Korean J Gastroenterol.  2022 Nov;80(5):207-210. 10.4166/kjg.2022.122.

Current Endoscopy Training in Korea and Future Aspects

• Joo YE

• KMID: 2536347
• DOI: http://doi.org/10.4166/kjg.2022.122

Abstract

The training of trainees to perform endoscopies is challenging. There is no standardized training program in Korea. Trainees usually learn to perform endoscopies under the supervision of an educator, an expert endoscopist. However, most of educators have never received formal training. For high quality and effecting training, formal training program for educators is needed. Also, specific assessment tools measuring performance and improving training are required. The use of simulators for acquiring, maintaining, and assessing skills in endoscopy has grown over the past decade. Many data suggest that simulation training may accelerate the acquisition of specific technical skills in endoscopy early in training. If we include education using simulators in basic endoscopy education, it will be of great help to shorten the endoscopy training time and improve the endoscopy training environment. A significant portion of medical lawsuits against gastroenterologists in Korea are related to complications related to sedation. Therefore, endoscopy education should include contents related to sedation education. Also, systematic and thorough education program along with assessment tool measuring true competence of sedation in endoscopy is needed. Changes should be made at all levels to improve our endoscopy training system.

Keyword

Endoscopy; Simulation training; Education

Reference

1. Cho YK. 2016; How to improve the quality of screening endoscopy in Korea: national endoscopy quality improvement program. Clin Endosc. 49:312–317. DOI: 10.5946/ce.2016.084. PMID: 27484810. PMCID: PMC4977749.

2. Min JK, Cha JM, Cho YK, et al. 2018; Revision of quality indicators for the endoscopy quality improvement program of the national cancer screening program in Korea. Clin Endosc. 51:239–252. DOI: 10.5946/ce.2018.075. PMID: 29874905. PMCID: PMC5997069.

3. Dubé C, Rostom A. 2016; Acquiring and maintaining competency in gastrointestinal endoscopy. Best Pract Res Clin Gastroenterol. 30:339–347. DOI: 10.1016/j.bpg.2016.05.004. PMID: 27345643.

4. Walsh CM, Anderson JT, Fishman DS. 2017; Evidence-based approach to training pediatric gastrointestinal endoscopy trainers. J Pediatr Gastroenterol Nutr. 64:501–504. DOI: 10.1097/MPG.0000000000001473. PMID: 27846065.

5. Sedlack RE. 2010; The Mayo colonoscopy skills assessment tool: validation of a unique instrument to assess colonoscopy skills in trainees. Gastrointest Endosc. 72:1125–1133.e11333. DOI: 10.1016/j.gie.2010.09.001. PMID: 21111866.

6. Fried GM, Marks JM, Mellinger JD, Trus TL, Vassiliou MC, Dunkin BJ. 2014; ASGE's assessment of competency in endoscopy evaluation tools for colonoscopy and EGD. Gastrointest Endosc. 80:366–367. DOI: 10.1016/j.gie.2014.03.019. PMID: 25034851.

7. Coyle WJ. 2014; Developing tools for the assessment of the learning colonoscopist. Gastrointest Endosc. 79:808–810. DOI: 10.1016/j.gie.2013.12.021. PMID: 24721628.

8. Dawe SR, Windsor JA, Broeders JA, Cregan PC, Hewett PJ, Maddern GJ. 2014; A systematic review of surgical skills transfer after simulation-based training: laparoscopic cholecystectomy and endoscopy. Ann Surg. 259:236–248. DOI: 10.1097/SLA.0000000000000245. PMID: 24100339.

9. Blackburn SC, Griffin SJ. 2014; Role of simulation in training the next generation of endoscopists. World J Gastrointest Endosc. 6:234–239. DOI: 10.4253/wjge.v6.i6.234. PMID: 24932375. PMCID: PMC4055992.

10. Walsh CM, Cohen J, Woods KL, et al. 2019; ASGE EndoVators Summit: simulators and the future of endoscopic training. Gastrointest Endosc. 90:13–26. DOI: 10.1016/j.gie.2018.10.031. PMID: 31122744.

11. Jirapinyo P, Kumar N, Thompson CC. 2015; Validation of an endoscopic part-task training box as a skill assessment tool. Gastrointest Endosc. 81:967–973. DOI: 10.1016/j.gie.2014.08.007. PMID: 25310934.

