A Resource-Efficient Tool for Training Novices in Wireless Capsule Endoscopy

作者:Brock Andrew S*; Freeman Janice; Roberts Jason; Dantzler Todd E; Hoffman Brenda J
来源:Gastroenterology Nursing, 2012, 35(5): 317-321.
DOI:10.1097/SGA.0b013e3182604d2f

摘要

Nurses often function as capsule endoscopy %26quot;pre-readers%26quot; to save physicians%26apos; time and potentially increase diagnostic yield. Training pre-readers is time consuming, not standardized, and may not be feasible during regular business hours. A way to evaluate the progress and accuracy of pre-readers is needed to ensure competency. The aim of this study was to introduce a feedback and progress assessment tool for training novice capsule endoscopy pre-readers. We created a 1-page form with listings of potential findings for each segment of the examination. Findings could be circled or written in. The trainee reviewed capsule studies and filled out the form on each of 220 patients. The physician reviewers subsequently critiqued the data forms, providing feedback regarding missed lesions, overcalls, and overall agreement. Our trainee achieved consistent agreement with the physician reviewers, after reading 80 studies. In conclusion, a simple, 1-page standardized data sheet can be used to facilitate training of novice capsule pre-readers without significant time commitment from the supervising physician. Future studies may validate this resource-efficient instrument as a training and assessment tool for nurses, physicians, and other practitioners learning capsule endoscopy.

  • 出版日期2012-10