Views of supervisors of colonoscopy training on quality issues for the national bowel cancer screening program in Australia
Views of supervisors of colonoscopy training on quality issues for the national bowel cancer screening program in Australia
复制标题
DOI：
10.1111/j.1440-1746.2008.05603.x
复制
发表时间：
2009-02-01
影响因子：
4.1
通讯作者：
Newman, Beth
中科院分区：
文献类型：
--
作者：
Pentti, Marita;Muller, Jennifer;Newman, Beth
描述结肠镜培训主管对澳大利亚结肠镜培训能力和质量的看法，2007年3月至5月对127名结肠镜培训主管进行了匿名邮寄调查（估计回复率为30.2%）。调查询问了结肠镜检查培训的能力和质量，主管对结肠镜检查培训创新方法的看法和意见，结肠镜检查的数量和受训者获得结肠镜检查能力所需的时间，大约50%的培训者同意，27%的培训者不同意，目前的培训名额足以维持一支熟练的结肠镜检查队伍，为国家肠癌筛查计划（NBCSP）做准备。65%的人认为与私营部门合作是有益的。非胃肠病学家（non-GE）比胃肠病学家（GE）更可能认为模拟器对结肠镜检查培训有益（卡方检验= 5.55，P = 0.026）。大多数培训师不支持培训护士（73%）或全科医生（71%）进行结肠镜检查。大约60%的培训师认为，目前对结肠镜检查培训的认可要求可能不足以让受训者获得能力，其中80%的人表示需要>= 200次结肠镜检查。随着NBCSP的推出，结肠镜检查需求的预计增长可能需要额外的培训名额和新的创新培训方法，以确保在NBCSP下提供高质量的结肠镜检查服务。
To describe the views of supervisors of colonoscopy training in regard to colonoscopy training capacity and quality in Australia.Anonymous postal surveys from March to May 2007 were posted to 127 colonoscopy training supervisors (30.2% estimated response rate). The surveys queried colonoscopy training capacity and quality, supervisors' views and opinions on innovative approaches to colonoscopy training, number of colonoscopies and time required by trainees to gain competence in colonoscopy.Approximately 50% of trainers agreed and 27% disagreed that current numbers of training places were adequate to maintain a skilled colonoscopy workforce in preparation for the National Bowel Cancer Screening Program (NBCSP). A collaborative approach with the private sector was seen as beneficial by 65%. Non-gastroenterologists (non-GEs) were more likely than gastroenterologists (GEs) to be of the opinion that simulators are beneficial for colonoscopy training (chi(2)-test = 5.55, P = 0.026). The majority of trainers did not support training either nurses (73%) or general practitioners (GPs) in colonoscopy (71%). Approximately 60% of trainers considered that the current requirements for recognition of training in colonoscopy could be insufficient for trainees to gain competence and 80% of those indicated that >= 200 colonoscopies were needed.Colonoscopy training in Australia has traditionally followed the apprenticeship model. Projected increases in demand for colonoscopy with the introduction of the NBCSP may require additional training places and new and innovative approaches to training in order to ensure the provision of high-quality colonoscopy services under the NBCSP.