Knowledge of quality performance measures associated with endoscopy among gastroenterology trainees and the impact of a web-based intervention

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• 作者：Jennifer S. Thompson ; MD¹ ; Benjamin Lebwohl ; MD¹ ; ² ; Sapna Syngal ; MD³ ; ⁴ ; Fay Kastrinos ; MD¹ ; ² ;
• 关键词：ASGE ; American Society for Gastrointestinal Endoscopy
• 刊名：Gastrointestinal Endoscopy
• 出版年：2012
• 期刊代码：130_00165107
• 类别：med
• 出版时间：July, 2012
• 卷：76
• 期：1
• 页码：100-106.e4
• 文件大小：497 K

摘要

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Background

Knowledge of quality measures in endoscopy among trainees is unknown.

Objective

To assess knowledge of endoscopy-related quality indicators among U.S. trainees and determine whether it improves with a Web-based intervention.

Design

Randomized, controlled study.

Setting

Multicenter.

Participants

This study involved trainees identified from the American Society for Gastrointestinal Endoscopy membership database.

Intervention

Participants were invited to complete an 18-question online test. Respondents were randomized to receive a Web-based tutorial (intervention) or not. The test was readministered 6 weeks after randomization to determine the intervention's impact.

Main Outcome Measurements

Baseline knowledge of endoscopy-related quality indicators and impact of the tutorial.

Results

A total of 347 of 1220 trainees (28%) completed the test; the mean percentage of correct responses was 55%. For screening colonoscopy, 44%knew the adenoma detection rate benchmark, 42%identified the cecal intubation rate goal, and 74%knew the recommended minimum withdrawal time. A total of 208 of 347 trainees (59%) completed the second test; baseline scores were similar for the tutorial (n = 106) and no tutorial (n = 102) groups (56.4%vs 56.9%, respectively). Scores improved after intervention for the tutorial group (65%, P = .003) but remained unchanged in the no tutorial group. On multivariate analysis, each additional year in training (odds ratio [OR] 2.3; 95%confidence interval [CI], 1.5-3.4), training at an academic institution (OR 2.6; 95%CI, 1.1-6.3), and receiving the tutorial (OR 3.2; 95%CI, 1.7-5.9) were associated with scores in the upper tertile.

Limitations

Low response rate.

Conclusion

Knowledge of endoscopy-related quality performance measures is low among trainees but can improve with a Web-based tutorial. Gastroenterology training programs may need to incorporate a formal didactic curriculum to supplement practice-based learning of quality standards in endoscopy.