# Self‐assessment with pediatric inflammatory bowel disease endoscopy scoring tools: A quality improvement pilot study

## TL;DR

A pilot study found that a review presentation improved comfort with pediatric IBD endoscopy tools among doctors.

## Contribution

Demonstrated that a targeted educational intervention can improve comfort with pediatric IBD endoscopy scoring tools.

## Key findings

- Pediatric gastroenterologists had low comfort with IBD endoscopy scoring before the presentation.
- The educational presentation significantly improved comfort, with effects lasting several months for fellows.
- Periodic review of endoscopic guidelines is recommended to improve IBD patient care.

## Abstract

Endoscopy is a fundamental component pediatric gastroenterology (GI), with one of its primary applications being the evaluation and management of patients with inflammatory bowel disease (IBD). However, there is variation in education and experience of gastroenterologists with pediatric IBD endoscopy, which can affect the quality of patient care. This quality improvement pilot study assessed familiarity and comfort with key endoscopic assessment tools (13 questions) pre‐ and post‐ an evidence‐based group presentation. Both fellow and attending pediatric gastroenterologists had low levels of comfort with endoscopic Crohn's disease scoring, IBD phenotype classification, postoperative IBD scoring, and IBD dysplasia screening. The review presentation significantly enhanced their comfort, with this effect persisting for several months among fellows. To improve the quality of care for IBD patients, it would be beneficial to periodically review endoscopic guidelines in continuing medical education for pediatric gastroenterologists providing IBD care.

Endoscopy is an integral part of a pediatric gastroenterologist's practice, with inflammatory bowel disease (IBD)(IBD) being one of the most common indications.There is significant education variation on pediatric IBD endoscopy, which can impact patient care.

Endoscopy is an integral part of a pediatric gastroenterologist's practice, with inflammatory bowel disease (IBD)(IBD) being one of the most common indications.

There is significant education variation on pediatric IBD endoscopy, which can impact patient care.

Pediatric gastroenterology fellows and attendings have low levels of comfort with Crohn's disease scores, IBD phenotype classification, postoperative IBD scores, and IBD dysplasia screening endoscopy.An evidence‐based review presentation improved comfort for all, with sustained fellows’ improvement for several months despite no rereview.To improve IBD patient care, periodic review of endoscopic guidelines for pediatric gastroenterologists should be initiated.

Pediatric gastroenterology fellows and attendings have low levels of comfort with Crohn's disease scores, IBD phenotype classification, postoperative IBD scores, and IBD dysplasia screening endoscopy.

An evidence‐based review presentation improved comfort for all, with sustained fellows’ improvement for several months despite no rereview.

To improve IBD patient care, periodic review of endoscopic guidelines for pediatric gastroenterologists should be initiated.