P4296 - Simple Educational Interventions Improve Use of Endoscopic Scoring Systems in IBD Patients Among Gastroenterology Fellows

Lauren Cooper, MD, Chansong Choi, MD
University of Nebraska Medical Center, Omaha, NE

Introduction: Standardized endoscopic scores in inflammatory bowel disease (IBD) are utilized to monitor response to therapies, predict clinical outcomes, and ensure appropriate communication among physicians and health systems. However, these scores are used inconsistently among gastroenterologists. We aimed to improve the use of standardized endoscopic scores in our institution.

Methods: The percentage of endoscopy reports using standardized endoscopic scoring in patients with established Ulcerative Colitis (UC) and Crohn’s Disease (CD) was calculated. This data along with the importance of endoscopy reporting in IBD was presented to gastroenterology fellows and faculty at an educational conference. IBD scoring reference cards (“badge buddies”) were provided.

Results: Prior to education from October 2023 to January 2024, standardized scores were used in 75/106 (70.7%) of all IBD endoscopy reports. With fellow involved in case, scores were used in 38/51 (74.5%) of all reports, 24/25 (96%) of UC reports, and 14/26 (53.8%) of CD reports. With no fellow in case, standardized score was used 37/55 (67.2%) of all reports, 18/27 (66.7%) of UC reports, and 19/28 (67.8%) of CD reports.

After education from March to June 2024, fellows showed improvement with use of standardized scores in 34/39 (87.2%) of all reports and 14/18 (77.8%) of CD reports, but this did not reach statistical significance (chi square statistic = 2.22, 2.63 and p = 0.14 and 0.10, respectively). After education, standardized scores were more likely to be used with fellow involvement versus no fellow (87.2% vs. 51.1%, chi square statistic=12.66, p = 0.00037).

Discussion: A brief educational intervention was effective in improving the use of standardized endoscopy reporting in IBD patients among fellows, particularly with CD. There was no overall improvement after education when including cases with and without fellow involvement. Ongoing education regarding the use of IBD endoscopy reporting should be encouraged.



Disclosures:


Lauren Cooper, MD, Chansong Choi, MD. P4296 - Simple Educational Interventions Improve Use of Endoscopic Scoring Systems in IBD Patients Among Gastroenterology Fellows, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.