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Influence of video-based feedback on self-assessment accuracy of endoscopic skills: a randomized controlled trial

机译:基于视频的反馈对内窥镜技能自我评估准确性的影响:随机对照试验

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Background and study aims Novice endoscopists are inaccurate in self-assessment of procedures. One means of improving self-assessment accuracy is through video-based feedback. We aimed to determine the comparative effectiveness of three video-based interventions on novice endoscopists’ self-assessment accuracy of endoscopic competence. Materials and methods Novice endoscopists (performed??20 previous procedures) were recruited. Participants completed a simulated esophagogastroduodenoscopy (EGD) on a virtual reality simulator. They were then randomized to one of three groups: self-video review (SVR), which involved watching a recorded video of their own performance; benchmark review (BVR), which involved watching a video of a simulated EGD completed by an expert; and self- and benchmark video (SBVR), which involved both videos. Participants then completed two additional simulated EGD cases. Self-assessments were conducted immediately after the first procedure, after the video intervention and after the additional two procedures. External assessments were conducted by two experienced endoscopists, who were blinded to participant identity and group assignment through video recordings. External and self-assessments were completed using the global rating scale component of the Gastrointestinal Endoscopy Competency Assessment Tool (GiECAT GRS). Results Fifty-one participants completed the study. The BVR group had significantly improved self-assessment accuracy in the short-term, compared to the SBVR group ( P =?.005). The SBVR group demonstrated significantly improved self-assessment accuracy over time ( P =?.016). There were no significant effects of group or of time for the SVR group. Conclusions Video-based interventions, particularly combined use of self- and benchmark video review, can improve accuracy of self-assessment of endoscopic competence among novices.
机译:背景和研究旨在新手的内窥镜师在自我评估的过程中不准确。一种提高自我评估精度的一种方法是通过基于视频的反馈。我们旨在确定三种基于视频的内窥镜师自我评估准确性的三种视频干预的比较有效性。招募了材料和方法新手内窥镜师(进行了?<?20先前的程序)。参与者在虚拟现实模拟器上完成了模拟的食道古典oscococopy(EGD)。然后,它们随机分为三组:自我视频评论(SVR),涉及观看其自己性能的记录视频;基准评论(BVR),涉及观看专家完成的模拟EGD的视频;和基准视频(SBVR),涉及两个视频。然后参与者完成了两个额外的模拟EGD病例。在第一程序后立即进行自我评估,在视频干预后和额外的两项程序之后。外部评估由两个经验丰富的内窥镜师进行,他们通过视频录制蒙蔽了参与者身份和团体分配。使用胃肠内镜内窥镜检查能力评估工具(Giecat GRS)的全球评级规模组成部分完成外部和自我评估。结果五十一位参与者完成了这项研究。与SBVR组相比,BVR组在短期内显着提高了自我评估的准确性(P = 005)。 SBVR组随着时间的推移证明了显着提高的自我评估精度(P = 016)。 SVR组的组或时间没有显着影响。结论基于视频的干预措施,特别是结合自我和基准视频评论的使用,可以提高新手内窥镜竞争力的自我评估的准确性。

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