P125 Structured ENTS training within a clinical endoscopist training programme facilitates learning and reflective practice

Abstract

<h3>Introduction</h3> Endoscopy training has focused on acquisition of technical skills despite endoscopic non-technical skills (ENTS) being assessed within formative and summative direct observations of procedural skills (DOPS) assessments. To enhance skills acquisition in ENTS, trainees in the Health Education England Clinical Endoscopist programme were provided with bespoke, simulated training sessions with individualised feedback as a novel introduction to the programme. <h3>Method</h3> Successive cohorts of trainees within the HEE Clinical Endoscopist programme since Jan 2021 have had ENTS role-play based simulation sessions embedded within face to face training at our site. Sessions occurred within the first 6 weeks of the programme. Training included focused history taking, consent, team brief, ENTS during a brief simulated procedure, team debrief and breaking bad news. Feedback was provided utilising a modified Non-technical Skills for Endoscopy Checklist¹ at the end of each section of the simulation scenario. Delegate feedback focused on trainee well being before and during sessions as well as effectiveness of sessions in facilitating learning and developing reflective practice. <h3>Results</h3> All students felt they had a good baseline understanding of ENTS pre-sessions. 36% of candidates expressed anxiety pre-training but were reassured by the environment with the remainder being comfortable or enthusiastic. 83% of trainees felt either extremely well or well supported during the sessions with 17% feeling supported during the exercise. Trainees favoured regular feedback through each segment of scenarios (80%) rather than at the end of each scenario. All trainees felt that sessions met the learning objectives and facilitated both learning and reflective practice. <h3>Conclusions</h3> Simulated ENTS training utilizing role-play embedded in a structured educational programme for clinical endoscopists is well received and achieves set learning objectives as well as facilitating trainee learning and reflective practice. Continued detailed trainee feedback will be used to refine content, delivery and feedback. Application of simulated ENTS training early in endoscopy training could enhance learning in other cohorts of endoscopists. <h3>Reference</h3> Walsh et al. Non-technical skills curriculum incorporating simulation-based training improves performance in colonoscopy among novice endoscopists: Randomized controlled trial. Digestive Endoscopy 2020;32: 940–948