Learning curve of capsule endoscopy

Title
Learning curve of capsule endoscopy
Author(s)
장병익최명규[최명규]임윤정[임윤정]조용성[조용성]정대영[정대영]천재희[천재희]김성은[김성은]도재혁[도재혁]김지오[김지오]예병덕[예병덕]
Issue Date
201311
Citation
Clinical Endoscopy, v.46, no.6, pp.633 - 636
Abstract
Background/Aims: Capsule endoscopy (CE) has become an important tool for the diagnosis of small bowel disease. Although CE does not require the skill of endoscope insertion, the images should be interpreted by a person with experience in assessing images of the gastrointestinal mucosa. This investigation aimed to document the number of cases needed by trainees to gain the necessary experience for CE competency. Methods: Fifteen cases were distributed to 12 trainees with no previous experience of CE during their gastroenterology training as clinical fellows. Twelve trainees and an expert were asked to read CE images from one patient each week for 15 weeks. The diagnosis was reported using five categories (no abnormalities detected, small bowel erosion or ulcer, small bowel tumor, Crohn disease, and active small bowel bleeding with no identifiable source). We then examined, using the �� coefficient, how the degree of mean agreements between the trainees and the expert changed as the training progressed each week. Results: The agreement rate of CE diagnosis increased as the frequencies of interpretation increased. Most of the mean �� coefficients were >0.60 and >0.80 after week 9 and 11, respectively. Conclusions: Experience with approximately 10 cases of CE is appropriate for trainees to attain CE competency. ? 2013 Korean Society of Gastrointestinal Endoscopy.
URI
http://hdl.handle.net/YU.REPOSITORY/28435http://dx.doi.org/10.5946/ce.2013.46.6.633
ISSN
2234-2400
Appears in Collections:
의과대학 > 내과학교실 > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE