Evaluation of formal feedback on endoscopic competence among trainees: the EFFECT trial
Evaluation of formal feedback on endoscopic competence among trainees: the EFFECT trial
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DOI：
10.1007/s11845-008-0161-z
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发表时间：
2008-09-01
影响因子：
2.1
通讯作者：
Patchett, S.
中科院分区：
文献类型：
--
作者：
Harewood, G. C.;Murray, F.;Patchett, S.
前言医学文献描述了结肠镜检查性能的差异。这项随机对照研究旨在评估反馈对胃肠病学（GI）受训者结肠镜检查表现的影响，在研究期间，具有相似经验水平的胃肠病学受训者独立进行了581次结肠镜检查，随机接受反馈/无反馈结肠镜检查表现。反馈后，盲肠插管改善了10.5%（从72.9%到83.4%，p = 0.04），下降了6.1%（从78%到71.9%，p = 0.2）;息肉检测提高了5.1%（从12.9%到18.0%，p = 0.2），反馈组和2.9%（从16.7%到19.6%，p = 0.5）在对照组。结论系统的反馈似乎提高了胃肠实习生的结肠镜检查性能。
Introduction The medical literature describes disparity in colonoscopy performance. This randomised, controlled study aimed to characterise the impact of feedback on colonoscopy performance among gastroenterology (GI) trainees.Methods Gastroenterology trainees of similar experience levels who independently performed 581 colonoscopies over the study period were randomised to receive feedback/no feedback on their colonoscopy performance.Results Baseline colonoscopy performance was similar in both groups. Following feedback, caecal intubation improved by 10.5% (from 72.9 to 83.4%, p = 0.04) in the feedback group and declined by 6.1% (from 78 to 71.9%, p = 0.2) in the control group; polyp detection improved by 5.1% (from 12.9 to 18.0%, p = 0.2) in the feedback group and by 2.9% (from 16.7 to 19.6%, p = 0.5) in the control group.Conclusions Systematic feedback appears to enhance colonoscopy performance among GI trainees.