Simulation training for the endoscopic management of upper gastrointestinal bleeding: a nationwide survey of rural surgeons’ needs and preferences analysis

Shawn M. Purnell, Daniel J. Vargo, Michael Sarap, John J. Nguyen-Lee, Chelsea Allen, Brian J. Dunkin

Research output: Contribution to journalArticle

Abstract

Background: Published needs analyses of rural surgeons have identified a need for training in the endoscopic management of non-variceal upper gastrointestinal bleeding (NVUGIB). The study aim was to survey rural surgeons regarding their requirements and preferences for a simulation model on which they could rehearse the endoscopic management of NVUGIB. Methods: Rural surgeons were contacted via the American College of Surgery Advisory Council listserv and invited to complete an online survey. Results: A total of 66 responses were received, representing all 4 US regional divisions. Seventy-seven percent of respondents perform > 100 endoscopy cases per year. A majority have no experience with simulation models (77%), citing cost, time, and access to training courses as the three most limiting factors. Thirty-three percent lacked confidence in managing UGIBs, and 73% were interested in receiving additional training. Preference analysis revealed that respondents preferred a portable simulation model (81%) that costs between $500 and $1000 (46%), and requires 1–2 weeks of training (34%). Verbal feedback from an expert was viewed as the most helpful type of feedback (61%). Conclusion: Rural surgeons frequently perform flexible endoscopy in their practice and are interested in further training for the endoscopic management of NVUGIB. These results will be used to develop a simulation platform for training in the endoscopic management of NVUGIB that meets rural surgeons’ needs.

Original languageEnglish (US)
Pages (from-to)333-339
Number of pages7
JournalSurgical Endoscopy
Volume35
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • Endoscopy training
  • Rural surgery
  • Simulation training

ASJC Scopus subject areas

  • Surgery

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