Effect of ERCP Mechanical Simulator (EMS) Practice on Endoscopic Retrograde Cholangiopancreatography (ERCP) Training

NCT ID: NCT01080833

Last Updated: 2010-03-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2009-12-31

Brief Summary

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Trainees who are offered ERCP Mechanical Simulator (EMS) training in addition to routine training (study group) will demonstrate improved clinical outcomes compared to those undergoing routine ERCP training only (control group).

Detailed Description

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Hypothesis #1: Trainees who are offered simulator training in addition to routine training (study group) will demonstrate improved clinical outcomes compared to those undergoing routine ERCP training only (control group).

Hypothesis #2: Trainees who are initially in the control arm, but receive the simulator training after the initial 30 procedures (delayed intervention) will have significantly greater improvement of clinical outcomes in the second phase of the study (steeper learning curve) compared to the initial period.

STUDY DESIGN \& OUTCOMES

* Controlled randomized observational study.
* Immediate intervention (simulator training in the beginning of or just prior to the trainees' ERCP rotation) and delayed intervention (simulator training after 30 clinical procedures) will be studied
* Primary outcome: diagnostic biliary cannulation and deep biliary cannulation success rates Secondary outcomes: cannulation time, subjective competency score (5-point scale) graded by supervising physicians.

Conditions

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Training

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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ERCP mechanical simulator practice

Trainees who are offered ERCP Mechanical Simulator (EMS) training in addition to routine training (study group)

Group Type ACTIVE_COMPARATOR

ERCP mechanical simulator practice

Intervention Type DEVICE

Trainees will receive ERCP mechanical simulator practice in addition to routine ERCP training

No ERCP mechanical simulator practice

Trainees undergoing routine ERCP training only (control group).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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ERCP mechanical simulator practice

Trainees will receive ERCP mechanical simulator practice in addition to routine ERCP training

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Gastrointestinal fellows receiving ERCP training

Exclusion Criteria

* Gastrointestinal fellows who are not receiving ERCP training
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of California, Davis

OTHER

Sponsor Role collaborator

University of California, Irvine

OTHER

Sponsor Role collaborator

University of Arizona

OTHER

Sponsor Role collaborator

Phoenix VA Health Care System

FED

Sponsor Role collaborator

University of New Mexico

OTHER

Sponsor Role collaborator

United States Naval Medical Center, San Diego

FED

Sponsor Role collaborator

Kaiser Permanente

OTHER

Sponsor Role collaborator

East Bay Institute for Research and Education

OTHER

Sponsor Role lead

Responsible Party

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EBIRE

Principal Investigators

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Joseph W Leung, MD

Role: PRINCIPAL_INVESTIGATOR

Sacramento VA Medical Center

Locations

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UC Davis Medical Center

Sacramento, California, United States

Site Status

Countries

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United States

References

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Leung JW, Lee JG, Rojany M, Wilson R, Leung FW. Development of a novel ERCP mechanical simulator. Gastrointest Endosc. 2007 Jun;65(7):1056-62. doi: 10.1016/j.gie.2006.11.018.

Reference Type BACKGROUND
PMID: 17531642 (View on PubMed)

Other Identifiers

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EBIRE-GI-004

Identifier Type: -

Identifier Source: org_study_id

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