title: Impact of the endoscopic teaching process on colonic adenoma detection.
abstract: BACKGROUND
  There has been little reported experience in the Latin American hospital setting in relation to the impact of the endoscopic training process on colonoscopy quality.
  
  
  OBJECTIVE
  To determine the effect that training in the technique of colonoscopy has on adenoma detection in an Argentinian teaching hospital.
  
  
  METHODS
  Within the time frame of July 2012 and July 2013, 3 physicians received training in colonoscopy from 4 experienced endoscopists. The colonoscopies performed by the supervised trainees were compared with those carried out by the experienced endoscopists.
  
  
  RESULTS
  A total of 318 colonoscopies performed by any one of the 3 supervised trainees and 367 carried out by any one of the experienced endoscopists were included. The univariate analysis showed a non-significant difference in the detection rate of adenomas (30.4 vs. 24.7%, P=.09). In the multivariate analysis, the detection rate of adenomas was significantly higher in the colonoscopies performed by one of the 3 trainees (odds ratio = 1.72 [1.19-2.48]).
  
  
  CONCLUSIONS
  The supervised involvement of endoscopic trainees has a positive effect on adenoma detection.
authors.affiliation: Sección de Gastroenterología, Departamento de Medicina Interna, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina. Electronic address: juanselasa@gmail.com.
authors.forename: J S
authors.initials: JS
authors.lastname: Lasa
authors.affiliation: Sección de Gastroenterología, Departamento de Medicina Interna, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: R
authors.initials: R
authors.lastname: Moore
authors.affiliation: Sección de Gastroenterología, Departamento de Medicina Interna, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: A D
authors.initials: AD
authors.lastname: Peralta
authors.affiliation: Sección de Gastroenterología, Departamento de Medicina Interna, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: G
authors.initials: G
authors.lastname: Dima
authors.affiliation: Sección de Gastroenterología, Departamento de Medicina Interna, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: I
authors.initials: I
authors.lastname: Zubiaurre
authors.affiliation: Sección de Gastroenterología, Departamento de Medicina Interna, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: M
authors.initials: M
authors.lastname: Arguello
authors.affiliation: Sección de Gastroenterología, Departamento de Medicina Interna, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: M
authors.initials: M
authors.lastname: Senderovsky
authors.affiliation: Servicio de Anatomía Patológica, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: L
authors.initials: L
authors.lastname: Moretti
authors.affiliation: Servicio de Anatomía Patológica, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: A
authors.initials: A
authors.lastname: Avagnina
authors.affiliation: Sección de Gastroenterología, Departamento de Medicina Interna, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina.
authors.forename: L
authors.initials: L
authors.lastname: Soifer
mesh_terms: D000236:Adenoma / Q000175:diagnosis*; D001118:Argentina; D002983:Clinical Competence; D003110:Colonic Neoplasms / Q000175:diagnosis*; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D016099:Endoscopy, Gastrointestinal / Q000193:education*; D006761:Hospitals; D006801:Humans; D010820:Physicians
keywords: Adenoma; Colon; Colonoscopia; Colonoscopy; Colorectal cancer; Cáncer colorrectal; Entrenamiento; Training