Table 1
Main themes and representative participant quotes from semi-structured interviews at the start of the TCT refresher training.
| MAIN THEMES | REPRESENTATIVE PARTICIPANT QUOTES |
|---|---|
| Use of a structured training framework | “Endoscopy training becomes easier when I follow a structured framework” “It is actually very enjoyable, and I hope that if this approach is widely adopted, residents will consider it a standard part of their endoscopy training” |
| Pre-procedural briefing and post-procedural debriefing | “We have allocated time before the start of the endoscopy training session to engage with the resident and ask: ‘do you have learning objectives?’ This has now become my standard practice” “I was initially concerned that debriefing would be time-consuming, but it has proven to be manageable. When the learning objective is specific, it can be integrated effectively” |
| Strategies to prevent cognitive overload | “What I learned from the course is dual-task interference. Recently, during a complex procedure, the nurse and I kept giving instructions to the resident – until I said, ‘Stop, time-out’” |
| Restraint in taking over the scope | “My own learning objective was: How can I provide the best possible guidance without taking over the scope? […] Since applying the tips from the (initial) TCT course, I have not taken over the scope even once” |
| Becoming a consciously competent endoscopy trainer | “I still find it difficult at certain moments during a colonoscopy to explain (to the resident) why something is not working. Then I want to take over the scope to understand how I would do it” “I try to be more aware of what I actually do to solve a problem, in order to explain it more effectively to residents” |
| Specifying learning objectives and take-home messages | “It remains a challenge to determine when a learning objective is sufficiently SMART and not too vague” “I should encourage them (residents) to formulate the take-home message themselves. […] I tend to provide too much input myself” |
| Limited number of endoscopy training sessions | “Sometimes one or two (endoscopy training sessions per week), other times none for weeks. That makes it quite challenging to fully develop proficiency (in endoscopy teaching)” |
| Lack of time for endoscopy supervision | “If you have your own endoscopy schedule alongside supervision, it can be very frustrating. […] You tend to solve the problem quickly, which is not beneficial for the resident’s learning” |
Figure 1
Impact of the Training the Colonoscopy Trainers (TCT) refresher training on individual trainer performances in the workplace.