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Utility of a standardized training program for endoscopic diagnosis of early gastrointestinal neoplasia

机译：用于预测早期胃肠肿瘤内镜诊断的标准化培训计划的实用性

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Background and study aims Image enhanced endoscopy (IEE) allows endoscopists to improve recognition and characterization of gastrointestinal neoplasia. The Asian Novel Bio-Imaging and Intervention Group (ANBIG) conducted a standardized training program in endoscopic diagnosis and treatment of early gastrointestinal cancers in Asia. We embarked on a study to investigate the effect of this module on endoscopic diagnosis of early gastrointestinal neoplasia. Methods This prospectively collected database was from workshops conducted on training for endoscopic diagnosis of early gastrointestinal neoplasia. All workshops were conducted in a standardized format, which included a pretest, a learning phase consisting of didactic lectures, case discussion, and live demonstration followed by a post-test to assess knowledge gained. The pretest and post-training tests were standardized questions addressing four domains, including basic knowledge of imaging and diagnosis of esophageal, gastric, and colonic neoplasia. Results From November 2013 to November 2016, 41 ANBIG workshops were conducted in 13 countries. A total of 1863 delegates and 40 faculty participated in these workshops. Of the delegates, 627 completed both tests. There was a significant improvement after training in all domains of the tests. There was a trend in general lack of knowledge across all domains for delegates from “low” healthcare cost countries before training. All delegates demonstrated significant improvement in knowledge of all domains after the workshop irrespective of whether they were from “high” or “low” healthcare cost per capita countries. Conclusion A standardized teaching program on IEE improved the diagnostic ability and quality of endoscopists in recognizing early gastrointestinal neoplasia in Asia. sup*/sup These authors contributed equally.
机译：背景和研究目的是图像增强内窥镜（IEE）允许内窥镜手改善胃肠道瘤瘤的识别和表征。亚洲新型生物成像和干预组（ANBIG）在亚洲的内窥镜诊断和治疗中进行了标准化的培训计划，在亚洲早期胃肠道癌。我们开始研究该模块对早期胃肠瘤的内窥镜诊断的影响。方法对未来收集的数据库来自在对早期胃肠肿瘤内窥镜诊断的培训进行的研讨会中进行的。所有研讨会都以标准化的格式进行，其中包括预测试，一个由教学讲座，案例讨论和实时演示组成的学习阶段，然后进行后测试以评估获得的知识。预测和训练后的测试是解决四个域的标准化问题，包括对食管，胃和结肠瘤的成像和诊断的基本知识。结果2013年11月至2016年11月，41名Anbig研讨会在13个国家进行。共有1863名代表和40名教师参加了这些研讨会。代表们，627年完成了这两个测试。在测试的所有领域培训后，有重大改善。在培训前，从“低”医疗保健成本国家的代表们跨越所有领域的知识普遍缺乏知识。所有代表们都表现出在讲习班后知识的显着改善，而无论它们是否来自“高”或“低”医疗保健成本。结论IEE标准化教学计划改善了内窥镜诊断能力和质量在识别亚洲早期胃肠肿瘤。 * 这些作者平均贡献。

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