Post written by Takeshi Kanno, MD, PhD, from the Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, and the R & D Division of Career Education for Medical Professionals, Medical Education Center, Jichi Medical University, Shimotsuke, Japan.

The focus of our study was to determine the potential benefits of simulator-based training (SBT) in improving the skills and confidence of pediatric endoscopy learners. We aimed to address the underlying concerns and anxieties of these learners by comparing their responses with those of GI residents and junior residents.

These hands-on seminar sessions were integrated into an existing program of the Japanese Society for Pediatric Gastroenterology, Hepatology, and Nutrition, with our hemostasis simulator booth as a new addition. Our newly developed endoscopic hemostasis simulator, Medical Rising STAR-Ulcer type (Denka Company Limited, Tokyo, Japan), includes hemostatic clip and electrocautery models, and we used the hemostatic clip model for these sessions.

We felt it was important to conduct this study because endoscopic hemostasis is often performed in emergency situations, making it particularly challenging for pediatric endoscopists who may not have extensive experience with the procedure. By incorporating our hemostasis simulator into an established hands-on seminar program, we aimed to provide a controlled and safe environment for training, thereby enhancing the skills and confidence of pediatric endoscopists. This approach addresses a critical gap in pediatric endoscopic training and offers a cutting-edge solution to strengthen practical skills in a high-stakes area of medical practice.

Our study showed that pediatric endoscopists had significantly less confidence in performing endoscopic hemostasis independently than adult GI residents and even junior residents. Pediatric endoscopists expressed strong interest in repeated SBT sessions, indicating high expectations for this training method to boost their skills and confidence.

Implementing a comprehensive SBT program that includes knowledge, technical skills, and formative evaluation can effectively advance the technical proficiency and professionalism of pediatric endoscopists. Future research should focus on long-term evaluation of SBT programs, ultimately leading to better preparedness in emergency situations.

The strong interest in repeated SBT sessions underscores the need for continuous education and skill development for pediatric endoscopists. Integrating SBT into standard programs can refine pediatric endoscopic care by enhancing technical skills and understanding of emergent conditions and decision-making for surgical or interventional radiology referral.

Future research should focus on the long-term benefits of SBT and integration of advanced simulation technologies to further enrich training. This approach will better prepare pediatric endoscopists for emergencies and improve patient outcomes.

Overview of the simulator model and essential tips for endoscopic hemostasis with hemostatic clips.

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