RESULTS OF THE EVALUATION OF THE SFED TRAINING IN ENDOSCOPIC SUBMUCOSAL DISSECTION

Aims ESGE has published a curriculum indicating the prerequisites of ESD (Endoscopic Submucosal Dissection). SFED (French Society of Digestive Endoscopy) has set up a national training course to enable the implementation of this curriculum in France. The objective of our work was to evaluate the contribution of this training on the technical skills of the participants.

Methods The course consisted in a theoretical training with webinars and a practical training during which the participants had to practice ESD on virtual lesions with an experienced trainer on ex-vivo model (cow colon) or on in-vivo model (pig stomach). Theoretical and practical evaluations took place before and after the course with 10 multiple choice questions and 6 workshops evaluating the essential steps of ESD: injection, incision, traction, trimming, marking, dissection in a tunnel. A 7^th workshop evaluated the ability to perform a complete dissection, in parallel a skill score was determined. A last workshop evaluated the technical skills on a training box.

Results Twenty participants were selected. The average score at the theoretical evaluation was 38.3 (+/- 5.1)/50 before the training and 40.9 (+/- 4.3)/50 after the training (p=0.07). The average score of the pre-training practical assessment was 51.9 (+/- 12.6)/100 compared to 70.4 (+/- 9.1)/100 post-training (p<0.001). There was a significant improvement in the following items: injection, skill score, complete dissection, marking, and traction.

Conclusions The training set up by the SFED allowed a significant improvement of the participants' technical skills in ESD. Evaluation of participants' performance on human cases is ongoing.

Publication History

Article published online:
14 April 2022