<?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>S2341-45452022000600015</article-id>
<article-id pub-id-type="doi">10.1159/000519927</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The Impact of a Structured Virtual Reality Simulation Training Curriculum for Novice Endoscopists]]></article-title>
<article-title xml:lang="pt"><![CDATA[Impacto de um programa de treino estruturado com endoscopia de simulação para iniciados]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Sofia Silva]]></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="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Areia]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[Mário Dinis]]></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="A3"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Braga Department of Gastroenterology ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,University of Minho School of Medicine ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<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>
<aff id="Af4">
<institution><![CDATA[,Portuguese Oncology Institute of Coimbra Department of Gastroenterology ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Portuguese Oncology Institute of Porto Department of Gastroenterology ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Porto Faculty of Medicine CIDES/CINTESIS ]]></institution>
<addr-line><![CDATA[Porto ]]></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>15</fpage>
<lpage>22</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452022000600015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452022000600015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452022000600015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Current evidence supports the use of virtual reality (VR) simulation-based training for novice endoscopists. However, there is still a need for a standardized induction programme which ensures sufficient preparation, with knowledge and basic skills, before their approach to patient-based training. We designed a structured progressive programme in upper endoscopy and colonoscopy and aimed to determine its impact on cognitive and technical performance.  Methods:  Prospective, multicentre study, focused on &#8220;Endoscopy I, 2018,&#8221; a course with a theoretical and a hands-on module (20 h) in the GI Mentor II®. Gastroenterology residents of the 1st year were enrolled. A pre-test and test were applied to evaluate the cognitive component, and a pre-training and post-training esophagogastroduodenoscopy (EGD) and colonoscopy VR cases were used to evaluate the technical component. The hands-on training included psychomotor exercises (Navigation I, Endobubble I), 4 EGD, and 4 colonoscopy VR cases. The metrics applied for technical skills evaluation were time to reach the second portion of duodenum (D2)/cecum (seconds), efficiency of screening (%), and time the patient was in pain (%).  Results:  Twenty-three participants were included, majority female (67%), 26 ± 0.7 years old. Comparing the pre-test versus test, the cognitive score significantly improved (11/15 vs. 14/15; p &lt; 0.001). Considering the technical assessment after training: in EGD, the time to D2 was significantly lower (193 vs. 63 s; p &lt; 0.001), and the efficiency of screening significantly better (64 vs. 91%; p &lt; 0.001); in colonoscopy, the time to reach the cecum was significantly lower (599 vs. 294 s; p = 0.001), the time the patient was in pain was significantly lower (27 vs. 10%; p = 0.005), and the efficiency of screening had a tendency towards improvement (50 vs. 68%; p = 0.062).  Conclusion:  The proposed training curriculum in basic endoscopy for novices is aligned with international recommendations and demonstrated a significant impact on cognitive and technical skills learning achievements.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A evidência científica suporta o uso de simuladores de realidade virtual na fase inicial da formação. Contudo, persiste a necessidade de um programa padronizado, que garanta uma preparação adequada dos formandos, com conhecimento e competências básicas, antes de transitarem para o treino em pacientes. Desenhámos um programa de treino estruturado e progressivo em endoscopia digestiva alta (EDA) e colonoscopia, pretendendo este estudo avaliar o seu impacto no desempenho cognitivo e técnico.  Métodos:  Estudo prospetivo e multicêntrico, focado no programa de treino &#8220;Endoscopia I, 2018.&#8221; Este curso incluiu um módulo teórico e um módulo prático (20 h) no simulador GI Mentor II®. Foram recrutados internos de Gastrenterologia do 1° ano. Realizou-se um pré-teste e um teste para avaliar o componente cognitivo e foram usados casos virtuais selecionados, de EDA e colonoscopia, para avaliar o componente técnico pré e pós-treino. A prática incluiu exercícios psicomotores (Navigation I, Endobubble I), 4 casos virtuais de EDA e 4 de colonoscopia. As métricas aplicadas na avaliação foram o tempo até à segunda porção duodenal (D2)/cego (segundos), a eficiência da inspeção (%) e o tempo que o paciente teve dor (%).  Resultados:  Vinte e três participantes incluídos, a maioria do género feminino (67%), com idade média de 26 ± 0.7 anos. Comparando o pré-teste versus (vs.) teste, o resultado da avaliação cognitiva melhorou (11/15 vs. 14/15; p &lt; 0.001). Relativamente à avaliação técnica após o treino: na EDA, o tempo para alcançar D2 foi significativamente menor (193 vs. 63 s; p &lt; 0.001) e a eficiência da inspeção foi significativamente melhor (64 vs. 91%; p &lt; 0.001); na colonoscopia, o tempo até ao cego foi significativamente menor (599 vs. 294 s; p = 0.001), o tempo em que o paciente teve dor foi significativamente menor (27 vs. 10%; p = 0.005) e a eficiência da inspeção revelou uma tendência de melhoria (50 vs. 68%; p = 0.062).  Conclusão:  O presente programa de treino em endoscopia básica para iniciados está alinhado com as recomendações internacionais e demonstrou um impacto significativo na aquisição de capacidades cognitivas e técnicas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Training]]></kwd>
<kwd lng="en"><![CDATA[Virtual simulator]]></kwd>
<kwd lng="en"><![CDATA[Endoscopy]]></kwd>
<kwd lng="en"><![CDATA[Education]]></kwd>
<kwd lng="en"><![CDATA[Clinical competency]]></kwd>
<kwd lng="pt"><![CDATA[Simulador virtual]]></kwd>
<kwd lng="pt"><![CDATA[Endoscopia]]></kwd>
<kwd lng="pt"><![CDATA[Educação]]></kwd>
<kwd lng="pt"><![CDATA[Competência clínica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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