Endoscopic simulators

ASGE Technology Committee

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background and Aims: Simulation refers to educational tools that allow for repetitive instruction in a nonpatient care environment that is risk-free. In GI endoscopy, simulators include ex vivo animal tissue models, live animal models, mechanical models, and virtual reality (VR) computer simulators. Methods: After a structured search of the peer-reviewed medical literature, this document reviews commercially available GI endoscopy simulation systems and clinical outcomes of simulation in endoscopy. Results: Mechanical simulators and VR simulators are frequently used early in training, whereas ex vivo and in vivo animal models are more commonly used for advanced endoscopy training. Multiple studies and systematic reviews show that simulation-based training appears to provide novice endoscopists with some advantage over untrained peers with regard to endpoints such as independent procedure completion and performance time, among others. Data also suggest that simulation training may accelerate the acquisition of specific technical skills in colonoscopy and upper endoscopy early in training. However, the available literature suggests that the benefits of simulator training appear to attenuate and cease after a finite period. Further studies are needed to determine if meeting competency metrics using simulation will predict actual clinical competency. Conclusions: Simulation training is a promising modality that may aid in endoscopic education. However, for widespread incorporation of simulators into gastroenterology training programs to occur, simulators must show a sustained advantage over traditional mentored teaching in a cost-effective manner. Because most studies evaluating simulation have focused on novice learners, the role of simulation training in helping practicing endoscopists gain proficiency using new techniques and devices should be further explored.

Original languageEnglish (US)
Pages (from-to)1-12
Number of pages12
JournalGastrointestinal endoscopy
Volume90
Issue number1
DOIs
StatePublished - Jul 1 2019

Fingerprint

Endoscopy
Animal Models
Education
Clinical Competence
Gastroenterology
Colonoscopy
Teaching
Costs and Cost Analysis
Equipment and Supplies
Simulation Training

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Endoscopic simulators. / ASGE Technology Committee.

In: Gastrointestinal endoscopy, Vol. 90, No. 1, 01.07.2019, p. 1-12.

Research output: Contribution to journalArticle

ASGE Technology Committee 2019, 'Endoscopic simulators', Gastrointestinal endoscopy, vol. 90, no. 1, pp. 1-12. https://doi.org/10.1016/j.gie.2018.10.037
ASGE Technology Committee. / Endoscopic simulators. In: Gastrointestinal endoscopy. 2019 ; Vol. 90, No. 1. pp. 1-12.
@article{8f566c7715dd40918b6ae5659a8167fd,
title = "Endoscopic simulators",
abstract = "Background and Aims: Simulation refers to educational tools that allow for repetitive instruction in a nonpatient care environment that is risk-free. In GI endoscopy, simulators include ex vivo animal tissue models, live animal models, mechanical models, and virtual reality (VR) computer simulators. Methods: After a structured search of the peer-reviewed medical literature, this document reviews commercially available GI endoscopy simulation systems and clinical outcomes of simulation in endoscopy. Results: Mechanical simulators and VR simulators are frequently used early in training, whereas ex vivo and in vivo animal models are more commonly used for advanced endoscopy training. Multiple studies and systematic reviews show that simulation-based training appears to provide novice endoscopists with some advantage over untrained peers with regard to endpoints such as independent procedure completion and performance time, among others. Data also suggest that simulation training may accelerate the acquisition of specific technical skills in colonoscopy and upper endoscopy early in training. However, the available literature suggests that the benefits of simulator training appear to attenuate and cease after a finite period. Further studies are needed to determine if meeting competency metrics using simulation will predict actual clinical competency. Conclusions: Simulation training is a promising modality that may aid in endoscopic education. However, for widespread incorporation of simulators into gastroenterology training programs to occur, simulators must show a sustained advantage over traditional mentored teaching in a cost-effective manner. Because most studies evaluating simulation have focused on novice learners, the role of simulation training in helping practicing endoscopists gain proficiency using new techniques and devices should be further explored.",
author = "{ASGE Technology Committee} and Goodman, {Adam J.} and Joshua Melson and Aslanian, {Harry R.} and Bhutani, {Manoop S.} and Kumar Krishnan and Lichtenstein, {David R.} and Udayakumar Navaneethan and Rahul Pannala and Parsi, {Mansour A.} and Schulman, {Allison R.} and Amrita Sethi and Sullivan, {Shelby A.} and Nirav Thosani and Guru Trikudanathan and Trindade, {Arvind J.} and Watson, {Rabindra R.} and Maple, {John T.}",
year = "2019",
month = "7",
day = "1",
doi = "10.1016/j.gie.2018.10.037",
language = "English (US)",
volume = "90",
pages = "1--12",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Endoscopic simulators

AU - ASGE Technology Committee

AU - Goodman, Adam J.

