still requires limited hands‐on assistance and/or significant coaching)
□ 3. Advanced (Able to perform independently with limited coaching and/or requires additional time to complete)
□ 4. Superior (Competent to perform routine colonoscopy independently)
The fellow’s overall cognitive skills (Situational Awareness (SA)/abnormality interpretation/decision‐making skills):
□ N/A. Not Assessed (i.e. Fellow observed procedure only)
□ 1. Novice (Needs significant prompting, correction or basic instruction by staff)
□ 2. Intermediate (Needs intermittent coaching or correction by staff)
□ 3. Advanced (Fellow has good SA, and interpretation/decision‐making skills)
□ 4. Superior (Competent to make interpretations and treatment decisions independently)
Figure 6.35 Learning curves. Mayo's colonoscopy skills assessment tool (MCSAT) allows ongoing monitoring of various metrics of an individual trainee's performance throughout training. These three images demonstrate how the learning curves of three different fellows (blue lines) might appear for the parameter of cecal intubation rates as compared to the average learning curves of their peers (Magenta). Fellow A is above the learning curve (a), B is following the curve closely (b), and C is repeatedly below the curve and might be identified for early remediation (c).
(Copyrighted and used with permission of Mayo Foundation for Medical Education and Research.)
Videos
Video 6.1 Endoscopic anatomy of the colon
Video 6.2 Rectal intubation techniques
Video 6.3 Locating the lumen
Video 6.4 Subtle lesions of colon
Video 6.5 Alpha‐loop
Video 6.6 N‐loop
Video 6.7 Reverse alpha‐loop
Video 6.8 Transverse colon loop
Video 6.9 Acute turn
Video 6.10 Intubation of the ileal–caecal valve
Video 6.11 Ex vivo colonoscopy model overview
Video 6.12 Ex vivo colonoscopy model setup
Video 1.6 Virtual reality colonoscopy simulator training
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