ASGE Postgraduate Course at ACG: Innovative Practices for the Endoscopist of Today, Tomorrow and Beyond | October 2023-14_Whitson

14_Whitson_Williams Video Session

Pdf Summary

The document "Teaching Endoscopy and Competency Based Education" by Renee L. Williams MD MHPE and Matthew J. Whitson MD MSEd provides an extensive overview of best practices and competencies in endoscopy training. It details the importance of procedural phases—pre-procedure, intra-procedure, and post-procedure—and offers recommendations for each phase to enhance learning and skill acquisition. <br /><br />The pre-procedure phase focuses on setting goals and assessing the cognitive planning of trainees. It's crucial to ensure that the objectives and equipment are appropriate for the session. The intra-procedure phase highlights minimizing distractions and using clear, common language to improve communication. Post-procedure guidance includes providing constructive feedback and establishing SMART goals tailored to individual learning needs.<br /><br />The document discusses sex differences impacting endoscopic training, noting that female trainees historically received less tactile training and faced equipment ergonomics issues, leading to higher rates of neck and shoulder injuries (Rabinowitz et al., 2021; Suhail et al., 2023).<br /><br />Cognitive load theory is addressed with distinctions between intrinsic, extraneous, and germane loads, emphasizing the importance of managing unnecessary distractions (extraneous load) to facilitate learning (germane load).<br /><br />Constructive feedback techniques are detailed, including the Ask-Tell-Ask and Pendleton models, to help trainees reflect on and improve their performance. Feedback should be actionable, with SMART goals guiding the trainee’s future practice.<br /><br />Competency-based tools such as the Global Assessment of Gastrointestinal Endoscopic Skills (GAGES) and the ASGE Assessment of Competency in Endoscopy (ACE) are reviewed for their effectiveness in assessing trainees’ skills. These tools provide structured and data-driven approaches to evaluating and improving endoscopic competencies, ensuring trainee progression is measured and targeted.<br /><br />The key takeaways emphasize the need for recognizing learning opportunities in both technical and cognitive areas, using pre-procedure time effectively, limiting extraneous loads during procedures, and utilizing effective feedback and assessment tools to maximize learning outcomes.

Keywords

endoscopy training

competency-based education

procedural phases

pre-procedure

intra-procedure

post-procedure

cognitive load theory

constructive feedback

GAGES

ASGE ACE