E-Posters-10036

10036_Nihira
Pdf Summary
This pilot study aimed to determine if a standardized training process that included recorded lectures and simulated practice could effectively train pelvic floor providers to perform anorectal manometry (ARM) on a standardized patient (SP). Five providers were recruited for the training, including a surgeon, two fellows, a physical therapist, and a gastroenterologist. All providers successfully performed ARM on a SP after the training. Following the training, providers rated the effectiveness of the training process using Visual Analog Scales (VAS). The mean VAS scores indicated a high level of confidence and perceived performance in the providers' ability to perform ARM independently. Physicians' mean VAS scores were even higher, indicating their high degree of confidence in their ability to perform ARM. All four physician providers were assessed as requiring minimal assistance during ARM performance on the SP.<br /><br />The methods of training involved using the Mcompass® ARM device, which guides operators through the ARM process. Providers watched instructional videos and practiced on a mannequin before performing ARM on a standardized patient. After the ARM procedure, providers anonymously completed instruments to assess their perceptions of the training experience and their ability to perform each subcomponent of ARM. A manufacturer's representative also commented on the level of supervision required for the providers to complete ARM.<br /><br />The study concluded that the brief standardized training curriculum, which included didactics and simulated practice, successfully trained the diverse group of pelvic floor providers to use the ARM device. Providers perceived the training to be efficient and helpful in preparing them to perform ARM independently.<br /><br />The study used the Medspira Mcompass® ARM system, which includes a touch-screen display, a Bluetooth-enabled pressure-transducer, and disposable catheters. The training also involved using the Miyazaki Model for simulation training, which represents the external genitalia, anus, and rectum of a patient.
Keywords
pilot study
standardized training
anorectal manometry
training effectiveness
physicians
Mcompass ARM device
training experience
simulation training
external genitalia
rectum