{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T10:15:24Z","timestamp":1776334524294,"version":"3.51.2"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,5,20]],"date-time":"2015-05-20T00:00:00Z","timestamp":1432080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Surgery residents are required to become proficient in colonoscopy before completing training. The aim of this study was to evaluate the responsiveness of surgery interns to simulated colonoscopy training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Interns, defined as postgraduate year 1 residents without exposure to endoscopy, underwent training in a physical model including colonoscopy, synthetic anatomy trays with luminal tattoos and a hybrid simulator. After baseline testing and mentored training, final testing was performed using five predetermined proficiency criteria. Content\u2010valid metrics defined by the extent of departure from clinical reality were evaluated by two blinded assessors. Responsiveness was defined as change in performance over time and assessed comparing baseline testing with nonmentored final testing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve interns (eight male, mean age 26, 80% right\u2010handed) performed 48 colonoscopies each over 1\u00a0year. Improvement was seen in the overall procedure time (24\u00a0min 46\u00a0s <jats:italic>vs<\/jats:italic> 20\u00a0min 54\u00a0s; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.03), passing the splenic flexure (20\u00a0min 33\u00a0s <jats:italic>vs<\/jats:italic> 10\u00a0min 45\u00a0s; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.007), passing the hepatic flexure (23\u00a0min 31\u00a0s <jats:italic>vs<\/jats:italic> 12\u00a0min 45\u00a0s; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.003), caecal intubation time (23\u00a0min 38\u00a0s <jats:italic>vs<\/jats:italic> 13\u00a0min 26\u00a0s; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.008), the duration of loss of view of the lumen (75% <jats:italic>vs<\/jats:italic> 8.3%; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.023), incomplete colonoscopy (100% <jats:italic>vs<\/jats:italic> 33.3%; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.042), colonoscope withdrawal &lt;\u00a06\u00a0min (16.7% <jats:italic>vs<\/jats:italic> 8.3%; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.052). Tattoo identification time (9\u00a0min 16\u00a0s <jats:italic>vs<\/jats:italic> 12\u00a0min 25\u00a0s; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.50), colon looped time (2\u00a0min 12\u00a0s <jats:italic>vs<\/jats:italic> 1\u00a0min 45\u00a0s; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.50) and rate of colon perforation (8.3% <jats:italic>vs<\/jats:italic> 8.3%; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>1) remained unchanged. Interrater reliability was 1.0 for all measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Simulated colonoscopy training in a low\u2010cost physical model improved the performance of surgery interns with decreased procedure time, increased rates of complete colonoscopy and appropriate scope withdrawal.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12883","type":"journal-article","created":{"date-parts":[[2014,12,24]],"date-time":"2014-12-24T05:59:22Z","timestamp":1419400762000},"page":"530-535","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Simulated colonoscopy training using a low\u2010cost physical model improves responsiveness of surgery interns"],"prefix":"10.1111","volume":"17","author":[{"given":"J. M.","family":"Buscaglia","sequence":"first","affiliation":[{"name":"Divisions of Gastroenterology State University of New York Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Fakhoury","sequence":"additional","affiliation":[{"name":"Divisions of Colon and Rectal Surgery State University of New York Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Loyal","sequence":"additional","affiliation":[{"name":"Divisions of Colon and Rectal Surgery State University of New York Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. I.","family":"Denoya","sequence":"additional","affiliation":[{"name":"Divisions of Colon and Rectal Surgery State University of New York Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Kazi","sequence":"additional","affiliation":[{"name":"Divisions of Colon and Rectal Surgery State University of New York Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. A.","family":"Stein","sequence":"additional","affiliation":[{"name":"Divisions of Colon and Rectal Surgery State University of New York Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Scriven","sequence":"additional","affiliation":[{"name":"Department of Surgery State University of New York Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Bergamaschi","sequence":"additional","affiliation":[{"name":"Divisions of Colon and Rectal Surgery State University of New York Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,20]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"267","article-title":"The training of the surgeon","volume":"15","author":"Halsted WS","year":"1904","journal-title":"Bull Johns Hopkins Hosp"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-8196-5"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13645700500274112"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.142.6.573"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.11.6.426"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181884320"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1077-z"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2012.07.024"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3339-z"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9482"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2013.02.010"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90069-5"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023499322593"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00435438"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000151982.85062.80"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-0035-4"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2005.11.062"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-014-0610-5"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-8274-6"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.10.030"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0b013e32832ad615"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1656-7"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2012.12.011"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.12883","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.12883","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T21:03:59Z","timestamp":1696367039000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.12883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,20]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1111\/codi.12883"],"URL":"https:\/\/doi.org\/10.1111\/codi.12883","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,20]]},"assertion":[{"value":"2014-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-11-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-05-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}