ASGE Postgraduate Course at ACG: Innovative Practices for the Endoscopist of Today, Tomorrow and Beyond | October 2023-15_Shah Updates in Assessing Competency in Endoscopy

15_Shah Updates in Assessing Competency in Endoscopy

Pdf Summary

Dr. Brijen J. Shah’s presentation on "Updates in Assessing Competency in Endoscopy" outlines key tools and strategies for evaluating competency in endoscopy among trainees and practicing physicians, with a focus on integrating knowledge, skills, values, and attitudes.<br /><br />**Defining Competency:**<br />Competency in health professionals is described as the integration of multiple components, such as knowledge, skills, values, and attitudes, that can be observed and assessed.<br /><br />**Current Assessment Tools:**<br />Numerous tools for competency assessment in endoscopy are listed, including NASPGHAN Pediatric Training tools, GAGES, ACE Skills Assessment Tools, RAF-c, MCSAT, JAG-DOPs, and GiECAT.<br /><br />**Entrustable Professional Activities (EPAs):**<br />EPAs outline the necessary knowledge, skills, and attitudes for professional tasks and suggest appropriate assessment tools. Specifically, EPA 6 and EPA 7 focus on endoscopic evaluations and procedures for gastrointestinal issues.<br /><br />**GI Milestones 2.0 and the Dreyfus Model:**<br />The presentation references the updated GI Milestones 2.0 and employs the Dreyfus model to describe a spectrum of learner progression from novice to master.<br /><br />**Updates in Fellows’ Assessments:**<br />The presentation emphasizes the importance of knowledge assessment through structured curricula, which include online tests, hands-on sessions, and clinical rotations. Studies have shown improvements in assessment scores following such curricula.<br /><br />**Simulation in Training:**<br />Simulation is highlighted as a tool to increase knowledge and skills in sedation and other technical aspects of endoscopy. However, its full role in assessment requires further research.<br /><br />**Non-Technical Skills:**<br />The evaluation of non-technical skills (NTS) such as situational awareness, leadership, communication, and professionalism is essential. Tools like GiECAT and 360-degree evaluations are mentioned.<br /><br />**Assessment of Attending Physicians:**<br />For practicing physicians, there are ongoing competency assessments covering volume, quality metrics, and non-technical skills.<br /><br />**Conclusion:**<br />The presentation concludes by reiterating the importance of including knowledge and NTS assessments in overall competency evaluations and calls for reflection and further research in simulation and other assessment methods. Future steps involve reassessing current methods and determining their alignment with learning or high-stakes decisions.

Keywords

Endoscopy Competency

Assessment Tools

Entrustable Professional Activities

GI Milestones 2.0

Dreyfus Model

Fellows' Assessments

Simulation Training

Non-Technical Skills

Attending Physicians

Competency Evaluation