Training in endoscopic mucosal resection and endoscopic submucosal dissection: Face, content and expert validity of the live porcine model
Open Access
- 10 November 2017
- journal article
- research article
- Published by Wiley in United European Gastroenterology Journal
- Vol. 6 (4), 547-557
- https://doi.org/10.1177/2050640617742484
Abstract
Endoscopic mucosal resection and endoscopic submucosal dissection are demanding procedures. This study aims to establish face, content and expert validity of the live porcine model in performing endoscopic mucosal resection, endoscopic submucosal dissection, complication management and to assess it as a training tool. Tutors and trainees participating in live porcine model endoscopic mucosal resection and endoscopic submucosal dissection workshops filled out a questionnaire regarding the realism of the model compared to human setting and its role as a learning tool. A 10-point Likert scale was used. Ninety-one endoscopists (13 tutors; 78 trainees) were involved in four workshops. Median global classifications for the realism of the life porcine model ranged between 7.0–8.0 (interquartile range 5.0–9.0). Procedures resembled human cases with a median of 9.0 (8.0–9.0) for oesophageal multiband endoscopic mucosal resection; 8.5 (8.0–9.0) for oesophageal endoscopic submucosal dissection; 9.0 (8.0–10.0) for gastric endoscopic submucosal dissection; and 9.0 (8.5–9.75 and 8.0–9.69) for complication detection and management. The animal model as a learning tool had median scores of 9.0 (7.0–10.0) considering how procedures are performed; 9.0–9.5 (8.0–10.0) for usefulness for beginners; and 9.0–10.0 (5.0–10.0) regarding it a prerequisite. Training in a live porcine model was considered very realistic compared to the human setting and was highly appreciated as a learning tool. This is the first study to establish face, content and expert validity of the live porcine model in performing multiband endoscopic mucosal resection, oesophageal and gastric endoscopic submucosal dissection. The validation of this model provides the rationale to incorporate it into formal teaching programmes.Keywords
This publication has 31 references indexed in Scilit:
- Training in endoscopic submucosal dissectionWorld Journal of Gastrointestinal Endoscopy, 2013
- CURRENT STATUS OF TRAINING FOR ENDOSCOPIC SUBMUCOSAL DISSECTION FOR GASTRIC EPITHELIAL NEOPLASM AT CANCER INSTITUTE HOSPITAL, JAPANESE FOUNDATION FOR CANCER RESEARCH, A FAMOUS JAPANESE HOSPITALDigestive Endoscopy, 2012
- LEARNING CURVE FOR ENDOSCOPIC SUBMUCOSAL DISSECTION OF EARLY GASTRIC CANCER BASED ON TRAINEE EXPERIENCEDigestive Endoscopy, 2012
- ESD Hands-on Course UsingEx VivoandIn VivoModels in South KoreaClinical Endoscopy, 2012
- Simulating a target lesion for endoscopic submucosal dissection training in an ex vivo pig modelGastrointestinal Endoscopy, 2011
- The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomesJournal of Clinical Epidemiology, 2010
- Current practice with endoscopic submucosal dissection in Europe: position statement from a panel of expertsEndoscopy, 2010
- Acquiring basic endoscopy skills by training on the GI Mentor IISurgical Endoscopy, 2007
- Advantage of endoscopic submucosal dissection compared with EMR for early gastric cancerGastrointestinal Endoscopy, 2006
- The learning curve for EMR with circumferential mucosal incision in treating intramucosal gastric neoplasmGastrointestinal Endoscopy, 2005