| Theme | Training System and Risk Management for Endoscopic Submucosal Dissection (ESD) | |
|---|---|---|
| Title | Therapeutic Endoscopy Training System in the United States | |
| Publish Date | 2006/08 | |
| Author | Norio Fukami | Department of Gastrointestinal Medicine and Nutrition, The University of Texas M. D. Anderson Cancer Center |
| Author | John R. Stroehlein | Department of Gastrointestinal Medicine and Nutrition, The University of Texas M. D. Anderson Cancer Center |
| Author | Alexander A. Dekovich | Department of Gastrointestinal Medicine and Nutrition, The University of Texas M. D. Anderson Cancer Center |
| [ Summary ] | Endoscopic procedures are taught in gastroenterology fellowship or surgical residency programs recognized by the Accreditation Council for Graduate Medical Education. The primary objective of any gastroenterology fellowship program is the teaching of endoscopic procedures and techniques and imparting to the trainee up to date knowledge of indications, contraindications, possible complications and associated limitations. Curriculum guidelines for EGD, colonoscopy, ERCP and EUS are available from the website of the American Society for Gastrointestinal Endoscopy. Fellows are monitored daily by the attending faculty. The program director in concert with the faculty completes on a quarterly basis an overall evaluation. Feedback from this global evaluation is presented to the fellows in written and face-to-face format allowing for resolution of problems and guidance for improvement. Procedures are divided into standard procedures (EGD, colonoscopy, etc.) and advanced procedures (ERCP, EUS, etc.). Proficiency in standard procedures is the goal of any gastroenterology fellowship program and provides a foundation for advanced procedure training. Advanced procedures are more readily taught in specialized referral centers usually requiring an additional year of fellowship. There is no consensus yet as to how novel procedures are to be mastered. In the U.S., novel procedures and techniques are first mastered in the animal laboratory before proceeding to human trials. Audiovisual materials, increasingly used to improve the training at the entry level, are readily available to supplement the “hands on” experience of various techniques and equipment. |
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