively correlated with cecal intubation rate (r = 0.593, p = 0.042), ACE Tool Total Score (r = 0.594, p = 0.042) and Motor Skills Score (r = 0.623, p = 0.031), and negatively correlated with cecal intubation time (r = − 0.695, p = 0.012). The Fine Motor Score positively correlated with the ACE Tool Polypectomy Score (r = 0.601, p = 0.039), and negatively correlated with procedure time (r = − 0.640, p = 0.025), cecal intubation time (r = − 0.645, p = 0.024), and withdrawal time (r = − 0.629, p = 0.028).

Conclusion

This study demonstrates that performance on the TEST correlate to endoscopic measures. Given these results, the TEST may be used in conjunction with existing assessment tools for demonstrating competency in endoscopy.

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Authors and Affiliations

  1. Department of Medicine, NYU Grossman School of Medicine, 550 First Ave, NBV 16N30, New York, NY, 10016, USA

    Amy Ou

  2. Department of Internal Medicine, University of Illinois at Chicago, Chicago, IL, USA

    Claire M. Shin

  3. Division of Gastroenterology & Hepatology, NYU Grossman School of Medicine, New York, NY, USA

    Adam J. Goodman, Michael A. Poles & Violeta B. Popov

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  1. Amy Ou
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  2. Claire M. Shin
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Correspondence to Amy Ou.

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Disclosures

Amy Ou is named on the patent for the Thompson Endoscopic Skills Trainer, but receives no monetary compensation for its use or sale. Claire Shin, Adam J. Goodman, Michael A. Poles, and Violeta B. Popov have no conflicts of interest to disclose.

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Ou, A., Shin, C.M., Goodman, A.J. et al. Endoscopic part-task training box scores correlate with endoscopic outcomes. Surg Endosc 35, 3592–3599 (2021). https://doi.org/10.1007/s00464-020-07830-y

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  • DOI: https://doi.org/10.1007/s00464-020-07830-y

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