Purpose: To define the rate at which GI fellows attain technical competency in diagnostic esophagogastroduodenoscopy (EGD) and colonoscopy (Colon). Methods: The performance of 135 trainees was recorded by 243 mentors during consecutive procedures. Endpoints for EGD included intubating the esophagus and pylorus; for Colon, intubating the splenic flexure and the cecum; for both, recognizing and identifying abnormalities as well as a subjective grade of competency. Data on 11213 EGDs and 6889 Colons done between 7/1/94 and 10/15/95 were analyzed using Paradox and Excel. Results: The success of the trainees in meeting all endpoints are displayed below (mean±95% CI). The subjective grade paralleled objective endpoints. Because grading compliance was not universal, ongoing comparison with trainee logs will shift these curves right. Conclusions: An average trainee needs over 130 EGDs and 140 Colons to meet all criteria 90% of the time. Since some procedures were missed, these numbers must be viewed as minimum estimates. Standards of training (100 procedures each) are too low. Funding provided by: Hennepin Faculty Associates, ASGE, AGA, and ACG.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging