title: Use of the colonoscope training model with the colonoscope 3D imaging probe improved trainee colonoscopy performance: a pilot study.
abstract: BACKGROUND
  Colonoscopy insertion is difficult to teach due to the inability of current training models to provide realistic tactile sensation with simultaneous three-dimensional (3D) colonoscope display.
  
  
  OBJECTIVE
  To assess the influence of a simulator consisting of a colon model coupled with 3D instrument visualization on trainee colonoscopy performance.
  
  
  METHODS
  Pilot study using the simulator model with three trainees who were not proficient in colonoscopy. At random times over a 6-week period, trainees participated in an individualized half-day session using the Colonoscope Training Model and a colonoscope equipped with a 3D magnetic probe imaging system (ScopeGuide) in six standardized cases. A blinded supervising instructor graded patient-based colonoscopy performance over the 6-week period, and we independently analyzed the 2-week period before and after the intervention. We also measured cecal intubation and withdrawal times and medication requirements.
  
  
  RESULTS
  Trainees performed 86 patient-based colonoscopies. Following the intervention, the colonoscopy performance score improved from 4.4 ± 2.3 to 5.9 ± 2.4 (p = 0.005). Trainees had a 76% cecal intubation rate following the session as compared to 43% before training (p = 0.004), while utilizing less time, 14 ± 7 versus 18 ± 11 min (p = 0.056) and less medication (p > 0.05).
  
  
  CONCLUSIONS
  Colonoscopy simulation using the Colonoscope Training Model and the ScopeGuide produced an immediate and large effect on trainee colonoscopy performance.
authors.affiliation: Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, Palo Alto, CA 94304, USA. tonya_kolodziejski@yahoo.com
authors.forename: Tonya
authors.initials: T
authors.lastname: Kaltenbach
authors.forename: Cynthia
authors.initials: C
authors.lastname: Leung
authors.forename: Kuan
authors.initials: K
authors.lastname: Wu
authors.forename: Kelley
authors.initials: K
authors.lastname: Yan
authors.forename: Shai
authors.initials: S
authors.lastname: Friedland
authors.forename: Roy
authors.initials: R
authors.lastname: Soetikno
mesh_terms: D020685:Colonoscopes; D003113:Colonoscopy / Q000379:methods*; D005762:Gastroenterology / Q000193:education* / Q000379:methods; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000295:instrumentation*; D008953:Models, Anatomic; D010865:Pilot Projects