Fast Track Module Based Colonoscopy Training Programme for Surgical Trainees at North Jutland Surgical Departments

Study Overview
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Brief Summary
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Specially educated trainers will be responsible for colonoscopy training of junior doctors. The educated trainers will have attended seminars held by Valori et al. The following fast track colonoscopy training program for junior doctors will consist of: 1) Endoscopy simulation training and theory course 2) supervised and partly supervised lower endoscopy. 3) Directly observed practical skills according graded by MCSAT (Mayo Clinical Skills Assessment Tool) .

Detailed Description
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Initially a train the trainers program will begin with 3 sessions held by Valori et al. at Aalborg University Hospital. 6 Trainers are expected to be trained during the train the trainers program. The doctors selected for the train the trainers program are doctors specialized in abdominal surgery with an extensive lower GI-endoscopy experience and who is considered to have an excellent teaching ability to educate junior doctor. The training program for junior doctors consist of the following: Initial 1 day endoscopy simulation and theory at Nordsim. Endoscopy simulation scores will be monitored. 20 days of fully supervised colonoscopies (max booking of 6 colonoscopies pr day). Trainer is always present in the endoscopy room MCSAT (Mayo Clinical Skills Assessment Tool) will be used to grade the trainee multiple times and planned at day 0,5,10,15 and 20. Multiple graders will be used. Simulator test will be held at day 0, 10 and 20 colonoscopies to validate progress and compare simulator generated measures with MCSAT. Both the AccuTouch and Symbionix simulator will be used,

Official Title
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Fast Track Module Based Colonoscopy Training Programme for Surgical Trainees at North Jutland Surgical Departments

Conditions
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Harm Reduction, Perforation During Colonoscopy, Colorectal Cancer

Intervention / Treatment
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* Behavioral: Training of junior doctors


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Doctors currently enrolled in PGY1, 2 and 3 - Danish equivalents: introduktionsstilling, hoveduddannelse 1, 2. Able to arrange colonoscopy training in such a way that the total program can be completed in 12 weeks. Able to perform supervised upper endoscopy. Exclusion Criteria: Less than 4 months left at current job position.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Junior Doctors<br>Surgical trainees (PGY1, 2 and 3 - Danish equivalents: introduktionsstilling, hoveduddannelse 1, 2). | Behavioral: Training of junior doctors<br>* Training program<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MCSAT (Mayo Clinical Skills Assessment Tool) | Measured at day 0,5,10,15 and 20. | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Endoscopy training computer generated data - Percentage of colon visualized | Computer generated score (Simulator test performed at day 0, 10 and 20) | 12 weeks | 
| Endoscopy training computer generated data - Time to cecum | Computer generated score (Simulator test performed at day 0, 10 and 20)colonoscopies) | 12 weeks | 
| Endoscopy training computer generated data - Estimated patient pain | Computer generated score (Simulator test performed at day 0, 10 and 20) | 12 weeks | 
| Endoscopy training computer generated data: Percentage spent with clear view | Computer generated score (Simulator test performed at day 0, 10 and 20) | 12 weeks | 
| Endoscopy training computer generated data - Total score | Computer generated score (Simulator test performed at day 0, 10 and 20) | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Training, Education, Fast track, Colonoscopy