title: An international survey of polypectomy training and assessment.
abstract: Background and study aimsColonic polypectomy is acknowledged to be a technically challenging part of colonoscopy. Training in polypectomy is recognized to be often inconsistent. This study aimed to ascertain worldwide practice in polypectomy training.Patients and methodsAn electronic survey was distributed to endoscopic trainees and trainers in 19 countries asking about their experiences of receiving and delivering training. Participants were also asked about whether formal polypectomy training guidance existed in their country.ResultsData were obtained from 610 colonoscopists. Of these responses, 348 (57.0 %) were from trainers and 262 (43.0 %) from trainees; 6.6 % of trainers assessed competency once per year or less often. Just over half (53.1 %) of trainees had ever had their polypectomy technique formally assessed by any trainer. Approximately half the trainees surveyed (51.1 %) stated that the principles of polypectomy had only ever been taught to them intermittently. Of those trainees with the most colonoscopy experience, who had performed over 500 procedures, 48.2 % had had training on removing large polyps of over 10 mm; 46.2 % (121 respondents) of trainees surveyed held no record of the polypectomies they had performed. Only four of the 19 countries surveyed had specific guidelines on polypectomy training.ConclusionsA significant number of competent colonoscopists have never been taught how to perform polypectomy. Training guidelines worldwide generally give little direction as to how trainees should acquire polypectomy skills. The learning curve for polypectomy needs to be defined to provide reliable guidance on how to train colonoscopists in this skill.
authors.affiliation: Wolfson Unit for Endoscopy, St Mark's Hospital, London, UK; Imperial College, London, UK.
authors.forename: K
authors.initials: K
authors.lastname: Patel
authors.affiliation: Wolfson Unit for Endoscopy, St Mark's Hospital, London, UK; King's College London, London, UK.
authors.forename: A
authors.initials: A
authors.lastname: Rajendran
authors.affiliation: Wolfson Unit for Endoscopy, St Mark's Hospital, London, UK; Imperial College, London, UK.
authors.forename: O
authors.initials: O
authors.lastname: Faiz
authors.affiliation: North Tees & Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK; Durham University, Durham, Co. Durham, UK.
authors.forename: M D
authors.initials: MD
authors.lastname: Rutter
authors.affiliation: British Society of Gastroenterology, UK.
authors.forename: C
authors.initials: C
authors.lastname: Rutter
authors.affiliation: Hospital General Universitario de Alicante, Alicante, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Jover
authors.affiliation: University Hospital Heraklion, Crete, Greece.
authors.forename: I
authors.initials: I
authors.lastname: Koutroubakis
authors.affiliation: The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology and Hepatology, Medical Center for Postgraduate Education, Warsaw, Poland.
authors.forename: W
authors.initials: W
authors.lastname: Januszewicz
authors.affiliation: Medical University of Vienna, Vienna, Austria.
authors.forename: M
authors.initials: M
authors.lastname: Ferlitsch
authors.affiliation: Academic Medical Center, Amsterdam, Netherlands.
authors.forename: E
authors.initials: E
authors.lastname: Dekker
authors.affiliation: Dalhousie University, Halifax, Nova Scotia, Canada.
authors.forename: D
authors.initials: D
authors.lastname: MacIntosh
authors.affiliation: Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong, China.
authors.forename: S C
authors.initials: SC
authors.lastname: Ng
authors.affiliation: Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: T
authors.initials: T
authors.lastname: Kitiyakara
authors.affiliation: Geisel School of Medicine, Dartmouth, Hanover, NH, USA.
authors.forename: H
authors.initials: H
authors.lastname: Pohl
authors.affiliation: Wolfson Unit for Endoscopy, St Mark's Hospital, London, UK; Imperial College, London, UK.
authors.forename: S
authors.initials: S
authors.lastname: Thomas-Gibson