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首页> 外文期刊>Endoscopy International Open >Factors defining expertise in screening colonoscopy
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Factors defining expertise in screening colonoscopy

机译：定义结肠镜检查专业知识的因素

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Background and study aims There is very little literature defining characteristics of expert endoscopists. It is hypothesised that previously undetermined human factors may correlate with high performance in screening colonoscopists. The aim of this study was to determine factors contributing towards expertise in screening colonoscopy. Materials and methods A focus group was used to hypothesise skills considered to be relevant to high performance in colonoscopy. The skills were then ranked in order of importance by an independent group of screening colonoscopists for both diagnostic and therapeutic colonoscopy. Twenty screening colonoscopists subsequently participated in individual semi-structured interviews to explore participants’ views of expertise and the factors contributing to it. Data extracted from the interview transcripts were used to identify the thematic framework associated with expertise. Results The 5 initial highest-ranked themes were low complication rates, high adenoma detection rates, interpersonal skills with staff, communication skills, and manner with patients. Interviewees considered technical skills (20/20), previous experience of colonoscopy (19/20), judgment/decision-making (18/20), communication (18/20), teamwork (15/20), resources (11/20) and leadership (8/20) to be the most important themes related to expertise. Conclusions Both technical and non-technical abilities are considered essential components of expertise by experienced colonoscopists. Further research into targeted interventions to improve the rate of acquisition of these skills in training endoscopists may be useful in improving performance.
机译：背景和研究目标几乎没有文献定义专家内镜医师的特征。假设以前未确定的人为因素可能与筛检结肠镜医师的高性能有关。本研究的目的是确定有助于筛选结肠镜检查专业知识的因素。材料和方法使用焦点小组来假设被认为与结肠镜检查的高性能相关的技能。然后，由独立的结肠镜检查专家筛查诊断和治疗结肠镜检查的独立小组按照重要程度对技能进行排名。随后，二十名筛查结肠镜专家参加了个别的半结构化访谈，以探讨参与者对专业知识的看法以及促成专家的因素。从访谈笔录中提取的数据用于确定与专业知识相关的主题框架。结果最初的5个最高主题是并发症发生率低，腺瘤检出率高，员工的人际交往能力，沟通能力以及与患者的态度。受访者考虑了技术技能（20/20），以前的结肠镜检查经验（19/20），判断/决策（18/20），沟通（18/20），团队合作（15/20），资源（11/20 ）和领导力（8/20）作为与专业知识相关的最重要主题。结论有经验的结肠镜专家认为技术能力和非技术能力都是专业知识的重要组成部分。进一步研究针对性干预措施以提高对内镜医师培训中这些技能的掌握率可能对提高绩效很有帮助。

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