Effectiveness of Colonoscopy Screening for Colorectal Cancer
In the past, colonoscopy training was often rated unsatisfactory by trainees, because trainers often failed to appropriately supervise the procedures and quickly overtook the endoscope instead of instructing and discussing the challenge. 'Train the trainers' courses are important for delivering high-quality colonoscopy training. However, their current availability is limited to courses organised by the World Gastroenterology Organization and the JAG in the UK. The evidence directly supporting their efficacy in colonoscopy training is restricted to the TCL study mentioned above. The TCL course, apart from having a positive effect on ADR of leaders (trainers), also had a positive long-term effect on ADR for endoscopic centres and all endoscopists.
In summary, based on currently available knowledge, we propose a framework for a universal basic colonoscopy curriculum including knowledge teaching, technical skills training and non-technical skills training. The training curriculum should use methods of adult teaching, training aids and semiobjective competency assessment tools to facilitate acquisition of skills. Upskilling courses and 'train the trainers' courses are important requirements for colonoscopy training and should be implemented in any colonoscopy screening programme.
'Train the Trainers' Courses
In the past, colonoscopy training was often rated unsatisfactory by trainees, because trainers often failed to appropriately supervise the procedures and quickly overtook the endoscope instead of instructing and discussing the challenge. 'Train the trainers' courses are important for delivering high-quality colonoscopy training. However, their current availability is limited to courses organised by the World Gastroenterology Organization and the JAG in the UK. The evidence directly supporting their efficacy in colonoscopy training is restricted to the TCL study mentioned above. The TCL course, apart from having a positive effect on ADR of leaders (trainers), also had a positive long-term effect on ADR for endoscopic centres and all endoscopists.
In summary, based on currently available knowledge, we propose a framework for a universal basic colonoscopy curriculum including knowledge teaching, technical skills training and non-technical skills training. The training curriculum should use methods of adult teaching, training aids and semiobjective competency assessment tools to facilitate acquisition of skills. Upskilling courses and 'train the trainers' courses are important requirements for colonoscopy training and should be implemented in any colonoscopy screening programme.
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