{
  "abstract": "Introduction Esophagogastroduodenoscopy (EGD) requires effective training to ensure technical proficiency. Tip-control simulation models are widely used for trainees; however, the optimal training schedule and standardized quality assessment methods remain unclear. This study aimed at determining the optimal training schedule for tip-control training and at piloting a structured assessment tool for performance evaluation. Methods In all, 73 first-year gastroenterology fellows, including the classes of 2024 and 2025, were included. In 2024, trainees self-selected training schedules, retrospectively categorized as short (15-30 min) or long (>30-60 min) sessions. Based on 2024 results, all trainees in the 2025 validation cohort followed a standardized short-session schedule (15 min, four times per week). Tip-control performance was assessed at weeks 2 and 4 using a structured assessment form and task completion time. Competency was defined as completion time <60 s with satisfactory performance across all domains. Results In 2024, the long-session group demonstrated higher scores at week 2 (2.7 ± 0.5 vs. 2.3 ± 0.3, p = 0.04). By week 4, the short-session group achieved significantly higher scores (3.6 ± 0.5 vs. 2.7 ± 0.5, p < 0.001) and greater improvement ( p < 0.001), supporting selection of short-session training for validation. In 2025, trainees using short sessions demonstrated greater improvement ( p = 0.01) and a trend toward higher week-4 scores ( p = 0.05), despite less total training time. All trainees achieved competency by week 4. Conclusions Short, frequent training sessions improve tip-control skills more effectively and efficiently than longer sessions, supporting distributed practice in endoscopy training.",
  "abstract_shown": true,
  "affiliations": [
    "Division of Gastroenterology, Department of Medicine, Faculty of MedicineChulalongkorn UniversityBangkokBangkokThailand.",
    "Division of Academic Services and International Education, Faculty of MedicineChulalongkorn UniversityBangkokBangkokThailand.",
    "Siriraj GI Endoscopy Center, Faculty of Medicine Siriraj HospitalMahidol UniversityBangkokThailand.",
    "Gastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of MedicinePrince of Songkla UniversityThailandSongkhlaThailand.",
    "Division of Gastroenterology and HepatologyKhon Kaen University Faculty of MedicineKhon KaenKhon KaenThailand.",
    "Division of Gastroenterology, Department of Internal MedicineRajavithi HospitalBangkokThailand.",
    "Division of Gastroenterology, Department of Internal MedicineChiang Mai University Faculty of MedicineChiang MaiChiang MaiThailand.",
    "Division of Gastroenterology and HepatologyMahidol University Faculty of Medicine Ramathibodi HospitalBangkokBangkokThailand.",
    "Division of Gastroenterology and Hepatology, Department of Internal MedicineBhumibol Adulyadej HospitalBangkokRoyal Thai Air ForceThailand.",
    "Division of Gastroenterology, Department of Medicine, Vajira hospitalNavamindradhiraj UniversityBangkokThailand.",
    "Center of Excellence in Digestive Diseases and Gastroenterology UnitDepartment of MedicineThammasat UniversityPathum-ThaniThailand.",
    "Division of Gastroenterology and HepatologyDepartment of Internal MedicinePramongkutklao HospitalBangkokBangkokThailand.",
    "Division of GastroenterologyDepartment of Medicine, Faculty of Medicine Siriraj HospitalMahidol UniversityBangkokThailand."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 15,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Pakanat Decharatanachart",
      "orcid": "0000-0002-8460-9563"
    },
    {
      "affs": [
        0
      ],
      "name": "Parit Mekaroonkamol"
    },
    {
      "affs": [
        2
      ],
      "name": "Onuma Sattayalertyanyong"
    },
    {
      "affs": [
        3
      ],
      "name": "Tanawat Pattarapuntakul"
    },
    {
      "affs": [
        4
      ],
      "name": "Tanita Suttichaimongkol"
    },
    {
      "affs": [
        5
      ],
      "name": "Tanyaporn Chantarojanasiri",
      "orcid": "0000-0001-5781-8696"
    },
    {
      "affs": [
        6
      ],
      "name": "Nithi Thinrungroj",
      "orcid": "0000-0001-7355-2680"
    },
    {
      "affs": [
        7
      ],
      "name": "Sarita Ratana-Amornpin"
    },
    {
      "affs": [
        8
      ],
      "name": "Ratchanok Suppawat"
    },
    {
      "affs": [
        9
      ],
      "name": "Nalerdon Chalermsuksant"
    },
    {
      "affs": [
        10
      ],
      "name": "Navapan Issariyakulkarn"
    },
    {
      "affs": [
        11
      ],
      "name": "Kittithat Tantitanawat",
      "orcid": "0000-0001-5405-2461"
    },
    {
      "affs": [
        3
      ],
      "name": "Sawangpong Jandee"
    },
    {
      "affs": [
        12
      ],
      "name": "Supot Nimanong"
    },
    {
      "affs": [
        0
      ],
      "name": "Rapat Pittayanon",
      "orcid": "0000-0001-6407-5245"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/115nnkyk5dxm8.bib",
  "cited_by": 0,
  "doi": "10.1055/a-2963-2905",
  "fulltext_url": "https://europepmc.org/articles/PMC13679637",
  "id": "115nnkyk5dxm8",
  "issns": [
    "2364-3722",
    "2196-9736"
  ],
  "landing_url": "https://europepmc.org/article/MED/42898900",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Surgical Simulation and Training"
    ]
  ],
  "openalex": "W7213607630",
  "pdf_url": "https://europepmc.org/articles/PMC13679637?pdf=render",
  "pmcid": "PMC13679637",
  "pmid": "42898900",
  "published": "2026-10-15",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/115nnkyk5dxm8.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:33Z",
      "native_id": "MED:42898900",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42898900"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Surgical Simulation and Training",
      "subfield": "surgery"
    }
  ],
  "title": "Optimizing Endoscopic Training: A Comparative Study of Short vs. Long Practice Session.",
  "title_text": "Optimizing Endoscopic Training: A Comparative Study of Short vs. Long Practice Session.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:33Z",
  "url": "https://research.draconitic.com/paper/115nnkyk5dxm8",
  "venue": "Endoscopy international open",
  "versions": []
}