Optimizing Endoscopic Training: A Comparative Study of Short vs. Long Practice Session.
13 affiliations
- 1Division of Gastroenterology, Department of Medicine, Faculty of MedicineChulalongkorn UniversityBangkokBangkokThailand.
- 2Division of Academic Services and International Education, Faculty of MedicineChulalongkorn UniversityBangkokBangkokThailand.
- 3Siriraj GI Endoscopy Center, Faculty of Medicine Siriraj HospitalMahidol UniversityBangkokThailand.
- 4Gastroenterology and Hepatology Unit, Division of Internal Medicine, Faculty of MedicinePrince of Songkla UniversityThailandSongkhlaThailand.
- 5Division of Gastroenterology and HepatologyKhon Kaen University Faculty of MedicineKhon KaenKhon KaenThailand.
- 6Division of Gastroenterology, Department of Internal MedicineRajavithi HospitalBangkokThailand.
- 7Division of Gastroenterology, Department of Internal MedicineChiang Mai University Faculty of MedicineChiang MaiChiang MaiThailand.
- 8Division of Gastroenterology and HepatologyMahidol University Faculty of Medicine Ramathibodi HospitalBangkokBangkokThailand.
- 9Division of Gastroenterology and Hepatology, Department of Internal MedicineBhumibol Adulyadej HospitalBangkokRoyal Thai Air ForceThailand.
- 10Division of Gastroenterology, Department of Medicine, Vajira hospitalNavamindradhiraj UniversityBangkokThailand.
- 11Center of Excellence in Digestive Diseases and Gastroenterology UnitDepartment of MedicineThammasat UniversityPathum-ThaniThailand.
- 12Division of Gastroenterology and HepatologyDepartment of Internal MedicinePramongkutklao HospitalBangkokBangkokThailand.
- 13Division of GastroenterologyDepartment of Medicine, Faculty of Medicine Siriraj HospitalMahidol UniversityBangkokThailand.
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.
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BibTeX
@article{decharatanachart2026optimizing,
title = {{Optimizing Endoscopic Training: A Comparative Study of Short vs. Long Practice Session.}},
author = {Pakanat Decharatanachart and Parit Mekaroonkamol and Onuma Sattayalertyanyong and Tanawat Pattarapuntakul and Tanita Suttichaimongkol and Tanyaporn Chantarojanasiri and Nithi Thinrungroj and Sarita Ratana-Amornpin and Ratchanok Suppawat and Nalerdon Chalermsuksant and Navapan Issariyakulkarn and Kittithat Tantitanawat and Sawangpong Jandee and Supot Nimanong and Rapat Pittayanon},
journal = {Endoscopy international open},
year = {2026},
month = oct,
doi = {10.1055/a-2963-2905},
url = {https://europepmc.org/article/MED/42898900},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Optimizing Endoscopic Training: A Comparative Study of Short vs. Long Practice Session.
AU - Pakanat Decharatanachart
AU - Parit Mekaroonkamol
AU - Onuma Sattayalertyanyong
AU - Tanawat Pattarapuntakul
AU - Tanita Suttichaimongkol
AU - Tanyaporn Chantarojanasiri
AU - Nithi Thinrungroj
AU - Sarita Ratana-Amornpin
AU - Ratchanok Suppawat
AU - Nalerdon Chalermsuksant
AU - Navapan Issariyakulkarn
AU - Kittithat Tantitanawat
AU - Sawangpong Jandee
AU - Supot Nimanong
AU - Rapat Pittayanon
PY - 2026
DA - 2026/10/15
JO - Endoscopy international open
DO - 10.1055/a-2963-2905
UR - https://europepmc.org/article/MED/42898900
AB - 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.
SN - 2364-3722
SN - 2196-9736
ER -