Differences in outcomes regarding quality and speed between male and female endoscopists in a virtual gastroscopy course - Report - MDSpire
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Comparative Analysis of Performance Outcomes in a Virtual Gastroscopy Course Among Male and Female Endoscopists

  • By

  • Nathalie Young

  • Peter Elbe

  • Charlotte Höög

  • Ninos Oussi

  • Fredrik Swahn

  • Magnus Kjellman

  • Gabriel Sandblom

  • Lars Enochsson

  • August 12, 2026

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Clinical Report: Comparative Analysis of Performance Outcomes in a Virtual Gastroscopy Course

Overview

This study evaluates the impact of a virtual gastroscopy course on technical skills among male and female endoscopists. Significant improvements were noted in performance metrics, with gender differences observed in specific skill enhancements.

Background

Simulation-based training is crucial for developing endoscopic skills, particularly in a risk-free environment. Understanding gender differences in learning outcomes can inform tailored educational approaches, potentially enhancing training efficacy and patient safety. This study addresses the gap in knowledge regarding how gender influences performance in endoscopic training.

Data Highlights

MetricPre-CoursePost-Coursep-value
Time to duodenum (female)-Significantly faster0.0184
Speed-related tasks (male)-Greater improvement-
Screening efficiency (female)-Higher quality metrics-
Mucosal inspection quality (female)-Higher quality metrics-

Key Findings

  • Significant improvement in technical skills post-course for all participants.
  • No notable baseline differences between male and female trainees.
  • Female participants reached the duodenum faster post-course (p = 0.0184).
  • Male participants showed greater enhancements in speed-related tasks.
  • Female participants exhibited larger gains in quality metrics like screening efficiency.
  • 89.5% of participants reported increased confidence in their endoscopy skills.

Clinical Implications

The findings suggest that training programs may benefit from considering gender-specific learning styles to optimize skill acquisition. Tailoring educational approaches could enhance the effectiveness of endoscopic training and improve patient outcomes.

Conclusion

The study highlights the effectiveness of simulator-based training in improving endoscopic skills while revealing important gender differences in performance outcomes. Future training programs should consider these differences to enhance educational strategies.

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  4. Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement - PubMed
  5. Comparative Analysis of 3D and 2D-4K Visualization: Impact on Laparoscopic Novices' Performance and Self-Assessment in a Randomized Teaching Study Utilizing Standardized Tasks and Box Trainers
  6. Cochrane Review on Virtual Reality Simulation Training
  7. ESGE Technical and Technology Review 2025
  8. Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement - PubMed
  9. The synergistic role of virtual coaching with simulation‐based mastery learning for upper endoscopy - Nguyen‐Vu - 2024 - DEN Open - Wiley Online Library
  10. The implementation of computer-aided detection in an initial endoscopy training improves the quality measures of trainees’ future colonoscopies: a retrospective cohort study | Surgical Endoscopy | Springer Nature Link
  11. Impact of artificial intelligence–assisted colonoscopy on gastroenterology fellow performance: a pragmatic randomized controlled trial - ScienceDirect
  12. Gender Equity in Gastroenterology: Perspectives From the AGA Women's Committee on Current Frameworks and Future Directions - PubMed
  13. Gender disparity in hepatobiliary endoscopy training and delivery: Results of a nationwide survey - PubMed
  14. Frontiers | Exploring the influence of endoscopist characteristics and artificial intelligence on adenoma detection in colonoscopy

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