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BACKGROUND: Experts can accurately characterize the histology of diminutive polyps with narrow-band imaging (NBI). There are limited data on the performance of non-experts. OBJECTIVE: To assess the impact of a computer-based teaching module on the accuracy of predicting polyp histology with NBI by non-experts (in academics and community practice) by using video clips. DESIGN: Prospective, observational study. SETTING: Academic and community practice. PARTICIPANTS: A total of 15 gastroenterologists participated-5 experts in NBI, 5 non-experts in academic practice, and 5 non-experts in community practice. INTERVENTION: Participants reviewed a 20-minute, computer-based teaching module outlining the different NBI features for hyperplastic and adenomatous polyps. MAIN OUTCOME MEASUREMENTS: Performance characteristics in characterizing the histology of diminutive polyps with NBI by using short video clips before (pretest) and after (posttest) reviewing the teaching module. RESULTS: Non-experts in academic practice showed a significant improvement in the sensitivity (54% vs 79%; P < .001), accuracy (64% vs 81%; P < .001), and proportion of high-confidence diagnoses (49% vs 69%; P < .001) in the posttest. Non-experts in community practice had significantly higher sensitivity (58% vs 75%; P = .004), specificity (76% vs 90%; P = .04), accuracy (64% vs 81%; P < .001), and proportion of high-confidence diagnoses (49% vs 72%; P < .001) in the posttest. Performance of experts in NBI was significantly better than non-experts in both academic and community practice. LIMITATIONS: Selection bias in selecting good quality videos. Performance not assessed during live colonoscopy. CONCLUSION: Academic and community gastroenterologists without prior experience in NBI can achieve significant improvements in characterizing diminutive polyp histology after a brief computer-based training. The durability of these results and applicability in everyday practice are uncertain.

Original publication

DOI

10.1016/j.gie.2013.07.032

Type

Journal article

Journal

Gastrointest Endosc

Publication Date

03/2014

Volume

79

Pages

390 - 398

Keywords

Academic Medical Centers, Clinical Competence, Colonic Polyps, Community Health Centers, Computer-Assisted Instruction, Education, Medical, Continuing, Gastroenterology, Humans, Narrow Band Imaging, Professional Practice Location, Prospective Studies, Sensitivity and Specificity