title: The effect of virtual endoscopy simulator training on novices: a systematic review.
abstract: BACKGROUND
  Advances in virtual endoscopy simulators have paralleled an interest in medical simulation for gastrointestinal endoscopy training.
  
  
  OBJECTIVE
  The primary objective was to determine whether the virtual endoscopy simulator training could improve the performance of novices.
  
  
  METHODS
  A systematic review.
  
  
  METHODS
  Randomized controlled trials (RCTs) that compared virtual endoscopy simulator training with bedside teaching or any other intervention for novices were collected.
  
  
  METHODS
  Novice endoscopists.
  
  
  METHODS
  The PRISMA statement was followed during the course of the research. The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and ScienceDirect were searched (up to July 2013). Data extraction and assessment were independently performed.
  
  
  METHODS
  Independent procedure completion, total procedure time and required assistance.
  
  
  RESULTS
  Fifteen studies (n = 354) were eligible for inclusion: 9 studies designed for colonoscopy training, 6 for gastroscopy training. For gastroscopy training, procedure completed independently was reported in 87.7% of participants in simulator training group compared to 70.0% of participants in control group (1 study; 22 participants; RR 1.25; 95% CI 1.13-1.39; P<0.0001). For colonoscopy training, procedure completed independently was reported in 89.3% of participants in simulator training group compared to 88.9% of participants in control group (7 study; 163 participants; RR 1.10; 95% CI 0.88-1.37; P = 0.41; I(2) = 85%).
  
  
  CONCLUSIONS
  The included studies are quite in-homogeneous with respect to training schedule and procedure.
  
  
  CONCLUSIONS
  Virtual endoscopy simulator training might be effective for gastroscopy, but so far no data is available to support this for colonoscopy.
authors.affiliation: Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou City, Guangdong Province, China.
authors.forename: Weiguang
authors.initials: W
authors.lastname: Qiao
authors.affiliation: Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou City, Guangdong Province, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Bai
authors.affiliation: School of Traditional Chinese Medicine, Southern Medical University, Research Institute of Traditional Chinese Medicine, Guangdong Medical College, Zhanjiang City, Guangdong Province, China.
authors.forename: Ruxi
authors.initials: R
authors.lastname: Lv
authors.affiliation: Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou City, Guangdong Province, China.
authors.forename: Wendi
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou City, Guangdong Province, China.
authors.forename: Yuqing
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou City, Guangdong Province, China.
authors.forename: Shan
authors.initials: S
authors.lastname: Lei
authors.affiliation: Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou City, Guangdong Province, China.
authors.forename: Fachao
authors.initials: F
authors.lastname: Zhi
mesh_terms: D002983:Clinical Competence; D003113:Colonoscopy / Q000193:education* / Q000379:methods; D003198:Computer Simulation; D005773:Gastroscopy / Q000193:education* / Q000379:methods; D006801:Humans; D014584:User-Computer Interface