A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study

Sachin Wani; Rajesh Keswani; Matt Hall; Samuel Han; Meer Akbar Ali; Brian Brauer; Linda Carlin; Amitabh Chak; Dan Collins; Gregory A. Cote; David L. Diehl; Christopher J. DiMaio; Andrew Dries; Ihab El-Hajj; Swan Ellert; Kimberley Fairley; Ashley Faulx; Larissa Fujii-Lau; Srinivas Gaddam; Seng Ian Gan; Jonathan P. Gaspar; Chitiki Gautamy; Stuart Gordon; Cynthia Harris; Sarah Hyder; Ross Jones; Stephen Kim; Srinadh Komanduri; Ryan Law; Linda Lee; Rawad Mounzer; Daniel Mullady; V. Raman Muthusamy; Mojtaba Olyaee; Patrick Pfau; Shreyas Saligram; Cyrus Piraka; Amit Rastogi; Laura Rosenkranz; Fadi Rzouq; Aditi Saxena; Raj J. Shah; Violette C. Simon; Aaron Small; Jayaprakash Sreenarasimhaiah; Andrew Walker; Andrew Y. Wang; Rabindra R. Watson; Robert H. Wilson; Patrick Yachimski; Dennis Yang; Steven Edmundowicz; Dayna S. Early

doi:10.1016/j.cgh.2017.06.012

A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study

Sachin Wani, Rajesh Keswani, Matt Hall, Samuel Han, Meer Akbar Ali, Brian Brauer, Linda Carlin, Amitabh Chak, Dan Collins, Gregory A. Cote, David L. Diehl, Christopher J. DiMaio, Andrew Dries, Ihab El-Hajj, Swan Ellert, Kimberley Fairley, Ashley Faulx, Larissa Fujii-Lau, Srinivas Gaddam, Seng Ian GanJonathan P. Gaspar, Chitiki Gautamy, Stuart Gordon, Cynthia Harris, Sarah Hyder, Ross Jones, Stephen Kim, Srinadh Komanduri, Ryan Law, Linda Lee, Rawad Mounzer, Daniel Mullady, V. Raman Muthusamy, Mojtaba Olyaee, Patrick Pfau, Shreyas Saligram, Cyrus Piraka, Amit Rastogi, Laura Rosenkranz, Fadi Rzouq, Aditi Saxena, Raj J. Shah, Violette C. Simon, Aaron Small, Jayaprakash Sreenarasimhaiah, Andrew Walker, Andrew Y. Wang, Rabindra R. Watson, Robert H. Wilson, Patrick Yachimski, Dennis Yang, Steven Edmundowicz, Dayna S. Early

Research output: Contribution to journal › Article › peer-review

70 Scopus citations

Abstract

Background & Aims On the basis of the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) by using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers. Methods ASGE recognized training programs were invited to participate, and AETs were graded on ERCP and EUS exams by using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion. Grading for each skill was done by using a 4-point scoring system, and a comprehensive data collection and reporting system was built to create learning curves by using cumulative sum analysis. Individual results and benchmarking to peers were shared with AETs and trainers quarterly. Results Of the 62 programs invited, 20 programs and 22 AETs participated in this study. At the end of training, median number of EUS and ERCP performed/AET was 300 (range, 155–650) and 350 (125–500), respectively. Overall, 3786 exams were graded (EUS, 1137; ERCP-biliary, 2280; ERCP-pancreatic, 369). Learning curves for individual end points and overall technical/cognitive aspects in EUS and ERCP demonstrated substantial variability and were successfully shared with all programs. The majority of trainees achieved overall technical (EUS, 82%; ERCP, 60%) and cognitive (EUS, 76%; ERCP, 100%) competence at conclusion of training. Conclusions These results demonstrate the feasibility of establishing a centralized database to report individualized learning curves and confirm the substantial variability in time to achieve competence among AETs in EUS and ERCP. ClinicalTrials.gov: NCT02509416.

Original language	English (US)
Pages (from-to)	1758-1767.e11
Journal	Clinical Gastroenterology and Hepatology
Volume	15
Issue number	11
DOIs	https://doi.org/10.1016/j.cgh.2017.06.012
State	Published - Nov 2017

Keywords

Advanced Endoscopy Training
Competence
Competency-based Medical Education
ERCP
EUS
Learning Curves

ASJC Scopus subject areas

Hepatology
Gastroenterology

Access to Document

10.1016/j.cgh.2017.06.012

Fingerprint

Dive into the research topics of 'A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study'. Together they form a unique fingerprint.

Cite this

Wani, S., Keswani, R., Hall, M., Han, S., Ali, M. A., Brauer, B., Carlin, L., Chak, A., Collins, D., Cote, G. A., Diehl, D. L., DiMaio, C. J., Dries, A., El-Hajj, I., Ellert, S., Fairley, K., Faulx, A., Fujii-Lau, L., Gaddam, S., ... Early, D. S. (2017). A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study. Clinical Gastroenterology and Hepatology, 15(11), 1758-1767.e11. https://doi.org/10.1016/j.cgh.2017.06.012

A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study. / Wani, Sachin; Keswani, Rajesh; Hall, Matt et al.
In: Clinical Gastroenterology and Hepatology, Vol. 15, No. 11, 11.2017, p. 1758-1767.e11.

