In the Introduction to Flexible Sigmoidoscopy module, the user is introduced to the anatomy and procedure through educational aids including 3D animations, video tutorials, and illustrations of the endoscopic, embryologic, and gross anatomy of the colon. The surgical simulator's Video tutorials show how to operate the flexible sigmoidoscope and techniques to conduct a thorough examination. A pathology atlas depicts lesions that may be encountered during an examination, and clinical pearls help users find the lumen and overcome paradoxical motion.

Anatomy displayed during the procedures is derived from actual patient data and reacts like real tissue in real time. The colon expands with air insufflation and collapses with suction.

A thorough evaluation report is automatically generated every time a user completes a case. All reports are stored in a password-protected database to provide user-specific documentation of training and competency. Items recorded include: time to complete the procedure, depth of scope insertion, percent of colonic mucosa visualized, patient comfort, whether retroflexion was performed, and the use of educational tools.

Training Objectives

Upon completion of the module, users will be able to:

Discuss the indications, contraindications, and complications of flexible sigmoidoscopy, and the skills necessary to perform a sigmoidoscopic examination
Identify and describe the pertinent anatomy
Describe the goal of a sigmoidoscopic examination and how to prepare the patient for the procedure
Demonstrate the correct technique for holding, operating, and manipulating the flexible signmoidoscope in a simulated environment
Understand the procedural steps required to perform a complete sigmoidoscopic examination
Describe the types of lesions that may be found during an examination

Realistic Educational Aids

The Endoscopy AccuTouch® System delivers realistic, procedure-based content for cognitive and motor skills training. The system consists of a PC, an interface device with interchangeable anatomy, proxy endoscopes, and software modules for a wide range of training scenarios. Introduction to Flexible Sigmoidoscopy provides practice in using a flexible signmoidoscope to conduct a thorough examination of the colon and includes several teaching tools:

The flexible sigmoidoscope looks, feels, and handles like a real scope, allowing users to perfect their technique.
The simulation contains realistic features such as red-out when the scope tip presses against the mucosa and paradoxical motion when in a loop.
The patient reacts vocally to the user’s actions, complaining of pain when appropriate.
The external view helps users orient by showing the real-time position of the scope tip in the gross anatomy.
Buttons on the sigmoidoscope allow the user to capture images of detected lesions for later review.
Case histories provide pertinent information on the simulated patient.
The Virtual Attending feature provides instructional feedback to students during the procedure.