Expert Endoscopists (>1000 Procedures) Can Generally Assess Their Own Competency Accurately; Those With Less Experience Can’t
Douglas K. Rex, MD, MASGE, reviewing Scaffidi MA, et al. Endoscopy 2022 Sep 26.
This systematic review and meta-analysis identified 13 qualitative studies of the accuracy of GI endoscopist self-assessment and 3 studies for individual patient data meta-analysis. These latter studies allowed a quantitative assessment of self-assessment accuracy and had utilized the Gastrointestinal Endoscopy Competency Assessment Tool (GiECAT). Novice endoscopists had previously completed <50 procedures, intermediate endoscopists 50 to 500 procedures, and expert endoscopists >1000 procedures.
The quantitative analysis was based on the “limits of agreement” between the endoscopist’s self-assessment and an outside assessor. If the self-assessment and observer assessment were within a specified limit of agreement, then self-assessment was considered accurate.
The results showed that both the novice and the intermediate endoscopists did not self-assess accurately and overestimated their performance. The expert endoscopists did assess accurately, with a tendency toward underestimation.
COMMENTThese data suggest that experienced expert endoscopists can utilize tools like the GiECAT to self-assess their competency. Novice and intermediate endoscopists need external assessment.
Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.
CITATION(S)
Scaffidi MA, Li J, Genis S, et al. Accuracy of self-assessment in gastrointestinal endoscopy: a systematic review and meta-analysis. Endoscopy 2022 Sep 26. (Epub ahead of print) (https://doi.org/10.1055/a-1929-1318)