12. Jang HJ. 2017; Training in endoscopy: colonoscopy. Clin Endosc. 50:322–327. DOI: 10.5946/ce.2017.077. PMID: 28783920. PMCID: PMC5565050.

13. Cha JM, Lee JI, Joo KR, et al. 2012; The box simulator is useful for training novice endoscopists in basic endoscopic techniques. Yonsei Med J. 53:304–309. DOI: 10.3349/ymj.2012.53.2.304. PMID: 22318817. PMCID: PMC3282953.

14. McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. 2011; Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 86:706–711. DOI: 10.1097/ACM.0b013e318217e119. PMID: 21512370. PMCID: PMC3102783.

15. Khan R, Plahouras J, Johnston BC, Scaffidi MA, Grover SC, Walsh CM. 2018; Virtual reality simulation training for health professions trainees in gastrointestinal endoscopy. Cochrane Database Syst Rev. 8:CD008237. DOI: 10.1002/14651858.CD008237.pub3. PMID: 30117156.

16. Lee S, Ahn JY, Han M, et al. 2018; Efficacy of a Three-dimensional-printed training simulator for endoscopic biopsy in the stomach. Gut Liver. 12:149–157. DOI: 10.5009/gnl17126. PMID: 29069892. PMCID: PMC5832339.

17. Dolan RD, Ryou M. 2021; Endoscopic simulators: training the next generation. Curr Opin Gastroenterol. 37:589–595. DOI: 10.1097/MOG.0000000000000788. PMID: 34482322.

18. Da B, Buxbaum J. 2016; Training and competency in sedation practice in gastrointestinal endoscopy. Gastrointest Endosc Clin N Am. 26:443–462. DOI: 10.1016/j.giec.2016.02.002. PMID: 27372769.

19. Yoon SB, Cho YS. 2016; Sedation for gastrointestinal endoscopy: practical issues in patient safety and quality management. Clin Endosc. 49:1–3. DOI: 10.5946/ce.2016.49.1.1. PMID: 26855914. PMCID: PMC4743727.

20. , et al. American Association for Study of Liver Diseases. American College of Gastroenterology. American Gastroenterological Association Institute. 2012; Multisociety sedation curriculum for gastrointestinal endoscopy. Gastrointest Endosc. 76:e1–e25. DOI: 10.1097/SGA.0b013e3182649090.

21. Osawa H, Yoshizawa M, Yamamoto H, et al. 2008; Optimal band imaging system can facilitate detection of changes in depressed-type early gastric cancer. Gastrointest Endosc. 67:226–234. DOI: 10.1016/j.gie.2007.06.067. PMID: 18061596.

22. Yao K, Oishi T, Matsui T, Yao T, Iwashita A. 2002; Novel magnified endoscopic findings of microvascular architecture in intramucosal gastric cancer. Gastrointest Endosc. 56:279–284. DOI: 10.1016/S0016-5107(02)70194-6. PMID: 12145613.

23. Osawa H, Miura Y, Takezawa T, et al. 2018; Linked color imaging and blue laser imaging for upper gastrointestinal screening. Clin Endosc. 51:513–526. DOI: 10.5946/ce.2018.132. PMID: 30384402. PMCID: PMC6283759.

24. Osawa H, Yamamoto H. 2014; Present and future status of flexible spectral imaging color enhancement and blue laser imaging technology. Dig Endosc. 26(Suppl 1):105–115. DOI: 10.1111/den.12205. PMID: 24373002.

25. Bhushan S, Anandasabapathy S, Shukla R. 2018; Use of augmented reality and virtual reality technologies in endoscopic training. Clin Gastroenterol Hepatol. 16:1688–1691. DOI: 10.1016/j.cgh.2018.08.021. PMID: 30114487.

26. Khan R, Plahouras J, Johnston BC, Scaffidi MA, Grover SC, Walsh CM. 2019; Virtual reality simulation training in endoscopy: a Cochrane review and meta-analysis. Endoscopy. 51:653–664. DOI: 10.1055/a-0894-4400. PMID: 31071757.

27. Lin CJ, Cheng CF, Chen HJ, Wu KY. 2017; Training performance of laparoscopic surgery in two- and three-dimensional displays. Surg Innov. 24:162–170. DOI: 10.1177/1553350617692638. PMID: 28190372.