• Users Online:279
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2022  |  Volume : 11  |  Issue : 2  |  Page : 112-121

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level

1 IHU Strasbourg – The Institute of Image-Guided Surgery, Strasbourg, France
2 Gastrointestinal Endoscopy Unit, Humanitas, Mater Domini – Castellanza (VA) and Humanitas University, Italy
3 Department of hepato-gastroenterology, CHU Saint-Pierre, ULB, Brussels, Belgium
4 Department of Hepato-Gastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium
5 Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador
6 Humanitas Clinical and Research Center – IRCCS -, via Manzoni, Rozzano (Mi), Italy
7 Indiana University School of Medicine, Indiana, USA
8 Copenhagen University Hospital, Herlev and Gentofte Hospital, Denmark
9 University Hospital (CHU) of Besançon, France
10 Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
11 John Hopkins University, Baltimore, Maryland, USA

Correspondence Address:
Leonardo Sosa-Valencia
IHU - Institute of Image-Guided Surgery. 1 Place de l'Hôpital 67000, Strasbourg
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/EUS-D-21-00124

Rights and Permissions

Background and Objectives: EUS has evolved into a therapeutic modality for gastrointestinal disorders. Simulators, ex vivo models, and phantoms are the current teaching methods for therapeutic EUS (TEUS). We create and evaluate a high-fidelity simulated live animal model (HiFi SAM) for teaching endoscopists TEUS. Materials and Methods: Designing a curriculum that uses HiFi SAM and enables trainees to perform realistic procedures with expert mentors. Results: Twenty-seven trainees participated in a 3-day program with 6 h of theoretical and 14 h of hands using life HiFi SAM. Eighteen experts participated. Twenty-two (20–25) TEUS were defined for each HiFi SAM, and 616 were performed in all. Of 616/264 (43%) were evaluated with a mean of 88 per course (ranging between 80 and 95). Ninety-one percent (240/264) of the procedures were completed successfully. In 24, success was not achieved due to technical and/or model problems. Student rating of HiFi SAM was: 71% excellent rating (scale 8–10) and 95% excellent/good. The HiFi SAM procedure evaluation was (scale 1–5): fine-needle biopsy: 4.79, radiofrequency: 4.76, common bile duct and gallbladder drainage: 4.75, cystic drainages: 4.72, neurolysis: 4.55, microbiopsy: 4.50, and hepatogastric drainage: 4.04, with an overall satisfaction rate of 4.56 (91%). A short survey showed: 83% would recommend absolutely (17% most likely), 33% think that ITEC training was sufficient for their practice, and 66% would like additional training, especially more practice in specific techniques rather than more clinical case discussion. Regarding impact on their practice, 66% of the trainees started a new procedure and/or noted improvement in previous ones. Conclusion: HiFi SAM is a complex model; however, experts and trainees are satisfied with the training this new curriculum provided.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded133    
    Comments [Add]    

Recommend this journal