Simulation-based mastery learning in gastrointestinal endoscopy training

Figure 1 Stages in simulation-based mastery learning. Simulation-based mastery learning begins with a pretest to assess trainees’ initial knowledge and abilities. Subsequently, trainees will undergo simulation based-training with formative assessment to direct their training. Lastly, trainees will be evaluated for competency through summative assessment (posttest) according to the minimum passing standards. Trainees who pass the test can advance to the next stage of training, while those who do not pass must receive additional training and practice until they meet the minimum passing standards.