RTI uses cookies to offer you the best experience online. By clicking “accept” on this website, you opt in and you agree to the use of cookies. If you would like to know more about how RTI uses cookies and how to manage them please view our Privacy Policy here. You can “opt out” or change your mind by visiting: http://optout.aboutads.info/. Click “accept” to agree.
Trainee participation is associated with increased small adenoma detection
Buchner, A. M., Shahid, M. W., Heckman, M. G., Diehl, N. N., McNeil, R. B., Cleveland, P., Gill, K. R., Schore, A., Ghabril, M., Raimondo, M., Gross, S. A., & Wallace, M. B. (2011). Trainee participation is associated with increased small adenoma detection. Gastrointestinal Endoscopy, 73(6), 1223-1231. https://doi.org/10.1016/j.gie.2011.01.060
Background: Previous studies examining the effect of fellow participation on adenoma detection rate in colonoscopy have yielded conflicting results, and factors such as adenoma size and location have not been rigorously evaluated. Objective: To examine whether fellow participation during screening, surveillance, or diagnostic colonoscopy affects overall, size-specific, or location-specific adenoma or polyp detection rate. Methods: This was a retrospective study of 2430 colonoscopies performed in our ambulatory surgical center between September 2006 and December 2007, comparing adenoma and polyp detection rates of colonoscopies performed by fellows with supervising staff endoscopists (n = 318) with colonoscopies performed by staff endoscopists without fellow participation (n = 2112). Study participants included patients who underwent screening, surveillance, or diagnostic colonoscopies in our GI suite. Logistic regression analysis was used to evaluate the association of fellow participation with adenoma and polyp detection. Results: There was evidence of a higher rate of small (