Trainees Often Look at Polyps and Don’t Recognize Them
Douglas K. Rex, MD, MASGE, reviewing Ahmad OF, et al. J Gastroenterol Hepatol 2023 Jan 18.
This study used eye tracking of 7 endoscopy trainees to determine whether missed polyps had not been seen versus seen but not recognized.
Trainees identified 49% of polyps. Of the instances in which polyps were not identified, 66% were designated as a “cognitive” failure, meaning the trainee looked directly at the polyp but did not recognize or diagnose the polyp, versus 34% characterized as a “gaze error” due to failure to see the polyp.
COMMENTThis result matches my experience watching fellows perform colonoscopy and suggests fellows need to look at numerous polyp pictures and videos to improve recognition. Artificial intelligence might be particularly helpful to fellows.
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)
Ahmad OF, Mazomenos E, Chadebecq F, et al. Identifying key mechanisms leading to visual recognition errors for missed colorectal polyps using eye-tracking technology. J Gastroenterol Hepatol 2023 Jan 18. (Epub ahead of print) (https://doi.org/10.1111/jgh.16127)
