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Trainees (Residents in internal medicine), naive to real patient endoscopy, will be randomized to receive either 3 weeks/2 hours per day of structured training for a total of 20 hours on the virtual endoscopy simulator GI-Mentor or no training before starting on-patient endoscopy in the University of Vienna Medical School Endoscopy Unit. Patients satisfaction and pain, technical accuracy and number of found/missed pathologies as well as average time for successful endoscopy will be recorded. After one month or 50 supervised, self performed endoscopies, trainees will be evaluated again with the above mentioned criteria during ten consecutive investigations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1: Training | Active Comparator | 3 weeks/2 hours per day of structured training for a total of 20 hours on the virtual endoscopy simulator |
|
| 2: No Training | No Intervention | No simulator training before starting endoscopy training on real patients |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Simulator Training | Procedure | 3 weeks/2 hours per day of structured training for a total of 20 hours on the virtual endoscopy simulator with the GI-Mentor Virtual simulator device |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction measured on a visual analogue scale (VAS) | once immediately after patient endoscopy |
| Measure | Description | Time Frame |
|---|---|---|
| pain during endoscopy, measured with patient documentation on a visual analogue scale (VAS) | once immediately after patient endoscopy | |
| technical accuracy (oral introduction of the scope into the esophagus, ability of passing the endoscope through the pylorus, inversion of the scope in the gastric fundus) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Arnulf Ferlitsch, MD | Medical University of Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Internal Medicine III, Div. of Gastroenterology and Hepatology, Endoscopy Unit, Medical University of Vienna | Vienna | 1090 | Austria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12195326 | Background | Ferlitsch A, Glauninger P, Gupper A, Schillinger M, Haefner M, Gangl A, Schoefl R. Evaluation of a virtual endoscopy simulator for training in gastrointestinal endoscopy. Endoscopy. 2002 Sep;34(9):698-702. doi: 10.1055/s-2002-33456. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000074822 | Treatment Adherence and Compliance |
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| during endoscopy |
| number of found/missed pathologies | during endoscopy |
| average time for successful endoscopy | during endoscopy |
| D015438 | Health Behavior |
| D001519 | Behavior |