P2371 - A Reproducible Simulation-Based Endoscopy Workshop: A High-Yield Experience for Medical Residents

Calvin Geng, MD¹, Anthony Rainho, MD¹, Lindsey Bierle, DO¹, Zachary Boggs, MD¹, Allison Lyons, MD¹, Jason Erno, MD², Alexander Podboy, MD¹, Ross Buerlein, MD^1
1University of Virginia, Charlottesville, VA; ²University of Virginia Medical Center, Charlottesville, VA

Introduction: Internal medicine (IM) residents in The United States interested in GI have limited exposure to endoscopy during their training but are expected to perform procedures when they start fellowship. Simulation-based learning (SBL) is an effective adjunct to conventional endoscopic training yet its use during residency training is limited. We present an easily-reproducible, SBL session for IM residents designed to improve their endoscopic knowledge and skills prior to fellowship.

Methods: We designed a 2-hour workshop led by a GI fellow and attending using novel esophagogastric and colon simulators (Figure 1). Participants completed team-based, goal-oriented endoscopic tasks using real endoscopes. A pre- and post-session knowledge and attitudes survey using a 10-point Likert scale was administered to assess mastery of 5 basic endoscopic skill domains created using GI Fellowship Competency Benchmarks published by the ACGME. The domains surveyed included 1) familiarity with the endoscope buttons, 2) familiarity with endoscope technique, 3) comfort in setting up the endoscope station, 4) familiarity with the concept of torque, 5) understanding of intraluminal loops. There were 2 labeling sections assessing functions of the endoscope buttons. This curriculum was approved by UVA IRB protocol SBS5625.

Results: 15 medical residents participated during 2 separate sessions. All endoscopic skill domains were significantly improved post-simulation (Table 1), with an average increase of 3.66 points out of 10 (2.64 vs 6.3, p< 0.01). Accuracy on the labeling sections also increased, from 51% to 96% correct (p< 0.02). To assess the longer-lasting effects of the session, 8 participants completed the survey 4 weeks after the session, and the average score was 5.12/10 across all domains, which remained significantly higher than the pre-session average of 2.64 (p< 0.01).

Discussion: An easily reproducible simulation-based endoscopic skills session facilitated behavioral and experiential learning and improved IM residents’ endoscopic technique prior to fellowship. This initiative fills a crucial need for cost-effective and reproducible SBL opportunities for medical trainees interested in GI and also highlights key features of successful SBL that are needed when designing any simulation learning curriculum. Cost-effectiveness analysis is needed to compare benefits of this curriculum with those that use more expensive simulators such as the Thompson Endoscopic Skills Trainer.



Disclosures:


Calvin Geng, MD¹, Anthony Rainho, MD¹, Lindsey Bierle, DO¹, Zachary Boggs, MD¹, Allison Lyons, MD¹, Jason Erno, MD², Alexander Podboy, MD¹, Ross Buerlein, MD¹. P2371 - A Reproducible Simulation-Based Endoscopy Workshop: A High-Yield Experience for Medical Residents, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.