Face and content validity of a biological papilla designed for the Boškoski-Costamagna ERCP simulator.


Journal

Gastrointestinal endoscopy
ISSN: 1097-6779
Titre abrégé: Gastrointest Endosc
Pays: United States
ID NLM: 0010505

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 23 03 2023
revised: 09 06 2023
accepted: 14 06 2023
pubmed: 1 7 2023
medline: 1 7 2023
entrez: 30 6 2023
Statut: ppublish

Résumé

A biological papilla made of chicken heart tissue, incorporated into the Boškoski-Costamagna ERCP Trainer simulator, was recently designed to allow training in sphincterotomy. This study aimed to evaluate the face and content validity of this tool. Participants from 2 groups (nonexperienced and experienced [<600 or >600 lifetime ERCPs, respectively]) were invited to perform standardized assignments on the model: sphincterotomy and precut for both groups and papillectomy for the experienced group. Following these assignments, all participants filled out a questionnaire to rate their appreciation of the realism of the model, and experienced endoscopists were also asked to evaluate its didactic value using a 5-point Likert scale. A total of 19 participants were included (nonexperienced, n = 10; experienced, n = 9). Parameters regarding the realism of the tool in terms of general appearance, sphincterotomy, precut, and papillectomy were overall considered realistic (4 of 5), with good agreement rates in terms of overall realism between groups. Experienced operators reported the highest realism for "positioning the scope and needle-knife in the field of view" and "during precut," "cutting in small increments during precut," and "controlling the scope during papillectomy," and they highly agreed that this papilla should be included for training novice and intermediate trainees in sphincterotomy, precut, and papillectomy. Our results show good face validity and excellent content validity of this biological papilla combined with the Boškoski-Costamagna ERCP Trainer. This new tool provides a useful, inexpensive, versatile, and easy tool for training regarding sphincterotomy, precut, and papillectomy. Future studies should explore whether including this model in real-life training improves the learning curve of endoscopy trainees.

Sections du résumé

BACKGROUND AND AIMS OBJECTIVE
A biological papilla made of chicken heart tissue, incorporated into the Boškoski-Costamagna ERCP Trainer simulator, was recently designed to allow training in sphincterotomy. This study aimed to evaluate the face and content validity of this tool.
METHOD METHODS
Participants from 2 groups (nonexperienced and experienced [<600 or >600 lifetime ERCPs, respectively]) were invited to perform standardized assignments on the model: sphincterotomy and precut for both groups and papillectomy for the experienced group. Following these assignments, all participants filled out a questionnaire to rate their appreciation of the realism of the model, and experienced endoscopists were also asked to evaluate its didactic value using a 5-point Likert scale.
RESULTS RESULTS
A total of 19 participants were included (nonexperienced, n = 10; experienced, n = 9). Parameters regarding the realism of the tool in terms of general appearance, sphincterotomy, precut, and papillectomy were overall considered realistic (4 of 5), with good agreement rates in terms of overall realism between groups. Experienced operators reported the highest realism for "positioning the scope and needle-knife in the field of view" and "during precut," "cutting in small increments during precut," and "controlling the scope during papillectomy," and they highly agreed that this papilla should be included for training novice and intermediate trainees in sphincterotomy, precut, and papillectomy.
CONCLUSIONS CONCLUSIONS
Our results show good face validity and excellent content validity of this biological papilla combined with the Boškoski-Costamagna ERCP Trainer. This new tool provides a useful, inexpensive, versatile, and easy tool for training regarding sphincterotomy, precut, and papillectomy. Future studies should explore whether including this model in real-life training improves the learning curve of endoscopy trainees.

Identifiants

pubmed: 37390863
pii: S0016-5107(23)02641-X
doi: 10.1016/j.gie.2023.06.014
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

822-829.e1

Informations de copyright

Copyright © 2023 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The following authors disclosed financial relationships: I. Boskoski: Consultant for Apollo Endosurgery, Boston Scientific, Cook Medical, Pentax, Nitinotes, EndoTools; Research grants from Apollo Endosurgery, Erbe Elektromedizin, EndoTools; Sponsored lectures for Cook Medical, Boston Scientific, Apollo Endosurgery, Microtech, Olympus; Patents for USA No: US D740,361 S (Endoscopy Training Apparatus) Oct. 6, 2015; Stent for electrothermal treatment, Patent No: 0001426680, Class A61B1814 – Feb. 7, 2017. G. Costamagna: Cook Medical. T. Voiosu: Honoraria for educational events and travel grant from Cook Medical; honoraria for educational events from Boston Scientific. All other authors disclosed no financial relationships.

Auteurs

Sara Teles de Campos (S)

Gastroenterology Department, Digestive Unit, Champalimaud Foundation, Lisbon, Portugal; Université Libre de Bruxelles, Brussels, Belgium. Electronic address: saratcampos@gmail.com.

Ivo Boskoski (I)

Gastroenterology and Digestive Endoscopy, Fondazione Policlinico Gemelli, Rome, Italy.

Theodor Voiosu (T)

Gastroenterology Department, Colentina Clinical Hospital, Carol Davila Faculty of Medicine, Bucharest, Romania.

Marianna Arvanitakis (M)

Université Libre de Bruxelles, Brussels, Belgium; Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasmus University Hospital, Brussels, Belgium.

Guido Costamagna (G)

Gastroenterology and Digestive Endoscopy, Fondazione Policlinico Gemelli, Rome, Italy.

Jacques Devière (J)

Gastroenterology Department, Digestive Unit, Champalimaud Foundation, Lisbon, Portugal; Université Libre de Bruxelles, Brussels, Belgium; Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasmus University Hospital, Brussels, Belgium.

Classifications MeSH