Abstract
Background: The compact-EASIE® (Erlanger Active Simulator for Interventional Endoscopy) has been used to conduct structured training workshops on endoscopic hemostasis for over 400 physicians and GI-assistants since 1997. Two randomized prospective trials demonstrated the efficacy of EASIE® hemostasis training led by tutors experienced in using this model. Expanding the benefits of this training modality depends on the ability to train a large cohort of tutors capable of achieving comparable results from these workshops. We conducted a train-the-trainer-workshop to evaluate how quickly and effectively new tutors, without simulator training pre-experience, are able to acquire hemostasis teaching skills using this model. Methods: Five tutors with at least 6 days of prior EASIE® teaching experience provided 6 hours of training on how to set up the model and train fellows with it to 7 endoscopists without prior EASIE® simulator experience . The following day, the 7 new tutors independently set up and ran a workshop for 8 GI fellows in four hemostasis techniques. Fellows' skill scores at the end of training were compared to their baseline skill assessments. Qualitative ratings of the new tutors were obtained from the trainees and the experienced tutors. Results: Significant improvement was achieved by the fellows in all 4 techniques. The skill acquisition using new tutors in this study was of similar magnitude to that achieved in the two prior trials using experienced tutors. Both the experienced tutors observing the session and the trainees rated highly the new tutors' teaching skill. Conclusion: It is feasible to conduct an effective EASIE® train-the-trainer course in one day. Tutors trained in this manner are able to provide a similar educational experience with objective improvement in trainee skill to teachers who have conducted many hands-on workshops. This process should facilitate more widespread access for fellows to ex-vivo animal model training.
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