Research output: Contribution to journal › Article › peer-review

Wani, S, Keswani, R, Hall, M, Han, S, Ali, MA, Brauer, B, Carlin, L, Chak, A, Collins, D, Cote, GA, Diehl, DL, DiMaio, CJ, Dries, A, El-Hajj, I, Ellert, S, Fairley, K, Faulx, A, Fujii-Lau, L, Gaddam, S, Gan, SI, Gaspar, JP, Gautamy, C, Gordon, S, Harris, C, Hyder, S, Jones, R, Kim, S, Komanduri, S, Law, R, Lee, L, Mounzer, R, Mullady, D, Muthusamy, VR, Olyaee, M, Pfau, P, Saligram, S, Piraka, C, Rastogi, A, Rosenkranz, L, Rzouq, F, Saxena, A, Shah, RJ, Simon, VC, Small, A, Sreenarasimhaiah, J, Walker, A, Wang, AY, Watson, RR, Wilson, RH, Yachimski, P, Yang, D, Edmundowicz, S & Early, DS 2017, 'A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study', Clinical Gastroenterology and Hepatology, vol. 15, no. 11, pp. 1758-1767.e11. https://doi.org/10.1016/j.cgh.2017.06.012

Wani S, Keswani R, Hall M, Han S, Ali MA, Brauer B et al. A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study. Clinical Gastroenterology and Hepatology. 2017 Nov;15(11):1758-1767.e11. doi: 10.1016/j.cgh.2017.06.012

Wani, Sachin ; Keswani, Rajesh ; Hall, Matt et al. / A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees : The Rapid Assessment of Trainee Endoscopy Skills Study. In: Clinical Gastroenterology and Hepatology. 2017 ; Vol. 15, No. 11. pp. 1758-1767.e11.

@article{ef6fdf223f2344c8b0418172dcd39303,

title = "A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study",

abstract = "Background & Aims On the basis of the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) by using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers. Methods ASGE recognized training programs were invited to participate, and AETs were graded on ERCP and EUS exams by using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion. Grading for each skill was done by using a 4-point scoring system, and a comprehensive data collection and reporting system was built to create learning curves by using cumulative sum analysis. Individual results and benchmarking to peers were shared with AETs and trainers quarterly. Results Of the 62 programs invited, 20 programs and 22 AETs participated in this study. At the end of training, median number of EUS and ERCP performed/AET was 300 (range, 155–650) and 350 (125–500), respectively. Overall, 3786 exams were graded (EUS, 1137; ERCP-biliary, 2280; ERCP-pancreatic, 369). Learning curves for individual end points and overall technical/cognitive aspects in EUS and ERCP demonstrated substantial variability and were successfully shared with all programs. The majority of trainees achieved overall technical (EUS, 82%; ERCP, 60%) and cognitive (EUS, 76%; ERCP, 100%) competence at conclusion of training. Conclusions These results demonstrate the feasibility of establishing a centralized database to report individualized learning curves and confirm the substantial variability in time to achieve competence among AETs in EUS and ERCP. ClinicalTrials.gov: NCT02509416.",

keywords = "Advanced Endoscopy Training, Competence, Competency-based Medical Education, ERCP, EUS, Learning Curves",

author = "Sachin Wani and Rajesh Keswani and Matt Hall and Samuel Han and Ali, {Meer Akbar} and Brian Brauer and Linda Carlin and Amitabh Chak and Dan Collins and Cote, {Gregory A.} and Diehl, {David L.} and DiMaio, {Christopher J.} and Andrew Dries and Ihab El-Hajj and Swan Ellert and Kimberley Fairley and Ashley Faulx and Larissa Fujii-Lau and Srinivas Gaddam and Gan, {Seng Ian} and Gaspar, {Jonathan P.} and Chitiki Gautamy and Stuart Gordon and Cynthia Harris and Sarah Hyder and Ross Jones and Stephen Kim and Srinadh Komanduri and Ryan Law and Linda Lee and Rawad Mounzer and Daniel Mullady and Muthusamy, {V. Raman} and Mojtaba Olyaee and Patrick Pfau and Shreyas Saligram and Cyrus Piraka and Amit Rastogi and Laura Rosenkranz and Fadi Rzouq and Aditi Saxena and Shah, {Raj J.} and Simon, {Violette C.} and Aaron Small and Jayaprakash Sreenarasimhaiah and Andrew Walker and Wang, {Andrew Y.} and Watson, {Rabindra R.} and Wilson, {Robert H.} and Patrick Yachimski and Dennis Yang and Steven Edmundowicz and Early, {Dayna S.}",

note = "Publisher Copyright: {\textcopyright} 2017 AGA Institute",

year = "2017",

month = nov,

doi = "10.1016/j.cgh.2017.06.012",

language = "English (US)",

volume = "15",

pages = "1758--1767.e11",

journal = "Clinical Gastroenterology and Hepatology",

issn = "1542-3565",

publisher = "W.B. Saunders Ltd",

number = "11",

}

TY - JOUR

T1 - A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees

T2 - The Rapid Assessment of Trainee Endoscopy Skills Study

AU - Wani, Sachin

AU - Keswani, Rajesh

AU - Hall, Matt

AU - Han, Samuel

AU - Ali, Meer Akbar

AU - Brauer, Brian

AU - Carlin, Linda

AU - Chak, Amitabh

AU - Collins, Dan

AU - Cote, Gregory A.

