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Improving Competency and Metrics for PoLypectomy Skills Using Evaluation Tools and VidEo Feedback (COMPLETE)

NCT ID: NCT03115008

Last Updated: 2020-11-05

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

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-01

Study Completion Date

2020-08-30

Brief Summary

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I plan to investigate the value of video-based feedback in endoscopic training - specifically, the role of terminal video feedback as compared to usual concurrent feedback on cold snare polypectomy technique in trainees, using Direct Observation of Polypectomy Skills (DOPyS) competency score. I have focused the study on the competency of cold snare polypectomy for subcentimeter polyps. The majority (\>75%) of colon polyps are smaller than one centimeter. Cold snare polypectomy has been shown, and recommended by the American Society for Gastrointestinal Endoscopy (ASGE), to be an effective removal technique. However, its widespread use and moreover, its teaching to trainees is lacking. It takes time and resources to learn and teach endoscopic techniques. Our study will hope to identify a mechanism through video-based feedback that could help to improve the translation of the training of polypectomy skills to its actual performance, and to accelerate the learning curve.

Detailed Description

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Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Video-based terminal feedback

Group Type EXPERIMENTAL

Video-based terminal feedback

Intervention Type BEHAVIORAL

Terminal feedback is given after skill performance using video-based coaching coupled with a validated polypectomy assessment tool

Conventional concurrent feedback

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Video-based terminal feedback

Terminal feedback is given after skill performance using video-based coaching coupled with a validated polypectomy assessment tool

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Participants: Senior level UCSF gastroenterology trainees (2nd and 3rd year GI fellows) rotating at the San Francisco Veterans Affairs Medical Center (SFVAMC).
* Patients undergoing elective routine colonoscopy procedure.

Exclusion Criteria

* Participants: Junior level University of California, San Francisco (UCSF) gastroenterology trainees (1st year GI fellows) rotating at the San Francisco Veterans Affairs Medical Center, and senior level trainees who are not rotating at the SFVAMC.
* Patients: Patients undergoing undergoing emergency colonoscopy procedure.
Minimum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Colorado, Denver

OTHER

Sponsor Role collaborator

Colorado Clinical & Translational Sciences Institute

OTHER

Sponsor Role collaborator

University of Kansas Medical Center

OTHER

Sponsor Role collaborator

San Francisco Veterans Affairs Medical Center

FED

Sponsor Role lead

Responsible Party

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Tonya Kaltenbach

Associate Professor of Clinical Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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San Francisco VA Medical Center

San Francisco, California, United States

Site Status

Countries

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United States

References

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Kaltenbach T, Patel SG, Nguyen-Vu T, Malvar C, Keswani RN, Hall M, Aagaard E, Asokkumar R, Chin YK, Hammad H, Rastogi A, Shergill A, Simon V, Soetikno A, Soetikno R, Wani S. Varied Trainee Competence in Cold Snare Polypectomy: Results of the COMPLETE Randomized Controlled Trial. Am J Gastroenterol. 2023 Oct 1;118(10):1880-1887. doi: 10.14309/ajg.0000000000002368. Epub 2023 Jun 13.

Reference Type DERIVED
PMID: 37307537 (View on PubMed)

Other Identifiers

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COMPLETE 16-21096

Identifier Type: -

Identifier Source: org_study_id