<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452022000600004</article-id>
<article-id pub-id-type="doi">10.1159/000520237</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Endoscopic Skills Training: The Impact of Virtual Exercises on Simulated Colonoscopy]]></article-title>
<article-title xml:lang="pt"><![CDATA[Treino de competências em endoscopia: o impacto dos exercícios virtuais na colonoscopia de simulação]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morato]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tomé]]></surname>
<given-names><![CDATA[Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dinis-Ribeiro]]></surname>
<given-names><![CDATA[Mário]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rolanda]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A6"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Minho School of Medicine ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar e Universitário de Coimbra Department of Gastroenterology ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Portuguese Oncology Institute of Porto Department of Gastroenterology ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Porto Faculty of Medicine CIDES/CINTESIS - Centro de Investigação em Tecnologias e Serviços de Saúde ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Braga Department of Gastroenterology ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,PT Government Associate Laboratory Life and Health Sciences Research Institute/3B&#8217;s ]]></institution>
<addr-line><![CDATA[Braga/Guimarães ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>29</volume>
<numero>6</numero>
<fpage>4</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452022000600004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452022000600004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452022000600004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  A previous study suggested that psychomotor training improves the performance on colonoscopy. Since then, newer exercises have been included in the latest generation of GI Mentor®. In order to optimize a colonoscopy training program, we aimed to determine the impact of 3 virtual exercises in simulated colonoscopy skills.  Methods:  This was a prospective and randomized study. Nineteen residents completed a pre-training questionnaire and a colonoscopy trial before randomization in a study group (n = 10) that performed three exercises (Endobubble I, Navigation I, and Mucosal Evaluation I) until they achieved expert level, and a control group (n = 9). Both groups performed 10 repetitions of a simulated colonoscopy and were assessed on a final case. Learning curves and skills transfer were assessed by four parameters: mucosal surface examined (%), time to reach the cecum (s), screening efficiency (%), and time the patient was in pain (%). We also evaluated the construct validity for the exercises.  Results:  Construct validity was confirmed for Endobubble I and verified in Navigation I (experts were faster than novices; 5 vs. 7 s, p = 0.040), but not for Mucosal Evaluation I. Analyzing the learning curves and performance in the 10 repetitions, the study group reached the cecum faster (278 vs. 356 s, p = 0.035) and achieved a higher screening efficiency (83% vs. 75%, p = 0.019). Concerning skills transfer, the control group took longer to reach the cecum (241 vs. 292 s, p = 0.021) and the percentage of time the patient was in pain was higher (6% vs. 9%, p = 0.021). General performances of the study group had smaller interquartile variations.  Conclusion:  Psychomotor training has a significant impact on the homogeneous acquisition and assimilation of colonoscopy skills. Endobubble I and Navigation I should be considered in the training programs for novices.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[ Resumo  Introdução:  Um estudo anterior sugeriu que o treino psicomotor melhora o desempenho em colonoscopia. Desde então, outros exercícios virtuais foram incluídos na nova geração do simulador GI Mentor®. De forma a oti mizar o programa de treino em colonoscopia procurou-se determinar o impacto de três exercícios virtuais nas competências de colonoscopia simulada.  Métodos:  Estudo prospetivo e randomizado. Dezanove internos completaram um questionário pré-treino e uma colonoscopia, tendo sido depois randomizados: Grupo de Estudo (n = 10) que realizou três exercícios (Endobubble I, Navigation I, Mucosal Evaluation I) até atingir o nível expert e Grupo Controlo (n = 9). Posteriormente, ambos os grupos realizaram dez repetições de um caso de colonoscopia simulada e um caso de avaliação final. As curvas de aprendizagem e a transferência de competências foram avaliadas com quatro métricas: superfície da mucosa examinada (%), tempo para atingir o cego (s), taxa de eficiência (%) e tempo que o doente teve dor (%). Adicionalmente, avaliou-se a validade do constructo para os novos exercícios.  Resultados:  Foi confirmada a validade do constructo no Endobubble I e verificada no Navigation I (os experts foram mais rápidos do que os formandos; 5 vs. 7 s, p = 0.040), mas não no Mucosal Evaluation I. Analisando as curvas de aprendizagem e o desempenho nas 10 repetições, o Grupo de Estudo atingiu mais rapidamente o cego (278 vs. 356 s, p = 0.035) e apresentou uma taxa de eficiência mais elevada (83% vs. 75%, p = 0.019). Na transferência, o Grupo Controlo demonstrou uma degradação significativa no tempo para atingir o cego (241 vs. 292 s, p = 0.021) e na % de tempo que o doente teve dor (6% vs. 9%, p = 0.021). O desempenho do Grupo de Estudo apresentou uma menor variabilidade interquartil.  Conclusão:  O treino psicomotor teve um impacto significativo na aquisição e assimilação homogénea de competências em colonoscopia. Os exercícios Endobubble I e Navigation I devem ser considerados nos programas de treino em simulador para iniciados.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Colonoscopy]]></kwd>
<kwd lng="en"><![CDATA[Psychomotor skills]]></kwd>
<kwd lng="en"><![CDATA[Training]]></kwd>
<kwd lng="en"><![CDATA[Competency]]></kwd>
<kwd lng="en"><![CDATA[Medical education]]></kwd>
<kwd lng="pt"><![CDATA[Colonoscopia]]></kwd>
<kwd lng="pt"><![CDATA[Aptidões psicomotoras]]></kwd>
<kwd lng="pt"><![CDATA[Treino]]></kwd>
<kwd lng="pt"><![CDATA[Competência]]></kwd>
<kwd lng="pt"><![CDATA[Educação médica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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