The Efficacy of a Newly Designed, Easy-to-Manufacture Training Simulator for Endoscopic Biopsy of the Stomach

Gut Liver. 2016 Sep 15;10(5):764-72. doi: 10.5009/gnl16044.

Abstract

Background/aims: We developed a new endoscopic biopsy training simulator and determined its efficacy for improving the endoscopic biopsy skills of beginners.

Methods: This biopsy simulator, which presents seven biopsy sites, was constructed using readily available materials. We enrolled 40 participants: 14 residents, 11 first-year clinical fellows, 10 second-year clinical fellows, and five staff members. We recorded the simulation completion time for all participants, and then simulator performance was assessed via a questionnaire using the 7-point Likert scale.

Results: The mean times for completing the five trials were 417.7±138.8, 145.2±31.5, 112.7±21.9, and 90.5±20.0 seconds for the residents, first-year clinical fellows, second-year clinical fellows, and staff members, respectively. Endoscopists with less experience reported that they found this simulator more useful for improving their biopsy technique (6.8±0.4 in the resident group and 5.7±1.0 in the first-year clinical fellow group). The realism score of the simulator for endoscopic handling was 6.4±0.5 in the staff group.

Conclusions: This new, easy-to-manufacture endoscopic biopsy simulator is useful for biopsy training for beginner endoscopists and shows good efficacy and realism.

Keywords: Biopsy; Education; Endoscopy; Simulator; Training.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Biopsy / methods*
  • Clinical Competence
  • Fellowships and Scholarships
  • Female
  • Gastroenterology / education*
  • Gastroenterology / instrumentation
  • Gastroscopy / education*
  • Humans
  • Male
  • Simulation Training / methods*
  • Stomach / surgery*