Endoscopy 2021; 53(S 01): S12
DOI: 10.1055/s-0041-1724281
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ESGE Days 2021 Oral presentations
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Prospective Evaluation of the Feasibility of Structured Distance EUS Training By A Virtual EUS Course with live Cases

V Dhir
1   IDL Care, SL Raheja Hospital, Department of Gastroenterology, Endoscopy and Hepatology, Mumbai, India
,
R Shah
1   IDL Care, SL Raheja Hospital, Department of Gastroenterology, Endoscopy and Hepatology, Mumbai, India
,
P Udawat
1   IDL Care, SL Raheja Hospital, Department of Gastroenterology, Endoscopy and Hepatology, Mumbai, India
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    Aims To assess the feasibility of an virtual EUS training course with objective end points.

    Methods 21 trainees were chosen from a group of applicants with certified expertise in endoscopy with regular access to linear echoendoscope. The training was imparted over virtual platform over 16 classes of 90 minute duration each, held over 3 months. The curriculum included endoscope handling, cleaning, disinfection and keyboard controls. This was followed by 12 classes on linear EUS anatomy of mediastinum, pancreatico-biliary region, rectum and EUS-guided FNA. Trainees were exposed to interventional EUS procedures done by international experts. Virtual screen included the endoscopists hand movements, and EUS image. Questions over technical issues were encouraged during the class. The assessment included a questionnaire and video assessment after each class and at the end. Study end points included a video assessment of satisfactory identification of 1. Sub-carinal space 2. Head of Pancreas 3. Common bile duct 4.body and tail of pancreas.

    Results Out of 21, Pre-course, 4 trainees had done less than 50 cases, 14 trainees had exposure to EUS anatomy via short EUS training courses, and three trainees had no exposure other than videos and books. All 21 trainees attended all the classes or went through the video recording. All trainees returned the weekly questionnaire. 15 students sent a video for final assessment. At the end of the course, all students(100 %) could maneuver the echoendoscope through the cricopharynx, esophagus, stomach and duodenum. The successful area identification rates were 12/15(80 %) for sub-carinal space, 13/15(86.6 %) head of pancreas, 10/15(66.6 %) common bile duct, and 9/15(60 %) tail of pancreas with no complication rates.

    Conclusions Virtual EUS training course with live cases appears feasible with encouraging results. It allows the possibility of training large number of students across different countries. Further evaluation is needed especially of virtual assessment methods, and training benchmarks

    Citation: Dhir V, Shah R, Udawat P. OP21 PROSPECTIVE EVALUATION OF THE FEASIBILITY OF STRUCTURED DISTANCE EUS TRAINING BY A VIRTUAL EUS COURSE WITH LIVE CASES. Endoscopy 2021; 53: S12.


     

    Publication History

    Article published online:
    19 March 2021

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