Open Access
CC BY 4.0 · Endosc Int Open 2025; 13: a25667255
DOI: 10.1055/a-2566-7255
Original article

Effect of gastroenterology resident use of a social network workgroup on skills in characterizing colorectal neoplasia: Prospective study

1   Gastroenterology, Groupement Hospitalier Edouard Herriot, Lyon, France (Ringgold ID: RIN36609)
,
Jérôme Rivory
2   Gastroenterology, Edouard Herriot Hospital, Lyon, France
,
3   Gastroenterology and Hepatology, University Hospitals Strasbourg, Strasbourg, France (Ringgold ID: RIN36604)
,
Olivier Gronier
4   67000, Clinique Sainte Barbe, Strasbourg, French Polynesia
,
Sébastien Couraud
5   Service de Pneumologie Aigue et Cancérologie Thoracique, Centre Hospitalier Lyon-Sud, Pierre-Benite, France (Ringgold ID: RIN55063)
,
Thimothee Wallenhorst
6   Department of Endoscopy and Gastroenterology, University Hospital Centre Rennes, Rennes, France (Ringgold ID: RIN36684)
,
Jérémie Albouys
7   Hepato-Gastro-Entérologie, Hopital Dupuytren, Limoges, France (Ringgold ID: RIN37925)
,
Romain Legros
8   Service d'Hépato-Gastro-Entérologie, CHU Dupuytren, Limoges, France
,
Denis Sautereau
9   Hépato-Gastroentérologie, Hopital Dupuytren, Limoges, France (Ringgold ID: RIN37925)
,
Stanislas Chaussade
10   Gastroenterology, Cochin Hospital, Paris, France
,
Thierry Ponchon
11   Hepatogastroenterology, Edouard Herriot, LYON, France
,
Fabien Subtil
12   Biostatistiques, Centre Hospitalier Universitaire de Lyon, Villeurbanne, France (Ringgold ID: RIN26900)
,
Jeremie Jacques
13   Service d'Hépato-Gastro-Entérologie, CHU Dupuytren Limoges, Limoges, France
,
Mathieu Pioche
2   Gastroenterology, Edouard Herriot Hospital, Lyon, France
› Author Affiliations
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Abstract

Background and study aims

Accurate endoscopic characterization of colorectal lesions is essential for predicting histology but remains difficult. We studied the impact of a social network workgroup on level of characterization of colorectal lesions by gastroenterology residents.

Methods

We prospectively involved residents who characterized 25 and 40 colorectal lesions in two different questionnaires over 1 year. Three groups were considered: regulars who were already part of the workgroup before the first evaluation, newcomers who joined in during evaluation, and reluctant who did not. Participants rated each lesion according to the CONECCT classification (hyperplastic polyp [IH], sessile serrated lesion [IS], adenoma [IIA], high-risk adenoma or superficial adenocarcinoma [IIC], borderline invasive adenocarcinoma [IIC+], or deeply invasive adenocarcinoma [III]) and their progression score over 1 year was assessed. Correct histological status was defined by pathology reports or combined criteria between histology and expert opinion for high-risk adenoma or adenocarcinoma.

Results

Of the 117 participants, 82.9% completed the two questionnaires, with 16.5% regulars, 71.1% newcomers, and 12.4% reluctant. For similar starting levels, progression in characterization was +2 (95% confidence interval [CI] 1–3; P <0.001) for newcomers and +2 (95% CI –0.5–4); P = 0.122) for reluctant. The regulars had a higher starting level with a +0.5 (95% CI –2 to 2; P = 0.691) progression score.

Conclusions

Gastroenterology resident 1-year use of a social network workgroup does not improve their skills in characterizing colorectal neoplasia. Further intensive training is needed to improve the characterization level of gastroenterology residents.

Supplementary Material



Publication History

Received: 18 May 2024

Accepted after revision: 24 March 2025

Accepted Manuscript online:
25 March 2025

Article published online:
15 April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Bibliographical Record
Pierre Lafeuille, Jérôme Rivory, Lucile Héroin, Olivier Gronier, Sébastien Couraud, Thimothee Wallenhorst, Jérémie Albouys, Romain Legros, Denis Sautereau, Stanislas Chaussade, Thierry Ponchon, Fabien Subtil, Jeremie Jacques, Mathieu Pioche. Effect of gastroenterology resident use of a social network workgroup on skills in characterizing colorectal neoplasia: Prospective study. Endosc Int Open 2025; 13: a25667255.
DOI: 10.1055/a-2566-7255
 
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