SP10.2.1 Use of a cost-efficient Colonoscopy simulation model to improve endoscopy skills
Abstract Aims The use of endoscopic simulators as a learning aid in surgical training has been well established, particularly in those with less experience. In the challenging time of COVID-19, when endoscopic procedures are at a minimum, this can become more valuable. However, their utility for training is countered by the high cost of equipment. We demonstrate a cost-efficient alternative to traditional endoscopy simultators, which can be easily made in any centre. Methods A polypectomy simulator model was created using a drain-pipe and surgical gloves. Junior doctors were timed in their ability to remove the 3 polyps from within the simulator. The exercise was repeated over 6 sessions over the course of 3 weeks. Means were compared using ANOVA. Results There was a mean relative reduction of 75% in overall time taken to complete the task (p < 0.0001). This improvement was seen for both surgical trainees with previous endoscopy experience (p = 0.005) and FY1 novices (p < 0.0001). Conclusions In our group, we have seen improvement in performance across both surgical trainees and novices. In today's era of COVID-19, when direct training opportunities may become more scarce, simple alternatives may become vital in ensuring progression of basic surgical skills such as endoscopy. This cheap polypectomy simulator can be easily re-created across surgical units and can be used as an adjunct to traditional endoscopic training.