AU - Diehl, David L.

AU - DiMaio, Christopher J.

AU - Dries, Andrew

AU - El-Hajj, Ihab

AU - Ellert, Swan

AU - Fairley, Kimberley

AU - Faulx, Ashley

AU - Fujii-Lau, Larissa

AU - Gaddam, Srinivas

AU - Gan, Seng Ian

AU - Gaspar, Jonathan P.

AU - Gautamy, Chitiki

AU - Gordon, Stuart

AU - Harris, Cynthia

AU - Hyder, Sarah

AU - Jones, Ross

AU - Kim, Stephen

AU - Komanduri, Srinadh

AU - Law, Ryan

AU - Lee, Linda

AU - Mounzer, Rawad

AU - Mullady, Daniel

AU - Muthusamy, V. Raman

AU - Olyaee, Mojtaba

AU - Pfau, Patrick

AU - Saligram, Shreyas

AU - Piraka, Cyrus

AU - Rastogi, Amit

AU - Rosenkranz, Laura

AU - Rzouq, Fadi

AU - Saxena, Aditi

AU - Shah, Raj J.

AU - Simon, Violette C.

AU - Small, Aaron

AU - Sreenarasimhaiah, Jayaprakash

AU - Walker, Andrew

AU - Wang, Andrew Y.

AU - Watson, Rabindra R.

AU - Wilson, Robert H.

AU - Yachimski, Patrick

AU - Yang, Dennis

AU - Edmundowicz, Steven

AU - Early, Dayna S.

PY - 2017/11

Y1 - 2017/11

N2 - Background & Aims On the basis of the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) by using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers. Methods ASGE recognized training programs were invited to participate, and AETs were graded on ERCP and EUS exams by using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion. Grading for each skill was done by using a 4-point scoring system, and a comprehensive data collection and reporting system was built to create learning curves by using cumulative sum analysis. Individual results and benchmarking to peers were shared with AETs and trainers quarterly. Results Of the 62 programs invited, 20 programs and 22 AETs participated in this study. At the end of training, median number of EUS and ERCP performed/AET was 300 (range, 155–650) and 350 (125–500), respectively. Overall, 3786 exams were graded (EUS, 1137; ERCP-biliary, 2280; ERCP-pancreatic, 369). Learning curves for individual end points and overall technical/cognitive aspects in EUS and ERCP demonstrated substantial variability and were successfully shared with all programs. The majority of trainees achieved overall technical (EUS, 82%; ERCP, 60%) and cognitive (EUS, 76%; ERCP, 100%) competence at conclusion of training. Conclusions These results demonstrate the feasibility of establishing a centralized database to report individualized learning curves and confirm the substantial variability in time to achieve competence among AETs in EUS and ERCP. ClinicalTrials.gov: NCT02509416.

AB - Background & Aims On the basis of the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) by using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers. Methods ASGE recognized training programs were invited to participate, and AETs were graded on ERCP and EUS exams by using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion. Grading for each skill was done by using a 4-point scoring system, and a comprehensive data collection and reporting system was built to create learning curves by using cumulative sum analysis. Individual results and benchmarking to peers were shared with AETs and trainers quarterly. Results Of the 62 programs invited, 20 programs and 22 AETs participated in this study. At the end of training, median number of EUS and ERCP performed/AET was 300 (range, 155–650) and 350 (125–500), respectively. Overall, 3786 exams were graded (EUS, 1137; ERCP-biliary, 2280; ERCP-pancreatic, 369). Learning curves for individual end points and overall technical/cognitive aspects in EUS and ERCP demonstrated substantial variability and were successfully shared with all programs. The majority of trainees achieved overall technical (EUS, 82%; ERCP, 60%) and cognitive (EUS, 76%; ERCP, 100%) competence at conclusion of training. Conclusions These results demonstrate the feasibility of establishing a centralized database to report individualized learning curves and confirm the substantial variability in time to achieve competence among AETs in EUS and ERCP. ClinicalTrials.gov: NCT02509416.

KW - Advanced Endoscopy Training

KW - Competence

KW - Competency-based Medical Education

KW - ERCP

KW - EUS

KW - Learning Curves

UR - http://www.scopus.com/inward/record.url?scp=85032218543&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85032218543&partnerID=8YFLogxK

U2 - 10.1016/j.cgh.2017.06.012

DO - 10.1016/j.cgh.2017.06.012

M3 - Article

C2 - 28625816

AN - SCOPUS:85032218543

SN - 1542-3565

VL - 15

SP - 1758-1767.e11

JO - Clinical Gastroenterology and Hepatology

JF - Clinical Gastroenterology and Hepatology

IS - 11

ER -

A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this