Effect of Simulator Practice on Trainees' Endoscopic Retrograde Cholangiopancreatography (ERCP) Performance in the Early Learning Period
NCT ID: NCT00854191
Last Updated: 2009-03-03
Study Results
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Basic Information
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COMPLETED
NA
8 participants
INTERVENTIONAL
2007-07-31
2009-02-28
Brief Summary
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Detailed Description
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Hypothesis: Practice with mechanical simulator improves clinical ERCP performance of novice trainees.
Design: A prospective randomized controlled trial.
Method: 8 trainees without prior ERCP experience from 2 hospitals attended didactic lectures on ERCP. They were randomized in pairs (per hospital) to receive simulator practice and usual training (S) versus usual training only as control (C). Simulator practice included selective bile and pancreatic duct cannulation using a catheter and/or guide wire with different artificial papillae (flat, standard, dual channels) and settings (standard, rotated papilla or duodenum), and exchange of guide wire/accessories and biliary stenting. Local trainers tracked trainees' subsequent clinical ERCP performance for 3 months. Evaluation of trainee skills included success of diagnostic CBD and deep CBD cannulation. Trainer blinded to the randomization provided assessment (1=poor, 5=excellent) of each trainee performed ERCP.
Statistics: Fisher exact test and Mann-Whitney U test.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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1
4 half-day of simulator ERCP practice and usual training
simulator training
4 half-day of simulator ERCP practice as endoscopist and/or assistant followed by usual training
2
Usual training
simulator training
4 half-day of simulator ERCP practice as endoscopist and/or assistant followed by usual training
Interventions
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simulator training
4 half-day of simulator ERCP practice as endoscopist and/or assistant followed by usual training
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
Yes
Sponsors
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National Taiwan University Hospital
OTHER
Responsible Party
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East Bay Institute for Research and Education
Locations
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Department of Gastroenterology, National Taiwan University Hospital
Taipei, , Taiwan
Countries
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References
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Liao WC, Leung JW, Wang HP, Chang WH, Chu CH, Lin JT, Wilson RE, Lim BS, Leung FW. Coached practice using ERCP mechanical simulator improves trainees' ERCP performance: a randomized controlled trial. Endoscopy. 2013 Oct;45(10):799-805. doi: 10.1055/s-0033-1344224. Epub 2013 Jul 29.
Other Identifiers
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200804030R
Identifier Type: -
Identifier Source: org_study_id
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