Tablet computer-based multimedia enhanced medical training improves performance in gastroenterology and endoscopy board style exam compared with traditional medical education

We read with interest the paper by Ekkelenkamp et al,1 who found that the early use of validated simulators during endoscopy training expedites the learning of procedural skills. Indeed, traditional teaching concepts do not take full advantage of advanced technology. We therefore prospectively investigated the impact of our self-developed custom wireless-enabled tablet PC-based multimedia training and test system on gastrointestinal endoscopy self-assessment program (GESAP®) exam performance. Control and the tablet groups were tested at the beginning and the end of their rotation by administration of all 200 random generator selected, equally distributed questions from all 11 categories (biliary, colorectal, oesophagus, intestines, nutrition, pancreas, patient preparation, paediatrics, surgery) parsed from the current GESAP® pool. Medical students and residents doing an inpatient service rotation were alternatingly assigned to either the active test (tablet PC) or traditional education (control) group, respectively. The multimedia training package included access to the institutional...
Source: Gut - Category: Gastroenterology Authors: Tags: PostScript Source Type: research

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Purpose: Sleep apnea can increase adverse outcomes during ambulatory surgery but not during gastrointestinal endoscopy. We hypothesize that STOP-BANG is associated with intraprocedural bronchoscopy respiratory complications. Methods: Consecutive patients undergoing bronchoscopy under moderate sedation were prospectively administered the STOP-BANG questionnaire. Participants were assessed for intraprocedural complications including hypoxemia (oxygen saturation≤85%), bradypnea (respiratory rate
Source: Journal of Bronchology and Interventional Pulmonology - Category: Respiratory Medicine Tags: Original Investigations Source Type: research
Conditions:   Polyps;   Adenoma Colon;   Colorectal Polyp;   Colon Polyp Intervention:   Device: CADDIE- Computer Aided (AI) Device used in Endoscopy Sponsor:   University College, London Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Source: Gastroenterology - Category: Gastroenterology Authors: Source Type: research
AbstractPurpose of reviewWe reviewed the literature in order to determine the best system to develop a training program for third space endoscopic procedures in the West.Recent findingsThere has been a steady growth in the number and type of advanced endoscopic procedures over the past several decades, including the expansion of “third-space” or submucosal endoscopy. Most of our knowledge on training in third-space endoscopy stems from the East, with a lack of consensus regarding the optimal training model for Western endoscopists. We review the current literature and provide insight into a potential training a...
Source: Current Treatment Options in Gastroenterology - Category: Gastroenterology Source Type: research
ConclusionsEndoscopists should be aware that SMTs or erosions, even those smaller than 10  mm, can indicate local recurrence after complete response to definitive chemoradiotherapy. Follow-up endoscopy should be performed within 1–2 months if findings suggestive of local recurrence are observed on prior endoscopy, even when biopsy results are negative.
Source: Esophagus - Category: Gastroenterology Source Type: research
Conclusions This new 12-Fr plastic stent could be an effective and cheaper alternative to SEMSs in distal malignant biliary obstruction. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Endoscopy - Category: Gastroenterology Authors: Tags: Innovations and brief communications Source Type: research
In the current manuscript (1) the authors reported the results of diagnostic upper endoscopy for a cohort of 250 consequent patients who presented with complaints after Roux en Y gastric bypass (RYGB). Ninety-eight patients (39.2%) with a relevant finding at upper endoscopy were identified, mostly marginal ulcer and stomal stenosis. The postoperative endoscopic findings can help us better understand long term complications following bariatric surgery. The authors should be commended for identifying risks factors to an abnormal upper endoscopy (male sex, smoking, alcohol consumption, referral reason and prior imaging studies).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
This study evaluates the relationship between the radiological appearance of the posterior urethra, potential secondary radiological signs and endoscopically documented PUV in boys with febrile UTIs, VUR, refractory symptoms of bladd er overactivity or suggestive sonography findings.Patients and methodsData on VCUG findings and endoscopy from 92 boys (mean age 27  months) who underwent endoscopic PUV incision between 2012 and 2017 following a VCUG were reviewed. 24 boys with endoscopically unsuspicious urethras were included as control group (mean age 27.5 months). Statistical analysis was performed using Fi...
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
Although upper gastrointestinal bleeding (UGIB) is a significant cause of inpatient admissions, no scoring method has proven to be accurate and simple as a standard for triage purposes. Therefore, we compared a previously described 3 variable score (1 point each for: absence of daily proton pump inhibitors use in the week before the index presentation, shock index (heart rate/systolic blood pressure ≥1, and blood urea nitrogen/creatinine ≥30), the Horibe gAstRointestinal BleedING prEdiction score(HARBINGER) with the 8 variable Glasgow Blatchford Score (GBS) and 5 variable AIMS65, to evaluate and validate the accuracy...
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research
Multiband mucosectomy (MBM) is a widely used technique for the treatment of Barrett ’s esophagus (BE). However, large multicenter studies enabling a generalizable estimation of the risk of serious adverse events, such as perforation and postprocedural bleeding, are lacking. The aim of this study was to estimate the rate of, and risk factors for, serious adverse events associated with MBM
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research
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