A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills (RATES) Study

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dc.contributor.authorWani, Sachin
dc.contributor.authorKeswani, Rajesh
dc.contributor.authorHall, Matt
dc.contributor.authorHan, Samuel
dc.contributor.authorAli, Meer Akbar
dc.contributor.authorBrauer, Brian
dc.contributor.authorCarlin, Linda
dc.contributor.authorChak, Amitabh
dc.contributor.authorCollins, Dan
dc.contributor.authorCote, Gregory A.
dc.contributor.authorDiehl, David L.
dc.contributor.authorDiMaio, Christopher J.
dc.contributor.authorDries, Andrew
dc.contributor.authorEl-Hajj, Ihab
dc.contributor.authorEllert, Swan
dc.contributor.authorFairley, Kimberley
dc.contributor.authorFaulx, Ashley
dc.contributor.authorFujii-Lau, Larissa
dc.contributor.authorGaddam, Srinivas
dc.contributor.authorGan, Seng-Ian
dc.contributor.authorGaspar, Jonathan P.
dc.contributor.authorGautamy, Chitiki
dc.contributor.authorGordon, Stuart
dc.contributor.authorHarris, Cynthia
dc.contributor.authorHyder, Sarah
dc.contributor.authorJones, Ross
dc.contributor.authorKim, Stephen
dc.contributor.authorKomanduri, Srinadh
dc.contributor.authorLaw, Ryan
dc.contributor.authorLee, Linda
dc.contributor.authorMounzer, Rawad
dc.contributor.authorMullady, Daniel
dc.contributor.authorMuthusamy, V. Raman
dc.contributor.authorOlyaee, Mojtaba
dc.contributor.authorPfau, Patrick
dc.contributor.authorSaligram, Shreyas
dc.contributor.authorPiraka, Cyrus
dc.contributor.authorRastogi, Amit
dc.contributor.authorRosenkranz, Laura
dc.contributor.authorRzouq, Fadi
dc.contributor.authorSaxena, Aditi
dc.contributor.authorShah, Raj J.
dc.contributor.authorSimon, Violette C.
dc.contributor.authorSmall, Aaron
dc.contributor.authorSreenarasimhaiah, Jayaprakash
dc.contributor.authorWalker, Andrew
dc.contributor.authorWang, Andrew Y.
dc.contributor.authorWatson, Rabindra R.
dc.contributor.authorWilson, Robert H.
dc.contributor.authorYachimski, Patrick
dc.contributor.authorYang, Dennis
dc.contributor.authorEdmundowicz, Steven
dc.contributor.authorEarly, Dayna S.
dc.contributor.departmentDepartment of Medicine, IU School of Medicineen_US
dc.date.accessioned2017-08-18T18:39:00Z
dc.date.available2017-08-18T18:39:00Z
dc.date.issued2017
dc.description.abstractBackground and aims Based on the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers. Methods ASGE recognized training programs were invited to participate and AETs were graded on ERCP and EUS exams using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion. Grading for each skill was done using a 4-point scoring system and a comprehensive data collection and reporting system was built to create learning curves using cumulative sum analysis. Individual results and benchmarking to peers were shared with AETs and trainers quarterly. Results Of the 62 programs invited, 20 programs and 22 AETs participated in this study. At the end of training, median number of EUS and ERCP performed/AET was 300 (range 155-650) and 350 (125-500). Overall, 3786 exams were graded (EUS:1137; ERCP–biliary 2280, pancreatic 369). Learning curves for individual endpoints, and overall technical/cognitive aspects in EUS and ERCP demonstrated substantial variability and were successfully shared with all programs. The majority of trainees achieved overall technical (EUS: 82%; ERCP: 60%) and cognitive (EUS: 76%; ERCP: 100%) competence at conclusion of training. Conclusions These results demonstrate the feasibility of establishing a centralized database to report individualized learning curves and confirm the substantial variability in time to achieve competence among AETs in EUS and ERCP.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationWani S, Keswani R, Hall M, Han S, Ali MA, Brauer B, Carlin L, Chak A, Collins D, Cote GA, Diehl DL, DiMaio CJ, Dries A, El-Hajj I, Ellert S, Fairley K, Faulx A, Fujii-Lau L, Gaddam S, Gan S-I, Gaspar JP, Gautamy C, Gordon S, Harris C, Hyder S, Jones R, Kim S, Komanduri S, Law R, Lee L, Mounzer R, Mullady D, Muthusamy VR, Olyaee M, Pfau P, Saligram S, Piraka C, Rastogi A, Rosenkranz L, Rzouq F, Saxena A, Shah RJ, Simon VC, Small A, Sreenarasimhaiah J, Walker A, Wang AY, Watson RR, Wilson RH, Yachimski P, Yang D, Edmundowicz S, Early DS, A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills (RATES) Study, Clinical Gastroenterology and Hepatology (2017), doi: 10.1016/j.cgh.2017.06.012.en_US
dc.identifier.urihttps://hdl.handle.net/1805/13880
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1016/j.cgh.2017.06.012.en_US
dc.relation.journalClinical Gastroenterology and Hepatologyen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjectcompetenceen_US
dc.subjectlearning curvesen_US
dc.subjectcompetency-based medical educationen_US
dc.titleA Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills (RATES) Studyen_US
dc.typeArticleen_US
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