caa a22 4500 467946833 CHVBK 20180405193738.0 cr unu---uuuuu 170328e20041101xx s 000 0 eng 10.1007/s00464-004-9002-y doi (NATIONALLICENCE)springer-10.1007/s00464-004-9002-y (NATIONALLICENCE)springer-10.1007/BF02637131 An innovative method for the assessment of skills in lower gastrointestinal endoscopy [Elektronische Daten] [K. Moorthy, Y. Munz, T. Orchard, S. Gould, T. Rockall, A. Darzi] Background: Although virtual reality (VR) simulators can be used ability to objectively assess skills in endoscopy, the evaluation is solely quantitative. We have developed a novel method for the objective assessment of technical skills in lower gastrointestinal (GI) endoscopy that incorporates qualitative as well as quantitative measures. Methods: We developed a virtual endoscopy suite by deconstructing the VR simulator to enable a more realistic and ergonomic placement of the monitor. Trainee endoscopists with varying levels of experience performed the case 4 task of the simulator. Ten essential components of endoscopic performance were rated on a five-point Likert scale (global score) by three independent observers. These observers viewed two videos (one showing scope handling and the other showing the monitor image), which were synchronized and played simultaneously. Results: The study population comprised six experts (group 1, >200 procedures), seven subjects with intermediate experience (group 2, 20-80 procedures), and seven novices (group 3, 1-10 procedures). The global score was found to discriminate the level of skills across all three groups (p < 0.001). There were significant differences between groups 1 and 2 (p = 0.003) and groups 2 and 3 (p = 0.004). There was a significant correlation between the global score and the percentage of red-out (without vision) as recorded by the simulator (correlation coefficients = -0.61, p = 0.004). Conclusion: This novel method for the assessment of technical skills in lower GI endoscopy has construct validity and high interrater reliability. Springer-Verlag, 2004 Gastrointestinal endoscopy nationallicence Sigmoidoscopy nationallicence Virutal reality simulator nationallicence Surgical training nationallicence Skills assessment nationallicence Moorthy K. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut Munz Y. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut Orchard T. Department of Gastroenterology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut Gould S. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut Rockall T. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut Darzi A. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1613-1619 0930-2794 18:11<1613 2004 18 464 https://doi.org/10.1007/s00464-004-9002-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00464-004-9002-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Moorthy K. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut NATIONALLICENCE 700 1- Munz Y. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut NATIONALLICENCE 700 1- Orchard T. Department of Gastroenterology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut NATIONALLICENCE 700 1- Gould S. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut NATIONALLICENCE 700 1- Rockall T. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut NATIONALLICENCE 700 1- Darzi A. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1613-1619 0930-2794 18:11<1613 2004 18 464 NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02637131 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Moorthy K. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England, UK aut NATIONALLICENCE 700 1- Munz Y. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England, UK aut NATIONALLICENCE 700 1- Orchard T. Department of Gastroenterology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England, UK aut NATIONALLICENCE 700 1- Gould S. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England, UK aut NATIONALLICENCE 700 1- Rockall T. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England, UK aut NATIONALLICENCE 700 1- Darzi A. Department of Surgical Oncology and Technology, Imperial College and St. Mary's Hospital, Praed Street, W2 INY, London, England, UK aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1613-1619 0930-2794 18:11<1613 2004 18 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE NATIONALLICENCE NL-springer