Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 14, 2019; 25(10): 1278-1288
Published online Mar 14, 2019. doi: 10.3748/wjg.v25.i10.1278
Published online Mar 14, 2019. doi: 10.3748/wjg.v25.i10.1278
Non-guided self-learning program for high-proficiency optical diagnosis of diminutive and small colorectal lesions: A single-endoscopist pilot study
Marco Bustamante-Balén, Carla Satorres, Noelia Alonso, Marta Ponce, Lidia Argüello, Vicente Pons-Beltrán, Gastrointestinal Endoscopy Research Group, Gastrointestinal Endoscopy Unit, Digestive Diseases Department, La Fe Polytechnic University Hospital, Valencia 46026, Spain
Lorena Puchades, Digestive Diseases Department, La Fe Polytechnic University Hospital, Valencia 46026, Spain
Belén Navarro, Natalia García-Morales, Gastrointestinal Endoscopy Unit, Digestive Diseases Department, La Fe Polytechnic University Hospital, Valencia 46026, Spain
Author contributions: Navarro B, Satorres C and Garcia-Morales N performed the literature research and reviewed the manuscript draft; Puchades L acquired data for analysis and reviewed the manuscript draft; Alonso N, Ponce M, Argüello L and Pons-Beltrán V revised the article for important intellectual content; Bustamante-Balén M conceived of and designed the project, contributed to data analysis, drafted the initial manuscript, and reviewed the different versions of the manuscript.
Institutional review board statement: The study protocol was approved by the Hospital La Fe Institutional Review Board, No. 2014/0074.
Informed consent statement: Informed consent was obtained from each patient.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Marco Bustamante-Balén, MD, PhD, Doctor, Gastrointestinal Endoscopy Research Group, Gastrointestinal Endoscopy Unit, Digestive Diseases Department, La Fe Polytechnic University Hospital, Avda. Fernando Abril Martorell, 106, Valencia 46026, Spain. bustamante_mar@gva.es
Telephone: +34-96-12440225 Fax: +34-96-1246278
Received: December 31, 2018
Peer-review started: January 2, 2019
First decision: January 30, 2019
Revised: February 20, 2019
Accepted: February 22, 2019
Article in press: February 23, 2019
Published online: March 14, 2019
Processing time: 73 Days and 15.1 Hours
Peer-review started: January 2, 2019
First decision: January 30, 2019
Revised: February 20, 2019
Accepted: February 22, 2019
Article in press: February 23, 2019
Published online: March 14, 2019
Processing time: 73 Days and 15.1 Hours
Core Tip
Core tip: The learning process for optical diagnosis (OD) of diminutive colorectal polyps is not standardized, and this may influence the described differences in OD performance between community and academic settings. Our study shows that an individual following a self-designed and self-administered learning program is able to reach the expert level of OD performance completely fulfilling the criteria of Preservation and Incorporation of Valuable Endoscopic Innovations. However, continuous practice is needed to maintain performance and, if a non-practice period is expected, a refresher course is needed to avoid a significant drop in performance parameters.