Revalidation and driving tests - PowerPoint PPT Presentation

Loading...

PPT – Revalidation and driving tests PowerPoint presentation | free to download - id: 82cf1-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Revalidation and driving tests

Description:

British Society of Gastroenterology 'National Colonoscopy Audit' 9223 colonoscopies, 3 regions ... More cost effective than the current breast and cervical ... – PowerPoint PPT presentation

Number of Views:18
Avg rating:3.0/5.0
Slides: 20
Provided by: johna229
Learn more at: http://www.glosendotraining.nhs.uk
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Revalidation and driving tests


1
Revalidation and driving tests
  • Dr John Anderson
  • Director
  • Gloucestershire Regional
  • Endoscopy Training Centre

2
British Society of Gastroenterology National
Colonoscopy Audit
  • 9223 colonoscopies, 3 regions
  • Total colonoscopy rate 77 (57)
  • Perforation rate (1769)
  • 6 deaths (11537)
  • Adequate supervision of trainees 20
  • 17 reported supervised training for first 100
    cases

n 9223, Bowles et al Gut 2004
3
Bowel cancer screening (BCS)
4
Positive Predictive Value

Carcinoma 10.9 (n552)

More cost effective than the current breast and
cervical screening programmes
Adenoma 35.0
No Neoplasia 54.1
5
But we dont wish to attract these kind of
headlines
6
Assessment
  • Measure of a referenced competence
  • Components
  • Knowledge
  • Skills
  • Attitude

Assessment tools assess different components
7
Criteria for Assessment
  • Validity
  • does it measure what it purports to measure
  • eg completion rates with no accuracy or safety
    data ?
  • Reliability
  • does it give reproducible results on different
    dates with different observers

8
Assessment methods
Performance data, multi-source feedback
does
shows how
OSCE
knows how
grey case
knows
MCQ
Miller 1990
9
Assessment and performance
  • Performance
  • Longitudinal measure of competence
  • Extends beyond competence
  • Auditable
  • Indicative excellence
  • Assessment
  • Benchmarking
  • Summative
  • Standards
  • Measure of competence

10
Pre-assessment data
  • Trainees
  • Commitment to endoscopy training
  • JAG courses
  • Test of core knowledge
  • Attendance record of observed cases
  • Independent practice
  • Completion rates
  • Adenoma detection rate
  • Lifetime perforation rate
  • Sedation use
  • Complications

11
Development of Assessment Tools Colonoscopy
Training Courses
Knowledge
MCQ
Simulator
Insertion Technique (tri-split video)
Hand Skills
Extubation technique
Polypectomy technique
Global assessment DOPS'
Attitudes and Behaviour
360 assessment
Patient satisfaction
12
(No Transcript)
13
(No Transcript)
14
assessment
15
Tri-split Video Assessment colonoscopic Technique
  • Excellent feedback tool
  • Recordable
  • Highlights specific learning/assessment points
  • Potential use for summative assessment

16
Extended DOPS
  • Attitudes and Behaviour
  • 1. Approach to staff/patients, consent, sedation
  • Skills
  • 2. Technique scope handling
  • 3. Loop control and understanding
  • 4. Caecal ID, TI intubation
  • 5. Withdrawal examination
  • 6. Basic polypectomy

17
Quality Assurance
Maintenance of minimum standards Constantly
striving for excellence
18
Current status
  • Departmental
  • Nothing
  • Individual or departmental audit
  • Performance indicators monitored through (GRS)
  • Bowel Cancer Screening
  • Entry level criteria of performance indicators
  • MCQ knowledge assessment
  • Video recorded modified DOPs

19
Quality of endoscopic procedures
Trainees competencies
Future continuous assessment of quality
indicators
Established revalidation
About PowerShow.com