Anne Kaufman, Tiranun Rungvivatjarus, Heather Pierce, Amy Chong, Cynthia L Kuelbs
Improving Sexual History Documentation in Teenagers
Hospital pediatrics
data teach endosonographers needlebased confocal laser endomicroscopy ncleguided histologic diagnosis pancreatic cystic lesions pcls limited hence developed tested structured educational program train earlycareer endosonographers ncleguided diagnosis pcls twentyone earlycareer nclenave endosonographers watched teaching module outlining ncle criteria diagnosing pcls participants reviewed 80 highyield ncle videos recorded diagnoses received expert feedback phase 1 observers randomized refresher feedback session selflearning 4 weeks eight weeks training participants independently assessed 80 ncle videos without feedback provided histologic predictions phase 2 diagnostic performance ncle differentiate mucinous versus nonmucinous pcls diagnose specific subtypes analyzed using histopathology criterion standard learning curves determined using cumulative sum analysis accuracy diagnostic confidence differentiating mucinous versus nonmucinous pcls improved endosonographers progressed ncle videos phase 1 p 001 similar trends observed diagnosis pcl subtypes participants achieved competency interpreting ncle requiring median 38 assessments range 967 phase 2 participants independently differentiated pcls high accuracy 89 high confidence 83 substantial interobserver agreement 63 accuracy ncleguided pcl subtype diagnoses ranged 82 96 learned ncle skills deteriorate 8 weeks impacted refresher session developed practical effective durable educational intervention train earlycareer endosonographers ncleguided diagnosis pcls