Exploration of an effective training system for the diagnosis of pancreatobiliary diseases with EUS: A prospective study

作者：Zhen Ding, Chaoqun Han, Chi Nie, Xiaoping Shen, Tao Xu, Jun Liu, Xiaohua Hou · 发表于：Endoscopic Ultrasound · 年份：2020 · DOI：10.4103/eus.eus_47_20 · 被引用次数：15 · 研究领域：Surgical Simulation and Training、Pancreatic and Hepatic Oncology Research、Innovations in Medical Education

BACKGROUND AND OBJECTIVE: There are limited data on multistage-based training programs focused on EUS. We aimed to explore an effective training system for diagnosing pancreaticobiliary diseases with EUS. MATERIALS AND METHODS: Nine advanced endoscopy trainees (AETs) with less EUS experience from nine institutions were recruited. The training system consisted of multiple stages and multi-teaching methods, including biliopancreatic standard scanning, anatomy and imaging knowledge, simulator, hands-on operations, error correction, and case analysis over a 12-month training period. Grading for technical and cognitive skills was assessed using The EUS Skills Assessment Tool. RESULTS: After training, the overall scores for radial (4.16 ± 0.21 vs. 1.46 ± 0.16, P < 0.01) and linear (4.43 ± 0.20 vs. 1.63 ± 0.23, P < 0.01) scanning were significantly improved. The aortopulmonary window/mediastinum station can be learned more easily by AETs compared with other stations (P = 0023). The scanning of the descending part of the duodenum seemed to improve the slowest after training (P = 0.0072), indicating that the descending part of the duodenum can be more difficult and should be the focus of training. Every teaching method heightened EUS competence, especially case analysis and hands-on operations. AETs achieved equivalent EUS competence after training despite their initial experience. Through a poststudy questionnaire, it was found that all AETs strongly agreed they were satisfied with t...