New York Medical College Metropolitan Hospital New York, NY, United States
Ahmed Shady, MD1, Rohit Gupta, DO2, Jean Atallah-Vinograd, MD1 1New York Medical College Metropolitan Hospital, New York, NY; 2New York University Woodhull Medical Center, Brooklyn, NY
Introduction: Simulation-based training in colonoscopy insertion skill has the potential to improve patient safety and comfort by reducing the inherent risks associated with procedures performed by trainees (1,2). Colonoscopy training models can be very expensive, especially in resource limited settings, Accordingly, our aim was to create a cost-efficient model for colonoscopy training that provides a similar experience with less cost.
Case Description/Methods: The model was created through a cardboard box, vacuum cleaner hose, Glue, Gloves for sealing, and other materials to simulate different scenarios (e.g. play dough for polyps’ creation) and a dedicated training colonoscope. The trainees are introduced to the model and then they start insertion training, the hose is manipulated manually to simulate different scenarios encountered during colonoscopy (e.g. tortuous and twisted colons, sharp turns). The hose is transparent so that the trainee can visualize and conceptualize the scope movement inside the colon. The box can be also closed to prevent visualization through the hose which is a more advanced level of introducing trainees to the scope. Polypectomy can be also simulated with biopsy forceps. The purpose of pasting playdough polyps inside this hose is precision training. The cost of creating this model was around 20$, it can be used multiple times.
Discussion: Trainees were more confident in their initial live patient colonoscopy. They were able to troubleshoot the scope problems and were more comfortable using the accessories while scoping live patients (please scan QR code(s) below for demonstration videos). Conclusion: The box colonoscope is a cheap method to introduce trainees to colonoscopy and is comparable with commercial mannequins.
Figure: Demonstration video: please scan the QR code with your mobile phone camera and click the link.
Ahmed Shady indicated no relevant financial relationships.
Rohit Gupta indicated no relevant financial relationships.
Jean Atallah-Vinograd indicated no relevant financial relationships.
Ahmed Shady, MD1, Rohit Gupta, DO2, Jean Atallah-Vinograd, MD1. P0429 - Simulation Model for Colonoscopy Insertion Training in Resource Limited Settings, ACG 2021 Annual Scientific Meeting Abstracts. Las Vegas, Nevada: American College of Gastroenterology.