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 is a presentation outline by Renee L. Williams MD and Matthew J. Whitson MD regarding endoscopy training and competency-based education. It covers several key areas including an overview of endoscopy training, best practices across pre-procedure, intra-procedure, and post-procedure phases, and the integration of competency-based tools.<br /><br />**Endoscopy Training Overview:**<br />The presentation focuses heavily on structured competency development in endoscopy. The conceptual framework of endoscopic competence includes stages before, during, and after the procedure, emphasizing the importance of clear goals and proper planning.<br /><br />**Best Practices in Endoscopy Training:**<br />- **Pre-Procedure:** Emphasizes discussing goals with learners, assessing their cognitive planning, and ensuring all necessary equipment is available.<br />- **Intra-Procedure:** The focus is on reducing distractions and using clear, precise language to guide learners—e.g., “Pull Big Knob Back” rather than vague terms like “Look Up.”<br />- **Post-Procedure:** Important to minimize distractions, provide clear feedback, and demonstrate skills directly for kinesthetic learners.<br /><br />**Cognitive Load Theory:**<br />The presentation explores three types of cognitive loads:<br />- **Intrinsic Load:** Essential task components, such as baseline knowledge and skills.<br />- **Extraneous Load:** Non-essential distractions like background noise.<br />- **Germane Load:** Where actual learning happens through engagement with new material.<br /><br />**Sex Differences in Training:**<br />Studies reveal female trainees often receive less tactile training and face ergonomic issues, culminating in a higher incidence of neck/shoulder injuries.<br /><br />**Feedback Techniques:**<br />- **Ask-Tell-Ask:** Engages learners by asking about their actions, providing feedback, and inquiring how they’d improve.<br />- **Pendleton Model:** A step-by-step method that involves soliciting positive and negative observations from both the trainee and educator.<br /><br />**Assessment Tools:**<br />Endoscopic competency is assessed using various validated tools like the Global Assessment of Gastrointestinal Endoscopic Skills (GAGES) and the Mayo Colonoscopy Skills Assessment Tool (MCSAT). These tools help in evaluating technical skills and ensuring patient safety while supporting structured learning.<br /><br />**Takeaway Points:**<br />Key learning points highlight the importance of setting clear pre-procedure goals, minimizing distractions, providing effective feedback, and utilizing competency-based assessment tools to enhance both technical and cognitive learning spaces.

Keywords

endoscopy training

competency-based education

best practices

cognitive load theory

feedback techniques

sex differences

assessment tools

GAGES

MCSAT

structured learning