Harry J Wong1, Bailey Su2, Mikhail Attaar2, Kristine Kuchta3, John G Linn3, Woody Denham3, Stephen P Haggerty3, Michael B Ujiki3. 1. Department of Surgery, NorthShore University HealthSystem, Evanston, IL; Department of Surgery, University of Chicago Medicine, IL. Electronic address: Harry.Wong@uchospitals.edu. 2. Department of Surgery, NorthShore University HealthSystem, Evanston, IL; Department of Surgery, University of Chicago Medicine, IL. 3. Department of Surgery, NorthShore University HealthSystem, Evanston, IL.
Abstract
BACKGROUND: Peroral endoscopic pyloromyotomy, or gastric peroral endoscopic myotomy, is a novel endoscopic procedure for the treatment of refractory gastroparesis. We present a simulation-based curriculum using an "into-the-fire" approach with hands-on pre- and post-tests to teach this procedure. METHODS: Six, 1-day peroral endoscopic pyloromyotomy courses were taught by an expert surgical endoscopist in 2018 to 2019. The curriculum is composed of a series of pretraining tests, lectures, mentored hands-on instruction, and post-training tests using porcine models. Both pre- and post-testing included a confidence survey, a knowledge-based written test, and a specific assessment form for the peroral endoscopic pyloromyotomy procedure. Participants' scores were analyzed using paired t tests. RESULTS: Twenty-eight practicing physicians participated. After completing the curriculum, participants had improved confidence scores (10.5 ± 5.2 vs 19.4 ± 3.6; P < .001), written test scores (6.8 ± 1.6 vs 8.0 ± 1.1; P < .001), and hands-on performance scores (23.6 ± 3.4 vs 29.3 ± 1.4; P < .001) with marked improvement in all components of the peroral endoscopic pyloromyotomy procedure. Postcourse surveys showed 93% of participants had performed or intended to perform the peroral endoscopic pyloromyotomy procedure within the next year. CONCLUSION: Our simulation curriculum with an into-the-fire approach to teach peroral endoscopic pyloromyotomy is effective in improving practitioner knowledge, confidence, and technical skills, leading to an increase in the adoption of this procedure.
BACKGROUND: Peroral endoscopic pyloromyotomy, or gastric peroral endoscopic myotomy, is a novel endoscopic procedure for the treatment of refractory gastroparesis. We present a simulation-based curriculum using an "into-the-fire" approach with hands-on pre- and post-tests to teach this procedure. METHODS: Six, 1-day peroral endoscopic pyloromyotomy courses were taught by an expert surgical endoscopist in 2018 to 2019. The curriculum is composed of a series of pretraining tests, lectures, mentored hands-on instruction, and post-training tests using porcine models. Both pre- and post-testing included a confidence survey, a knowledge-based written test, and a specific assessment form for the peroral endoscopic pyloromyotomy procedure. Participants' scores were analyzed using paired t tests. RESULTS: Twenty-eight practicing physicians participated. After completing the curriculum, participants had improved confidence scores (10.5 ± 5.2 vs 19.4 ± 3.6; P < .001), written test scores (6.8 ± 1.6 vs 8.0 ± 1.1; P < .001), and hands-on performance scores (23.6 ± 3.4 vs 29.3 ± 1.4; P < .001) with marked improvement in all components of the peroral endoscopic pyloromyotomy procedure. Postcourse surveys showed 93% of participants had performed or intended to perform the peroral endoscopic pyloromyotomy procedure within the next year. CONCLUSION: Our simulation curriculum with an into-the-fire approach to teach peroral endoscopic pyloromyotomy is effective in improving practitioner knowledge, confidence, and technical skills, leading to an increase in the adoption of this procedure.
Authors: Vanessa N VanDruff; Harry J Wong; Julia R Amundson; Hoover Wu; Michelle Campbell; Kristine Kuchta; H Mason Hedberg; John Linn; Stephen Haggerty; Woody Denham; Michael B Ujiki Journal: Surg Endosc Date: 2022-06-22 Impact factor: 4.584
Authors: Harry J Wong; Mikhail Attaar; Michelle Campbell; Hoover Wu; Kristine Kuchta; John G Linn; Stephen P Haggerty; Woody Denham; Michael B Ujiki Journal: Surg Endosc Date: 2022-01-31 Impact factor: 3.453