OC69 Train the paediatric colonoscopy trainer course: an assessment of perceived value to participants in improving their colonoscopy teaching practice

• Published in: Frontline gastroenterology Vol. 14; no. Suppl 1; p. A42
• Main Authors: Pybus, R, Thomson, M, Narula, P
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group LTD 01.07.2023
• Subjects: Colonoscopy; Endoscopy; Pediatrics; Portfolios; Teaching; United Kingdom > UK
• ISSN: 2041-4137; 2041-4145
• DOI: 10.1136/flgastro-2023-bspghan.68

Endoscopy teaching practice is variable, significantly affecting training provided. Endoscopy specific train the trainer courses are commonplace in adults, and in the UK are now mandatory. There is only one paediatric train the colonoscopy trainer course (PTCTC) in the UK and although informal feedback has been positive, its practical value has never been formally assessed. A small cohort of studies demonstrated a benefit with these courses but highlighted the need for further research, especially in paediatrics. We aim to assess the practical value of the PTCTC and how attendees perceive their teaching practice compared to non-attendees.A questionnaire based on the PTCTC learning objectives and aims was distributed to two groups of Consultant Paediatric Gastroenterologists who teach colonoscopy in the UK; those who had attended the course and those who had not attended the course (controls).41 completed responses were received. 25 attended a PTCTC, 3 attended an adult course and 13 had not attended any course. Overall responses indicated participants of the PTCTC rated their confidence and knowledge in teaching practices as higher than controls (4.27 vs 3.56 P = <.001). There was a statistically significant difference in all areas: set (4.21 vs 3.71 P = .011), dialogue (4.29 vs 3.55 P = <.001) and closure (4.37 vs 3.6 P = <.001) with those who attended the PTCTC giving higher ratings. There was evidence of increased understanding of key concepts such as using standardised language, conscious competence, dual task interference and performance enhancing feedback.Overall, this study demonstrates a higher perceived level of knowledge in fundamental teaching principles and confidence in colonoscopy teaching skills in those who attended a PTCTC. The study was limited by the sample size, but the results support the need for these courses and for ongoing research into their importance. Mehta T, Dowler K, McKaig BC, et al. Development and roll out of the JETS e-portfolio: a web based electronic portfolio for endoscopists. Frontline Gastroenterol 2010;2:35–42. Anderson JT. Assessments and skills improvement for endoscopists. Best Pract Res Clin Gastroenterol 2016;30:453–71.