Meet EBE: The Development of an Evidence-Based Endoscopy Simulator,Clinical Gastroenterology and Hepatology

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Meet EBE: The Development of an Evidence-Based Endoscopy Simulator
Clinical Gastroenterology and Hepatology ( IF 11.6 ) Pub Date : 2021-12-10 , DOI: 10.1016/j.cgh.2021.11.041
Raj Shah ₁ , Sagarika Satyavada ₂ , Michael Kurin ₃ , Mayada Ismail ₄ , Zachary L Smith ₅ , Perica Davitkov ₆ , Gerard Isenberg ₂ , Gottumukkala S Raju ₇ , Ashley Faulx ₂ , Yngve Falck-Ytter ₆ , Amitabh Chak ₂

Affiliation

Background and Aims

In the digital era of evidence-based medicine, there is a paucity of video endoscopy teaching platforms that use evidence-based medicine principles, or that allow for cognitive simulation of endoscopic management strategies. We created a guideline-based teaching platform for fellows that incorporates these features, and tested it.

Methods

A pilot video module with embedded questions was drafted, and after incorporation of feedback from several attending gastroenterologists, an additional 2 modules were created. The embedded questions were designed to simulate cognitive management decisions as if the viewer were doing the endoscopy procedure in the video. A narrator explained the evidence behind the task being performed, and its certainty based on endoscopic guidelines. Quizzes and surveys were developed and administered to a sample of attendings and fellows who completed the video modules to test efficacy, usability, and likeability.

Results

Three video modules, named evidence-based endoscopy (EBE), incorporating low fidelity simulation, and utilizing evidence-based medicine principles, were created. Eight fellows and 10 attendings completed the video modules and all quizzes and surveys. Mean test scores improved from before to after completing the video modules (56% to 92%; mean difference = –35%; 95% confidence interval, 27%–47%). Surveys indicated that the product was viewed favorably by participants, and that there is a strong desire for this type of educational product.

Conclusions

The EBE simulator is a unique, desirable, and effective educational platform based on evidence-based medicine principles that fills a gap in available tools for endoscopy education. Further studies are needed to assess whether EBE can aid in long-term knowledge retention and increase adherence to guideline recommendations.

中文翻译：

认识 EBE：循证内窥镜模拟器的开发

背景和目标

在循证医学的数字时代，缺乏使用循证医学原理或允许对内窥镜管理策略进行认知模拟的视频内窥镜教学平台。我们为包含这些功能的研究员创建了一个基于指南的教学平台，并对其进行了测试。

方法

起草了一个带有嵌入式问题的试点视频模块，在结合了几位主治胃肠病学家的反馈后，又创建了 2 个模块。嵌入式问题旨在模拟认知管理决策，就好像观众正在视频中进行内窥镜检查程序一样。叙述者解释了正在执行的任务背后的证据，以及基于内窥镜指南的确定性。对完成视频模块的参与者和研究员样本进行了测验和调查，以测试有效性、可用性和喜爱度。

结果

创建了三个视频模块，名为循证内窥镜检查 (EBE)，结合了低保真模拟，并利用循证医学原理。8 名研究员和 10 名参加者完成了视频模块和所有测验和调查。完成视频模块之前到之后的平均测试分数有所提高（56% 到 92%；平均差 = –35%；95% 置信区间，27%–47%）。调查表明，该产品受到参与者的好评，并且对此类教育产品有着强烈的需求。