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DOI: 10.1055/a-2566-7255
Effect of gastroenterology resident use of a social network workgroup on skills in characterizing colorectal neoplasia: Prospective study

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.
Keywords
Endoscopy Lower GI Tract - Polyps / adenomas / ... - Colorectal cancer - Diagnosis and imaging (inc chromoendoscopy, NBI, iSCAN, FICE, CLE...) - Quality and logistical aspects - TrainingPublication 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
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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