A155 VIDEO INTERVENTIONS TO IMPROVE SELF-ASSESSMENT ACCURACY IN GASTROINTESTINAL ENDOSCOPY: A SYSTEMATIC REVIEW. (26th February 2020) - Pattni, C
Abstract: Background: Physicians generally have inaccurate self-assessment of their performance. One type of proposed intervention to improve this inaccuracy is the use of video-based feedback. The overall impact of this intervention on self-assessment accuracy in gastrointestinal endoscopy is unclear. Aims: To systematically review current literature to determine if video-based interventions can effectively improve self-assessment accuracy in endoscopy. Methods: We searched the following electronic databases from inception to 2019: Ovid MEDLINE; Ovid EMBASE, the Cochrane Register of Controlled Trials (CENTRAL); Education Resources Information Center (ERIC); Education Source on EBSCO; and Canadian Business Current Affairs EBM Reviews. Specifically, we searched for terms related to self-assessment, self-report, self-efficacy, video recording, and physician. Studies were included if they met the following criteria: physicians at any level of training and/or practice; studies that used an experimental design; compared self-rated assessments with external assessments of procedural skills in endoscopy; and at least one arm of the study involved a video-based intervention. Results: Our search yielded 755 articles, of which 2 met all inclusion criteria. One study explored the use of three feedback interventions (practice only with no video; observation of their own video performance; observation of expert video performance) among general surgery residents performing flexible endoscopy, which found that only participants who watched expert video performances had improved accuracy of self-assessments. The other study investigated the use of three video interventions (video of own performance; video of expert performance; video of both own and expert performances) among novice endoscopists performing esophagoduodenoscopy (EGD), which found that the video of expert performance significantly improved self-assessment accuracy compared to the group with both videos. Conclusions: The current data tentatively support the use of video review of expert performance to improve self-assessment accuracy in gastrointestinal endoscopy. A meta-analysis is planned to quantitatively assess the overall impact. Funding Agencies: None