| Abstract: | Background: Poor performance and inadequate training in colonoscopy in the UK has been reported. Several centers across the UK run intensive hands‐on training courses but their efficacy has not been established. Methods: To assess the benefit of the accelerated colonoscopy training course, an audit was conducted for the 50 trainees who individually attended the course. The course objectives were to increase core knowledge and improve the basic hand skills required for colonoscopy on a one‐to‐one basis. This includes three microteaching, two computer simulator and four hands‐on training sessions within 4 days. They performed two multiple‐choice question (MCQ) papers. Performance parameters measured at the beginning and end of the course were the Direct Observation of Procedural Skills (DOPS) using visual analog scales for all aspects of colonoscopy technique. Results: The MCQ score significantly increased: mean score 57%vs 66% (P < 0.0001). DOPS demonstrated an improvement in clinical skills. Pre‐ and post‐course mean scores were: general approach 75 vs 81 (P = 0.007), basic handling technique 59 vs 67 (P = 0.002), understanding and control of looping 54 vs 67 (P < 0.0001), cecal/ileal intubation 61 vs 76 (P < 0.0001) and extubation technique 65 vs 77 (P < 0.0001), respectively. All trainees had a high level of satisfaction and found the hands‐on training most beneficial. Conclusion: This intensive course improves core knowledge and clinical skills in colonoscopy, which maximizes hands‐on training, which may accelerate the learning curve. |
