Background and Aims
Methods
Results
Conclusions
Abbreviations:
ADR (adenoma detection rate), CRC (colorectal cancer), IQR (interquartile range)Purchase one-time access:
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DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.
If you would like to chat with an author of this article, you may contact Dr Bitar at [email protected]
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- Oldie but goodie? Do attending endoscopists really need their fellows?Gastrointestinal EndoscopyVol. 89Issue 2
- PreviewIn their retrospective study of more than 2000 colonoscopies, Bitar et al1 showed that adenoma detection rate (ADR) was not increased by the participation of fellows during colonoscopy. This finding prompted us to review our past 2 consecutive years of colonoscopy data of 2241 screening, surveillance, and diagnostic examinations (1580; 70.5% fellow-involved), inflammatory bowel disease evaluation and obstruction cases excluded. ADR, mean adenoma per colonoscopy, and examination completion rate were not different between the fellow-involved and the attending endoscopist-only groups (27.8% vs 26.1%, 0.45 ± 0.93 vs 0.44 ± 0.98 and 95.3% vs 94.6% [P = .51], respectively).
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- Impact of fellowship training level on colonoscopy quality and efficiency metrics: a United Kingdom perspectiveGastrointestinal EndoscopyVol. 89Issue 2
- PreviewPerformance metrics during colonoscopy training can be used to indicate readiness for independent practice. The study by Bitar et al1 is therefore a welcome addition to the colonoscopy training literature. The distinguishing feature of fellow seniority (and presumably competence) was the “efficiency” or speed with which the colon was intubated and adenomas detected and removed. However, speed does not necessarily imply proficiency.
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