AU - Melson, Joshua

AU - Aslanian, Harry R.

AU - Bhutani, Manoop S.

AU - Krishnan, Kumar

AU - Lichtenstein, David R.

AU - Navaneethan, Udayakumar

AU - Pannala, Rahul

AU - Parsi, Mansour A.

AU - Schulman, Allison R.

AU - Sethi, Amrita

AU - Sullivan, Shelby A.

AU - Thosani, Nirav

AU - Trikudanathan, Guru

AU - Trindade, Arvind J.

AU - Watson, Rabindra R.

AU - Maple, John T.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Background and Aims: Simulation refers to educational tools that allow for repetitive instruction in a nonpatient care environment that is risk-free. In GI endoscopy, simulators include ex vivo animal tissue models, live animal models, mechanical models, and virtual reality (VR) computer simulators. Methods: After a structured search of the peer-reviewed medical literature, this document reviews commercially available GI endoscopy simulation systems and clinical outcomes of simulation in endoscopy. Results: Mechanical simulators and VR simulators are frequently used early in training, whereas ex vivo and in vivo animal models are more commonly used for advanced endoscopy training. Multiple studies and systematic reviews show that simulation-based training appears to provide novice endoscopists with some advantage over untrained peers with regard to endpoints such as independent procedure completion and performance time, among others. Data also suggest that simulation training may accelerate the acquisition of specific technical skills in colonoscopy and upper endoscopy early in training. However, the available literature suggests that the benefits of simulator training appear to attenuate and cease after a finite period. Further studies are needed to determine if meeting competency metrics using simulation will predict actual clinical competency. Conclusions: Simulation training is a promising modality that may aid in endoscopic education. However, for widespread incorporation of simulators into gastroenterology training programs to occur, simulators must show a sustained advantage over traditional mentored teaching in a cost-effective manner. Because most studies evaluating simulation have focused on novice learners, the role of simulation training in helping practicing endoscopists gain proficiency using new techniques and devices should be further explored.

AB - Background and Aims: Simulation refers to educational tools that allow for repetitive instruction in a nonpatient care environment that is risk-free. In GI endoscopy, simulators include ex vivo animal tissue models, live animal models, mechanical models, and virtual reality (VR) computer simulators. Methods: After a structured search of the peer-reviewed medical literature, this document reviews commercially available GI endoscopy simulation systems and clinical outcomes of simulation in endoscopy. Results: Mechanical simulators and VR simulators are frequently used early in training, whereas ex vivo and in vivo animal models are more commonly used for advanced endoscopy training. Multiple studies and systematic reviews show that simulation-based training appears to provide novice endoscopists with some advantage over untrained peers with regard to endpoints such as independent procedure completion and performance time, among others. Data also suggest that simulation training may accelerate the acquisition of specific technical skills in colonoscopy and upper endoscopy early in training. However, the available literature suggests that the benefits of simulator training appear to attenuate and cease after a finite period. Further studies are needed to determine if meeting competency metrics using simulation will predict actual clinical competency. Conclusions: Simulation training is a promising modality that may aid in endoscopic education. However, for widespread incorporation of simulators into gastroenterology training programs to occur, simulators must show a sustained advantage over traditional mentored teaching in a cost-effective manner. Because most studies evaluating simulation have focused on novice learners, the role of simulation training in helping practicing endoscopists gain proficiency using new techniques and devices should be further explored.

UR - http://www.scopus.com/inward/record.url?scp=85067297928&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067297928&partnerID=8YFLogxK

U2 - 10.1016/j.gie.2018.10.037

DO - 10.1016/j.gie.2018.10.037

M3 - Article

VL - 90

SP - 1

EP - 12

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 1

ER -