{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T21:16:24Z","timestamp":1775682984591,"version":"3.50.1"},"reference-count":17,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["GE Port J Gastroenterol"],"published-print":{"date-parts":[[2022]]},"abstract":"<b><i>Background:<\/i><\/b> A previous study suggested that psychomotor training improves the performance on colonoscopy. Since then, newer exercises have been included in the latest generation of GI Mentor\u00ae. In order to optimize a colonoscopy training program, we aimed to determine the impact of 3 virtual exercises in simulated colonoscopy skills. <b><i>Methods:<\/i><\/b> This was a prospective and randomized study. Nineteen residents completed a pre-training questionnaire and a colonoscopy trial before randomization in a study group (<i>n<\/i> = 10) that performed three exercises (Endobubble I, Navigation I, and Mucosal Evaluation I) until they achieved expert level, and a control group (<i>n<\/i> = 9). Both groups performed 10 repetitions of a simulated colonoscopy and were assessed on a final case. Learning curves and skills transfer were assessed by four parameters: mucosal surface examined (%), time to reach the cecum (s), screening efficiency (%), and time the patient was in pain (%). We also evaluated the construct validity for the exercises. <b><i>Results:<\/i><\/b> Construct validity was confirmed for Endobubble I and verified in Navigation I (experts were faster than novices; 5 vs. 7 s, <i>p<\/i> = 0.040), but not for Mucosal Evaluation I. Analyzing the learning curves and performance in the 10 repetitions<b>,<\/b> the study group reached the cecum faster (278 vs. 356 s, <i>p<\/i> = 0.035) and achieved a higher screening efficiency (83% vs. 75%, <i>p<\/i> = 0.019). Concerning skills transfer, the control group took longer to reach the cecum (241 vs. 292 s, <i>p<\/i> = 0.021) and the percentage of time the patient was in pain was higher (6% vs. 9%, <i>p<\/i> = 0.021). General performances of the study group had smaller interquartile variations. <b><i>Conclusion:<\/i><\/b> Psychomotor training has a significant impact on the homogeneous acquisition and assimilation of colonoscopy skills. Endobubble I and Navigation I should be considered in the training programs for novices. <\/jats:p>","DOI":"10.1159\/000520237","type":"journal-article","created":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T21:01:05Z","timestamp":1649106065000},"page":"374-384","source":"Crossref","is-referenced-by-count":5,"title":["Endoscopic Skills Training: The Impact of Virtual Exercises on Simulated Colonoscopy"],"prefix":"10.1159","volume":"29","author":[{"given":"Rita","family":"Morato","sequence":"first","affiliation":[]},{"given":"Lu\u00eds","family":"Tom\u00e9","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0121-6850","authenticated-orcid":false,"given":"M\u00e1rio","family":"Dinis-Ribeiro","sequence":"additional","affiliation":[]},{"given":"Carla","family":"Rolanda","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2022,4,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2003.15"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2000.03280.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2016.04.004"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v6.i1.6"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2014-307173"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/s1542-3565(04)00067-9"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2012.03.014"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-010-0579-0"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.01.001"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v7.i18.1287"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2009.191825"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-9264-9"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-003-0032-x"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2005.04.007"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0151-y"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2010.02.010"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1177\/000313481007600732"}],"container-title":["GE - Portuguese Journal of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/520237","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/520237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:27:31Z","timestamp":1745422051000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000520237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":17,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,11,24]]},"published-print":{"date-parts":[[2022,11,29]]}},"URL":"https:\/\/doi.org\/10.1159\/000520237","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.19506853","asserted-by":"subject"}]},"ISSN":["2341-4545","2387-1954"],"issn-type":[{"value":"2341-4545","type":"print"},{"value":"2387-1954","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]}}}