G C Harewood1, F Murray, S Winder, S Patchett. 1. Department of Gastroenterology and Hepatology, Beaumont Hospital, Dublin 9, Ireland. harewood.gavin@gmail.com
Abstract
INTRODUCTION: The medical literature describes disparity in colonoscopy performance. This randomised, controlled study aimed to characterise the impact of feedback on colonoscopy performance among gastroenterology (GI) trainees. METHODS:Gastroenterology trainees of similar experience levels who independently performed 581 colonoscopies over the study period were randomised to receive feedback/no feedback on their colonoscopy performance. RESULTS:Baseline colonoscopy performance was similar in both groups. Following feedback, caecal intubation improved by 10.5% (from 72.9 to 83.4%, p = 0.04) in the feedback group and declined by 6.1% (from 78 to 71.9%, p = 0.2) in the control group; polyp detection improved by 5.1% (from 12.9 to 18.0%, p = 0.2) in the feedback group and by 2.9% (from 16.7 to 19.6%, p = 0.5) in the control group. CONCLUSIONS: Systematic feedback appears to enhance colonoscopy performance among GI trainees.
RCT Entities:
INTRODUCTION: The medical literature describes disparity in colonoscopy performance. This randomised, controlled study aimed to characterise the impact of feedback on colonoscopy performance among gastroenterology (GI) trainees. METHODS: Gastroenterology trainees of similar experience levels who independently performed 581 colonoscopies over the study period were randomised to receive feedback/no feedback on their colonoscopy performance. RESULTS: Baseline colonoscopy performance was similar in both groups. Following feedback, caecal intubation improved by 10.5% (from 72.9 to 83.4%, p = 0.04) in the feedback group and declined by 6.1% (from 78 to 71.9%, p = 0.2) in the control group; polyp detection improved by 5.1% (from 12.9 to 18.0%, p = 0.2) in the feedback group and by 2.9% (from 16.7 to 19.6%, p = 0.5) in the control group. CONCLUSIONS: Systematic feedback appears to enhance colonoscopy performance among GI trainees.
Authors: Douglas O Faigel; Irving M Pike; Todd H Baron; Amitabh Chak; Jonathan Cohen; Stephen E Deal; Brenda Hoffman; Brian C Jacobson; Klaus Mergener; Bret T Petersen; John L Petrini; Douglas K Rex; Michael A Safdi Journal: Am J Gastroenterol Date: 2006-04 Impact factor: 10.864
Authors: D T Simmons; G C Harewood; T H Baron; B T Petersen; K K Wang; F Boyd-Enders; B J Ott Journal: Aliment Pharmacol Ther Date: 2006-09-15 Impact factor: 8.171
Authors: Brian Bressler; Lawrence F Paszat; Christopher Vinden; Cindy Li; Jingsong He; Linda Rabeneck Journal: Gastroenterology Date: 2004-08 Impact factor: 22.682