How do you train beginners at #endoscopy?
This week we are running the endoscopy #simulation course @UofTGastroHep @SMH_GI.
Our training to novices before they start endoscopic rotations is based on three educational principles.
#MedEd #GITwitter
1. Modifying cognitive load
We use low fidelity simulators for basic skills (dial/button control, torque, stance, etc.) in a low risk envt. This allows the trainee to focus on basics without being overloaded by complex tasks - no patient, vital signs, assistants, sedation, etc.
2. Optimizing challenge points
We favor matching complexity of task being taught to the skill of learner. If task is too simple - there is nothing to learn. If the task is too complex, the trainee will struggle to learn anything.
We operationalized this in novice colonoscopist simulation training with "progressive learning" - recurrent assessment during training, progression to next task when optimal challenge identified.
Led to superior transfer of skills to the clinical setting
sciencedirect.com/science/articl…
3. Mastery learning
Each skill is practiced to the point of mastery in the simulated setting - where learners practice deliberately w/ feedback/coaching until a high performance threshold is reached. Best described by @giendo_roy in a study in simulated EGD in @AGA_Gastro in 2020
Additionally we espouse emerging technologies and adopt them quickly - e.g. augmented reality, 3D printing for design and some low-cost and home learning sims.
Will put up some videos of some of our experimental sims as the week progresses.
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