Learning Curves for Colonoscopy: A Prospective Evaluation of Gastroenterology Fellows at a Single Center
Gut and Liver
;
: 31-35, 2010.
Article
in English
| WPRIM
| ID: wpr-152063
ABSTRACT
BACKGROUND/AIMS:
Colonoscopy training programs and the minimal experience with colonoscopy required to be considered technically competent are not well established. The aim of this study was to determine the colonoscopy learning curves and factors associated with this difficult procedure at a single center.METHODS:
A total of 3,243 colonoscopies were performed by 12 first-year gastroenterology fellows, and various clinical factors were assessed prospectively for 22 months. Acquisition of competence (success rate) was evaluated based on two objective criteria (i) the adjusted completion rate (>90%) and (ii) cecal intubation time (20 minutes). Surgery of the uterus and ovaries was significantly correlated with delayed cecal intubation time, but not after sufficient colonoscopy experience.CONCLUSIONS:
The minimum number of procedures to reach technical competence was 200. The cecal intubation time was longer in female and older patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ovary
/
Uterus
/
Cecum
/
Prospective Studies
/
Colonoscopy
/
Mental Competency
/
Learning Curve
/
Gastroenterology
/
Intubation
/
Learning
Type of study:
Controlled clinical trial
/
Observational study
Limits:
Female
/
Humans
Language:
English
Journal:
Gut and Liver
Year:
2010
Type:
Article
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