Clin Endosc.  2017 Jul;50(4):318-321. 10.5946/ce.2017.096.

Training in Endoscopy: Esophagogastroduodenoscopy

• Kim JS
• Kim BW

• KMID: 2389235
• DOI: http://doi.org/10.5946/ce.2017.096

Abstract

Gastrointestinal endoscopy is important in diagnosis, treatment, and prevention of many diseases of the digestive tract. The ability to perform esophagogastroduodenoscopy (EGD) safely, effectively, and efficiently has become the mainstay of gastroenterology practice. In Korea, EGD education is usually imparted as a component of gastroenterology training programs during fellowship. In this review, we discuss the general principles of EGD training. Formal curriculum development with devising clear goals and effective training methods should be developed in the future.

Keyword

Endoscopy; Education; Curriculum

MeSH Terms

Curriculum
Diagnosis
Education
Endoscopy*
Endoscopy, Digestive System*
Endoscopy, Gastrointestinal
Fellowships and Scholarships
Gastroenterology
Gastrointestinal Tract
Korea

Reference

1. Cho YK. How to improve the quality of screening endoscopy in Korea: national endoscopy quality improvement program. Clin Endosc. 2016; 49:312–317.

2. Peery AF, Dellon ES, Lund J, et al. Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology. 2012; 143:1179–1187.e1-e3.

3. Cha JM. [Quality improvement of gastrointestinal endoscopy in Korea: past, present, and future]. Korean J Gastroenterol. 2014; 64:320–332.

4. Lee SH, Park YK, Cho SM, Kang JK, Lee DJ. Technical skills and training of upper gastrointestinal endoscopy for new beginners. World J Gastroenterol. 2015; 21:759–785.

5. Dubé C, Rostom A. Acquiring and maintaining competency in gastrointestinal endoscopy. Best Pract Res Clin Gastroenterol. 2016; 30:339–347.

6. Eisen GM, Baron TH, Dominitz JA, et al. Methods of granting hospital privileges to perform gastrointestinal endoscopy. Gastrointest Endosc. 2002; 55:780–783.

7. Farthing MJ, Walt RP, Allan RN, et al. A national training programme for gastroenterology and hepatology. Gut. 1996; 38:459–470.

8. Beattie AD, Greff M, Lamy V, Mallinson CN. The European diploma of gastroenterology: progress towards harmonization of standards. Eur J Gastroenterol Hepatol. 1996; 8:403–406.

9. Chung JI, Kim N, Um MS, et al. Learning curves for colonoscopy: a prospective evaluation of gastroenterology fellows at a single center. Gut Liver. 2010; 4:31–35.

10. Walsh CM. In-training gastrointestinal endoscopy competency assessment tools: types of tools, validation and impact. Best Pract Res Clin Gastroenterol. 2016; 30:357–374.

11. van der Wiel SE, Küttner Magalhães R, Rocha Gonçalves CR, Dinis-Ribeiro M, Bruno MJ, Koch AD. Simulator training in gastrointestinal endoscopy - from basic training to advanced endoscopic procedures. Best Pract Res Clin Gastroenterol. 2016; 30:375–387.

12. Ekkelenkamp VE, Koch AD, de Man RA, Kuipers EJ. Training and competence assessment in GI endoscopy: a systematic review. Gut. 2016; 65:607–615.

13. Ahn JY, Lee JS, Lee GH, et al. The efficacy of a newly designed, easy-to-manufacture training simulator for endoscopic biopsy of the stomach. Gut Liver. 2016; 10:764–772.

14. Camus M, Marteau P, Pocard M, et al. Validation of a live animal model for training in endoscopic hemostasis of upper gastrointestinal bleeding ulcers. Endoscopy. 2013; 45:451–457.

15. Hochberger J, Matthes K, Maiss J, Koebnick C, Hahn EG, Cohen J. Training with the compact EASIE biologic endoscopy simulator significantly improves hemostatic technical skill of gastroenterology fellows: a randomized controlled comparison with clinical endoscopy training alone. Gastrointest Endosc. 2005; 61:204–215.

16. Nelson DB, Bosco JJ, Curtis WD, et al. Technology status evaluation report: endoscopy simulators: May 1999. Gastrointest Endosc. 2000; 51:790–792.

17. Schneider AR, Schepp W. Do it yourself: building an ERCP training system within 30 minutes (with videos). Gastrointest Endosc. 2014; 79:828–832.

18. Sedlack RE. The Mayo colonoscopy skills assessment tool: validation of a unique instrument to assess colonoscopy skills in trainees. Gastrointest Endosc. 2010; 72:1125–1133, 1133.e1-e3.

19. Ferlitsch A, Schoefl R, Puespoek A, et al. Effect of virtual endoscopy simulator training on performance of upper gastrointestinal endoscopy in patients: a randomized controlled trial. Endoscopy. 2010; 42:1049–1056.

20. Ende A, Zopf Y, Konturek P, et al. Strategies for training in diagnostic upper endoscopy: a prospective, randomized trial. Gastrointest Endosc. 2012; 75:254–260.

21. Moorthy K, Munz Y, Jiwanji M, Bann S, Chang A, Darzi A. Validity and reliability of a virtual reality upper gastrointestinal simulator and cross validation using structured assessment of individual performance with video playback. Surg Endosc. 2004; 18:328–333.

22. Di Giulio E, Fregonese D, Casetti T, et al. Training with a computer-based simulator achieves basic manual skills required for upper endoscopy: a randomized controlled trial. Gastrointest Endosc. 2004; 60:196–200.

23. Yao K, Uedo N, Muto M, Ishikawa H. Development of an e-learning system for teaching endoscopists how to diagnose early gastric cancer: basic principles for improving early detection. Gastric Cancer. 2017; 20(Suppl 1):28–38.

24. Park WG, Shaheen NJ, Cohen J, et al. Quality indicators for EGD. Gastrointest Endosc. 2015; 81:17–30.

25. Cohen J, Safdi MA, Deal SE, et al. Quality indicators for esophagogastroduodenoscopy. Am J Gastroenterol. 2006; 101:886–891.

26. Bisschops R, Areia M, Coron E, et al. Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. Endoscopy. 2016; 48:843–864.

27. O’Mahony S, Naylor G, Axon A. Quality assurance in gastrointestinal endoscopy. Endoscopy. 2000; 32:483–488.

28. Teh JL, Tan JR, Lau LJ, et al. Longer examination time improves detection of gastric cancer during diagnostic upper gastrointestinal endoscopy. Clin Gastroenterol Hepatol. 2015; 13:480–487.e2.

29. Waschke KA, Anderson J, Macintosh D, Valori RM. Training the gastrointestinal endoscopy trainer. Best Pract Res Clin Gastroenterol. 2016; 30:409–419.

30. Walsh CM, Anderson JT, Fishman DS. Evidence-based approach to training pediatric gastrointestinal endoscopy trainers. J Pediatr Gastroenterol Nutr. 2017; 64:501–504.