A134 THE PEDIATRIC ENDOSCOPY POCKET GUIDE – DEVELOPMENT OF A NOVEL “IN-THE-MOMENT” ELECTRONIC RESOURCE FOR PEDIATRIC ENDOSCOPY
Bibliographic record
Abstract
Abstract Background Endoscopy is vital to pediatric gastroenterology. Performing endoscopic procedures safely, effectively and with age-specific considerations requires integration of technical and cognitive competencies. There are many guidelines for endoscopic diagnosis, classification, and management of pediatric gastrointestinal conditions. To date, there are few collated resources for pediatric endoscopists. Subspecialty trainee feedback at McMaster University identified the need for an accessible, consolidated resource to improve knowledge and competence. The literature shows a lack of exposure in subspeciality training to uncommon yet high acuity procedures such as gastrointestinal bleeding. In an apprenticeship-based learning model, this poses a challenge for both trainees and trainers. Evidence suggests use of multimedia tools is more effective for learning procedural skills than text alone, which guided the creation of this resource. Purpose To develop an “in-the-moment” electronic resource to supplement training of pediatric endoscopic procedures. Method A subspeciality trainee and two pediatric gastroenterologists with expertise in medical education and program development identified existing knowledge gaps. An electronic pocket guide with links to relevant guidelines and instructional resources was developed. The guide underwent six rounds of revision to ensure it contained relevant and updated guidelines. A copyright and e-learning expert reviewed the content to certify it complied with copyright laws and McMaster University’s accessibility guidelines. The guide will be uploaded to Pressbooks © which allows for export to multiple formats for distribution. Result(s) Based on knowledge gaps identified by local experts, the following six domains were incorporated into the pocket guide: 1. Logistics: safety procedures, colonoscopy preparation regimens, equipment specifications, considerations for urgent endoscopy and reporting guidelines 2. Troubleshooting: patient positioning, loop recognition/management strategies 3. Special tests: method of collection, collection media and lab protocols 4. Scoring systems: validated scoring tools for eosinophilic esophagitis, Barrett’s esophagus, esophageal varices, caustic esophageal injury, bleeding ulcers, and inflammatory bowel disease 5. Endoscopic emergencies: guidelines for esophageal burns, foreign body ingestions and upper gastrointestinal bleeds 6. Endoscopic tools: instructions for tools used in the categories of hemostasis, polypectomy, foreign body removal, esophageal varices, and strictures Conclusion(s) This novel teaching tool provides an electronic guide that can be used at all levels of pediatric gastroenterology training to gain familiarity and/or rapidly access resources for complex or infrequently encountered endoscopy techniques. Future studies will aim to evaluate the pocket guide from two aspects – ease of use/accessibility and whether implementation of this guide leads to increased competence with various endoscopic tools and techniques. Please acknowledge all funding agencies by checking the applicable boxes below None Disclosure of Interest None Declared
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.053 | 0.020 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".