DDW 2022 Author Disclosures
Lucía Vásquez Sánchez: NO financial relationship with a commercial interest | Miguel Herrera-Servín: NO financial relationship with a commercial interest | Carlos Javier Mata- Quintero: NO financial relationship with a commercial interest
Introduction
Due to pandemic situation of COVID-19, many hospitals around the world have limited the fellows exposure to procedures. This has represented a negative impact for residents and fellows. In recent years, many authors have considered that the real competence should be based on specific skills, individually measured. Two examples are the TEESAT from United States and DOPS from UK. The first tool uses a 4 point scoring system; of these, 3 and 4 are considered succesful.
Aims
Due to this pandemic situation, we want to know the situation of 2nd year gastrointestinal endoscopy residents of Mexico (the year that we focus on ERCP) during 2020 and beginnings of 2021.
Methods
We made our own skills check list, based on TEESAT and DOPS. We interviewed at least 1 resident of differents hospitals that offer the Gastrointestinal Endoscopy program, with university recognition. The questions were answered during the last 4 months of the training. The analysis was descriptive.
Results
We interviewed 31 residents of official gastrointestinal endoscopy program with university certification, from 17 hospitals. We found that 2 other hospitals with the university endorsement didn`t have residents of 2nd year. All residents expresed the need of more cases and time to practice. The ability to discern an adequate indication for ERCP was achieved by every resident. About if they feel qualified for intubation, achieve a short position in front of the papilla, 54.8% do it independently; for performing selective deep biliary cannulation, 58.1% achieves with minimal instruction; for the diagnostic cholangiogram, all of them were confident. About biliary brush cytology and/or take biopsies, 38.7% achieves with minimal instruction; for performing biliary sphincterotomy less than a half achieves with minimal instruction; for pre-cut sphincterotomy, 54.8% achieves with multiple instructions; removing CBD stones ≤10mm 48.4% do it independently; for stricture dilation 48.4% need to have multiple instructions and placing a stent for extrahepatic stricture 80.7% are competent. About the questions that if they would change something about the training of each skill, the majority mentioned they would like more time to try it, more indications and tips from their assitant doctors and this correlates significantly with the 2 skills more unsuccesful.
Conclusions
The pandemia due to COVID-19 has definitely affected the learning curve of the residents in Mexico. Despite in many skills, the residents feel confident, is remarkable that for pre-cut sphincterotomy and stricture dilation, the great majority are not succesful. Due to this problem, some proposals have appeared, like to be in contact with the attending doctors, despite the course has finished, one hospital offered repeat the second year and a program designed by our mexican association is looking to benefit through simulation.
ERCP Skills Assesment Tools for 2nd year Gastrointestinal Endoscopy program during COVID-19 pandemia
Skills measured as succesful and unsuccesful
CONTROL ID: 3699034