Endoscopy 2019; 51(04): S73-S74
DOI: 10.1055/s-0039-1681386
ESGE Days 2019 oral presentations
Friday, April 5, 2019 17:00 – 18:30: Education Club C
Georg Thieme Verlag KG Stuttgart · New York

IMPLEMENTATION OF A DIRECTLY OBSERVED POLYPECTOMY SKILLS (DOPYS) ASSESSMENT TOOL: A SURVEY STUDY FOR GLOBAL IMPLEMENTATION

A Rajendran
1   Wolfson Endoscopy Unit, St Mark's Hospital, London, United Kingdom
2   Centre for Implementation Science, King's College, London, United Kingdom
,
S Thomas-Gibson
1   Wolfson Endoscopy Unit, St Mark's Hospital, London, United Kingdom
3   Imperial College, London, United Kingdom
,
A Haycock
1   Wolfson Endoscopy Unit, St Mark's Hospital, London, United Kingdom
3   Imperial College, London, United Kingdom
,
N Sevdalis
1   Wolfson Endoscopy Unit, St Mark's Hospital, London, United Kingdom
3   Imperial College, London, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

Also available at
 

Aims:

Polypectomy is one of the most common lower gastrointestinal therapeutic procedures performed worldwide. Directly Observed Polypectomy Tool (DOPyS) is a validated assessment tool for assessing polypectomy skills1,2 used in the UK since 2009, but not globally implemented yet. The aim of the study was to evaluate the current experience of using DOPyS and barriers/drivers to its global implementation.

Tab. 1:

Barriers to implementing DOPyS

Too time consuming to use

Unappealing

Too complex to use

Others (missing features, confusing etc)

Trainer

29 (41%)

8 (11%)

5 (7%)

29 (41%)

Trainee

33 (35%)

23 (25%)

8 (9%)

29 (31%)

Total respondents (n-121)

62

31

13

58

Methods:

A web-based survey was designed based on eight standardized implementation outcome variables3. This included 26 questions (incl. free-text) screened by two senior endoscopists and an implementation science expert. The survey was distributed globally to gastroenterology trainees and trainers through national societies, conferences, social media platforms and emails. Data collection and analysis was performed using SurveyMonkey software.

Results:

121 responses were collected (Trainers 59: Trainees 62) from 8 countries. 52% (63) rated DOPyS as a high-quality tool. 62% (76) were satisfied with DOPyS and most (45%) felt that DOPyS “meets their needs”. Most respondents described it as “relevant to clinical practice” (64%) and a useful tool (59%). A large proportion (21%) felt it was “impractical”. We explored this further to assess barriers in sustainability of DOPyS. The majority (51%) felt DOPyS was “too time-consuming to use” with a similar distribution between trainers and trainees. Trainees additionally felt it “unappealing”.

Conclusions:

The study has identified barriers to implementation, explored ways to sustain UK implementation, increase implementability of DOPyS and ensure adoption of this educational tool for an international audience.

1. Gupta et al GIE 2011

2. Gupta et al GIE 2012

3. Proctor et al APMH 2011.