I have noticed that\u00a0we all think\u00a0we are the best endoscopist around (in my case, that is indeed true!). However, we really never measured colonoscopy skill as a \u201cpatient-centered\u201d metric and instead often use speed, efficiency, sedation needs, etc. when judging our colleagues. What is more important than these measures, however,\u00a0is whether we find and remove adenomas, thereby preventing colon cancer downstream in our patients.<\/p>\n
A number of surrogate markers for quality colonoscopy and polyp detection have been used in the past, including scope-withdrawal time from the cecum. But the one measure that has been the best predictor of quality is an endoscopist\u2019s ADR (adenoma detection rate). In fact, this is the most reliable quality measure yet determined, and it may become the basis for being paid for these procedures in the not so distant future.<\/p>\n
So I need to ask you:<\/p>\n
1)\u00a0\u00a0\u00a0\u00a0\u00a0 Do you know your ADR?<\/p>\n
2)\u00a0\u00a0\u00a0\u00a0\u00a0 Do you or does your group compare your ADR to other endoscopists within your endoscopy unit or practice?<\/p>\n
3)\u00a0\u00a0\u00a0\u00a0\u00a0 Is there a program to increase ADR in low performers in your endoscopy unit?<\/p>\n
4)\u00a0\u00a0\u00a0\u00a0\u00a0 Do you use your ADR as a marketing tool?<\/p>\n
5)\u00a0\u00a0\u00a0\u00a0\u00a0 What is your take on the ADR as a quality measure?<\/p>\n
I look forward to hearing from you on this topic!<\/p>\n","protected":false},"excerpt":{"rendered":"
I have noticed that\u00a0we all think\u00a0we are the best endoscopist around (in my case, that is indeed true!). However, we really never measured colonoscopy skill as a \u201cpatient-centered\u201d metric and instead often use speed, efficiency, sedation needs, etc. when judging our colleagues. What is more important than these measures, however,\u00a0is whether we find and remove […]<\/p>\n","protected":false},"author":28,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[34,35],"class_list":["post-277","post","type-post","status-publish","format-standard","hentry","category-endoscopy","tag-endoscopist","tag-endoscopy"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts\/277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/comments?post=277"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/posts\/277\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/media?parent=277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/categories?post=277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/gastroenterology\/index.php\/wp-json\/wp\/v2\/tags?post=277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}