Clin Endosc.  2017 Jul;50(4):340-344. 10.5946/ce.2017.067.

Training in Endoscopy: Endoscopic Ultrasound

• Cho CM

• KMID: 2389239
• DOI: http://doi.org/10.5946/ce.2017.067

Abstract

Endoscopic ultrasound (EUS) has been recently established as an indispensable modality for the diagnosis and management of pancreatobiliary and gastrointestinal (GI) disorders. EUS proficiency requires both cognitive and technical abilities, including an understanding of the appropriate indications, the performance of appropriate evaluations before and after the procedure, and the management of procedure-related complications. An increasing demand for skills to handle a growing range of interventional EUS procedures and a continual shortage of EUS training programs are two major obstacles for EUS training. Acquiring the skills necessary to comprehend and conduct EUS often requires training beyond the scope of a standard GI fellowship program. In addition to traditional formal EUS training and preceptorships, regular short-term intensive EUS training programs that provide training at various levels may help EUS practitioners improve and maintain EUS-related knowledges and skills. Theoretical knowledge can be acquired from lectures, textbooks, atlases, slides, videotapes, digital video discs, interactive compact discs, and websites. Informal EUS training is generally based on 1- or 2-day intensive seminars, including didactic lectures, skills demonstrated by expert practitioners through live video-streaming of procedures, and hands-on learning using animal or phantom models.

Keyword

Endosonography; Training support; Competency; Hands-on

MeSH Terms

Animals
Compact Disks
Diagnosis
Education
Endoscopy*
Endosonography
Fellowships and Scholarships
Learning
Lectures
Preceptorship
Training Support
Ultrasonography*
Videotape Recording

Reference

1. Godfrey EM, Rushbrook SM, Carroll NR. Endoscopic ultrasound: a review of current diagnostic and therapeutic applications. Postgrad Med J. 2010; 86:346–353.

2. Shami VM, Waxman I. Technology insight: current status of endoscopic ultrasonography. Nat Clin Pract Gastroenterol Hepatol. 2005; 2:38–45.

3. Parada KS, Peng R, Erickson RA, et al. A resource utilization projection study of EUS. Gastrointest Endosc. 2002; 55:328–334.

4. Wong JYY, Kongkam P, Ho KY. Training in endoscopic ultrasonography: an Asian perspective. Dig Endosc. 2017; 29:512–516.

5. Van Dam J, Brady PG, Freeman M, et al. Guidelines for training in electronic ultrasound: guidelines for clinical application. From the ASGE. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc. 1999; 49:829–833.

6. Caletti G, Togliani T, Fusaroli P. EUS education in EU. Dig Endosc. 2004; 16(Suppl 2):S142–S143.

7. Chang KJ. Endoscopic ultrasound education in the USA. Dig Endosc. 2004; 16(Suppl 2):S138–S141.

8. Meenan J, Anderson S, Tsang S, Reffitt D, Prasad P, Doig L. Training in radial EUS: what is the best approach and is there a role for the nurse endoscopist? Endoscopy. 2003; 35:1020–1023.

9. Lightdale CJ. EUS training in the USA. Endoscopy. 1998; 30(Suppl 1):A19–A21.

10. Rösch T. State of the art lecture: endoscopic ultrasonography: training and competence. Endoscopy. 2006; 38(Suppl 1):S69–S72.

11. Eisen GM, Dominitz JA, Faigel DO, et al. Guidelines for credentialing and granting privileges for endoscopic ultrasound. Gastrointest Endosc. 2001; 54:811–814.

12. Meenan J, Harris K, Oppong K, et al. Service provision and training for endoscopic ultrasound in the UK. Frontline Gastroenterol. 2011; 2:188–194.

13. Arya N, Sahai AV, Paquin SC. Credentialing for endoscopic ultrasound: a proposal for Canadian guidelines. Endosc Ultrasound. 2016; 5:4–7.

14. Azad JS, Verma D, Kapadia AS, Adler DG. Can U.S. GI fellowship programs meet American Society for Gastrointestinal Endoscopy recommendations for training in EUS? A survey of U.S. GI fellowship program directors. Gastrointest Endosc. 2006; 64:235–241.e2.

15. Shahidi N, Ou G, Lam E, Enns R, Telford J. When trainees reach competency in performing endoscopic ultrasound: a systematic review. Endosc Int Open. 2017; 5:E239–E243.

16. Wani S, Coté GA, Keswani R, et al. Learning curves for EUS by using cumulative sum analysis: implications for American Society for Gastrointestinal Endoscopy recommendations for training. Gastrointest Endosc. 2013; 77:558–565.

17. ASGE Standards of Practice Committee, Faulx AL, Lightdale JR, et al. Guidelines for privileging, credentialing, and proctoring to perform GI endoscopy. Gastrointest Endosc. 2017; 85:273–281.

18. Ho KY. Survey of endoscopic ultrasonographic practice and training in the Asia-Pacific region. J Gastroenterol Hepatol. 2006; 21:1231–1235.

19. Wang MH, Dy F, Vu VK, et al. Structured endoscopic ultrasonography (EUS) training program improved knowledge and skills of trainees: results from the Asian EUS Group. Dig Endosc. 2015; 27:687–691.

20. Kim GH, Bang SJ, Hwang JH. Learning models for endoscopic ultrasonography in gastrointestinal endoscopy. World J Gastroenterol. 2015; 21:5176–5182.

21. Bar-Meir S. A new endoscopic simulator. Endoscopy. 2000; 32:898–900.

22. Matsuda K, Tajiri H, Hawes RH. How shall we experience EUS and EUS-FNA before the first procedure?: the development of learning tools. Dig Endosc. 2004; 16(Suppl 2):S236–S239.

23. Burmester E, Leineweber T, Hacker S, Tiede U, Hütteroth TH, Höhne KH. EUS meets Voxel-Man: three-dimensional anatomic animation of linear-array endoscopic ultrasound images. Endoscopy. 2004; 36:726–730.

24. Dhir V, Itoi T, Fockens P, et al. Novel ex vivo model for hands-on teaching of and training in EUS-guided biliary drainage: creation of “Mumbai EUS” stereolithography/3D printing bile duct prototype (with videos). Gastrointest Endosc. 2015; 81:440–446.