Outcomes in Simulated Endoscopy Training

This will be a randomized controlled trial in which eligible participants will be members of
the general surgery residency and adult gastroenterology fellowship. Investigators will ask
all consenting participants to fill out a baseline set of demographic information including
their year of training, the approximate number of colonoscopies to date, specialty, age, sex
and dominant-handedness. Additional questions to be asked will inquire about the
participant's experience in regard to the unassisted and supervision/coached colonoscopy
module experience. Participation in this activity is completely voluntary, and the
participating trainee is under no obligation to complete or finish the simulation or
subsequent surveys The participant will be randomized to one of two groups. A computer
program will make this random assignment. Neither the participant nor their physician coach
will be able to choose which group they will be in. Participants will either first partake in
an unassisted colonoscopy module twice (case one and case two) and then transition to a
supervised/coached colonoscopy module session twice (case three and case four). The
alternative is in which the participant first partakes in a supervised/coached colonoscopy
module session twice (case one and case two) and then transitions to performing an unassisted
colonoscopy module twice (case three and case four). A questionnaire examining training
experience will be administered after case # 4 in both groups. This survey will take
approximately 5 minutes to complete. Other objective measures will be assessed by supervising
faculty and other metrics acquired through the simulator software. Individuals' survey
responses will be used to see if early supervision improves trainee satisfaction and
perceptions on survey scores. Participants will attend one individual training session date
that will satisfy the designed simulation experience. The trainee can stop participating in
this study at any time and participation in the study is voluntary and trainees may choose
not to participate. It is important to note that refusal to participate will not affect a
learner's access to the training center and will not affect their standing in their
respective training program. The results will not be included in their official training
record. Note no prior procedural or technical knowledge is required. Enrollment will continue
for the 2018-2019 academic year and possibly academic years thereafter.

Inclusion Criteria:

- Consenting trainees of adult and pediatric gastroenterology fellowships and general
surgery residencies at the University of Oklahoma Health Sciences Center.

Exclusion Criteria:

- Unwilling to consent.