GIE Associate Editor, Dr. James Buxbaum, highlights this article from the December issue “Impact of fellow participation on colon adenoma detection rates” by Antonio Facciorusso, MD, PhD, et al. 

While the need to train endoscopists mandates fellow participation in colonoscopy, there has been a bias that procedures performed only by attending physicians may have greater value than those which integrate trainees. This study dispels this belief.

In this large randomized controlled trial, Facciorusso and colleagues demonstrate that the integration of fellows into colonoscopy procedures significantly improved the adenoma detection rate and number of adenomas detected per procedure. This effect was even more pronounced for senior fellows. 

Involvement of a fellow improves key colonscopy metrics including ADR and number of adenomas detected per procedure.

Read the article abstract here.

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