TY - JOUR
T1 - Meet EBE
T2 - The Development of an Evidence-Based Endoscopy Simulator
AU - Shah, Raj
AU - Satyavada, Sagarika
AU - Kurin, Michael
AU - Ismail, Mayada
AU - Smith, Zachary L.
AU - Davitkov, Perica
AU - Isenberg, Gerard
AU - Raju, Gottumukkala S.
AU - Faulx, Ashley
AU - Falck-Ytter, Yngve
AU - Chak, Amitabh
N1 - Funding Information:
The authors thank Sindoora Satyavada for graphical abstract and figure.
Publisher Copyright:
© 2022 AGA Institute
PY - 2022/5
Y1 - 2022/5
N2 - Background and Aims: In the digital era of evidence-based medicine, there is a paucity of video endoscopy teaching platforms that use evidence-based medicine principles, or that allow for cognitive simulation of endoscopic management strategies. We created a guideline-based teaching platform for fellows that incorporates these features, and tested it. Methods: A pilot video module with embedded questions was drafted, and after incorporation of feedback from several attending gastroenterologists, an additional 2 modules were created. The embedded questions were designed to simulate cognitive management decisions as if the viewer were doing the endoscopy procedure in the video. A narrator explained the evidence behind the task being performed, and its certainty based on endoscopic guidelines. Quizzes and surveys were developed and administered to a sample of attendings and fellows who completed the video modules to test efficacy, usability, and likeability. Results: Three video modules, named evidence-based endoscopy (EBE), incorporating low fidelity simulation, and utilizing evidence-based medicine principles, were created. Eight fellows and 10 attendings completed the video modules and all quizzes and surveys. Mean test scores improved from before to after completing the video modules (56% to 92%; mean difference = –35%; 95% confidence interval, 27%–47%). Surveys indicated that the product was viewed favorably by participants, and that there is a strong desire for this type of educational product. Conclusions: The EBE simulator is a unique, desirable, and effective educational platform based on evidence-based medicine principles that fills a gap in available tools for endoscopy education. Further studies are needed to assess whether EBE can aid in long-term knowledge retention and increase adherence to guideline recommendations.
AB - Background and Aims: In the digital era of evidence-based medicine, there is a paucity of video endoscopy teaching platforms that use evidence-based medicine principles, or that allow for cognitive simulation of endoscopic management strategies. We created a guideline-based teaching platform for fellows that incorporates these features, and tested it. Methods: A pilot video module with embedded questions was drafted, and after incorporation of feedback from several attending gastroenterologists, an additional 2 modules were created. The embedded questions were designed to simulate cognitive management decisions as if the viewer were doing the endoscopy procedure in the video. A narrator explained the evidence behind the task being performed, and its certainty based on endoscopic guidelines. Quizzes and surveys were developed and administered to a sample of attendings and fellows who completed the video modules to test efficacy, usability, and likeability. Results: Three video modules, named evidence-based endoscopy (EBE), incorporating low fidelity simulation, and utilizing evidence-based medicine principles, were created. Eight fellows and 10 attendings completed the video modules and all quizzes and surveys. Mean test scores improved from before to after completing the video modules (56% to 92%; mean difference = –35%; 95% confidence interval, 27%–47%). Surveys indicated that the product was viewed favorably by participants, and that there is a strong desire for this type of educational product. Conclusions: The EBE simulator is a unique, desirable, and effective educational platform based on evidence-based medicine principles that fills a gap in available tools for endoscopy education. Further studies are needed to assess whether EBE can aid in long-term knowledge retention and increase adherence to guideline recommendations.
KW - Endoscopy
KW - Evidence-Based
KW - Guidelines
KW - Simulation
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U2 - 10.1016/j.cgh.2021.11.041
DO - 10.1016/j.cgh.2021.11.041
M3 - Article
C2 - 34896643
AN - SCOPUS:85123711660
SN - 1542-3565
VL - 20
SP - e1180-e1187
JO - Clinical Gastroenterology and Hepatology
JF - Clinical Gastroenterology and Hepatology
IS - 5
ER -