caa a22 4500 445796995 CHVBK 20180317145128.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s10620-011-1614-1 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1614-1 Use of the Colonoscope Training Model with the Colonoscope 3D Imaging Probe Improved Trainee Colonoscopy Performance: A Pilot Study [Elektronische Daten] [Tonya Kaltenbach, Cynthia Leung, Kuan Wu, Kelley Yan, Shai Friedland, Roy Soetikno] Background: Colonoscopy insertion is difficult to teach due to the inability of current training models to provide realistic tactile sensation with simultaneous three-dimensional (3D) colonoscope display. Aims: To assess the influence of a simulator consisting of a colon model coupled with 3D instrument visualization on trainee colonoscopy performance. Methods: Pilot study using the simulator model with three trainees who were not proficient in colonoscopy. At random times over a 6-week period, trainees participated in an individualized half-day session using the Colonoscope Training Model and a colonoscope equipped with a 3D magnetic probe imaging system (ScopeGuide) in six standardized cases. A blinded supervising instructor graded patient-based colonoscopy performance over the 6-week period, and we independently analyzed the 2-week period before and after the intervention. We also measured cecal intubation and withdrawal times and medication requirements. Results: Trainees performed 86 patient-based colonoscopies. Following the intervention, the colonoscopy performance score improved from 4.4±2.3 to 5.9±2.4 (p=0.005). Trainees had a 76% cecal intubation rate following the session as compared to 43% before training (p=0.004), while utilizing less time, 14±7 versus 18±11min (p=0.056) and less medication (p>0.05). Conclusions: Colonoscopy simulation using the Colonoscope Training Model and the ScopeGuide produced an immediate and large effect on trainee colonoscopy performance. Springer Science+Business Media, LLC (Outside the USA), 2011 Colonoscopy nationallicence Looping nationallicence Insertion technique nationallicence Simulator nationallicence ScopeGuide nationallicence Training nationallicence Kaltenbach Tonya Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut Leung Cynthia Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut Wu Kuan Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut Yan Kelley Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut Friedland Shai Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut Soetikno Roy Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/5(2011-05-01), 1496-1502 0163-2116 56:5<1496 2011 56 10620 https://doi.org/10.1007/s10620-011-1614-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1614-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kaltenbach Tonya Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut NATIONALLICENCE 700 1- Leung Cynthia Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut NATIONALLICENCE 700 1- Wu Kuan Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut NATIONALLICENCE 700 1- Yan Kelley Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut NATIONALLICENCE 700 1- Friedland Shai Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut NATIONALLICENCE 700 1- Soetikno Roy Gastroenterology Section, Veterans Affairs Palo Alto Healthcare System, Division of Gastroenterology, Stanford University School of Medicine, 3801 Miranda Ave, GI-111, 94304, Palo Alto, CA, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/5(2011-05-01), 1496-1502 0163-2116 56:5<1496 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer