Skip to main content
SpringerLink
Log in

Teaching and Training in Upper and Lower GI Endoscopy

  • Chapter
  • First Online:
Diagnostic and Therapeutic Procedures in Gastroenterology

Part of the book series: Clinical Gastroenterology ((CG))

  • 1799 Accesses

Abstract

Endoscopy is a valuable diagnostic and therapeutic procedure. Accuracy and safety are important components of performing efficient endoscopy. Endoscopists could be from different backgrounds such as gastroenterology, surgery, medicine, family medicine, or nurse practitioners. Trainees are expected to acquire both cognitive and technical skills in endoscopy. These are accomplished through attending endoscopy courses as well as in-service training. Although performing an endoscopy is probably one of the most crucial parts of practicing gastroenterology, optimal methods to teach endoscopy are not well described. In this chapter, evidence-based data on teaching upper and lower GI endoscopy will be reviewed, and the author’s view on methods to improve training skills in endoscopy mentorship will be discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Flower J. In the mush. Physician Exec. 1999 Jan–Feb;25(1):64–6.

    Google Scholar 

  2. Principles of training in gastrointestinal endoscopy. From the ASGE. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc. 1999 Jun;49(6):845–53.

    Google Scholar 

  3. Froehlich F, Schwizer W, Thorens J, et al. Conscious sedation for gastroscopy: patient tolerance and cardiorespiratory parameters. Gastroenterology. 1995;108:697–704.

    Article  CAS  PubMed  Google Scholar 

  4. Lefroy J, Watling C, Teunissen PW, Brand P. Guidelines: the do’s, don’ts and don’t knows of feedback for clinical education. Perspect Med Educ. 2015 Dec;4(6):284–99.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Bowles CJ, Leicester R, Romaya C, Swarbrick E, Williams CB, Epstein O. A prospective study of colonoscopy practice in the UK today: are we adequately prepared for national colorectal cancer screening tomorrow? Gut. 2004 Feb;53(2):277–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Thuraisingam AI, MacDonald J, Shaw IS. Insights into endoscopy training: a qualitative study of learning experience. Med Teach. 2006 Aug;28(5):453–9.

    Article  PubMed  Google Scholar 

  7. Wells CW, Inglis S, Barton R. Trainees in gastroenterology views on teaching in clinical gastroenterology and endoscopy. Med Teach. 2009 Feb;31(2):138–44.

    Article  PubMed  Google Scholar 

  8. McCashland T, Brand R, Lyden E, de Garmo P. The time and financial impact of training fellows in endoscopy. CORI research project. Clinical outcomes research initiative. Am J Gastroenterol. 2000 Nov;95(11):3129–32.

    Article  CAS  PubMed  Google Scholar 

  9. Griffiths DA. Use of 3-d models in medical education. Med Teach. 1979;1(2):76–81.

    Article  CAS  PubMed  Google Scholar 

  10. McDougall EM. Validation of surgical simulators. J Endourol. 2007 Mar;21(3):244–7.

    Article  PubMed  Google Scholar 

  11. Hochberger J, Neumann M, Hohenberger W, et al. Neuer Endoskopie- Teacher fu ̈ r die therapeutische flexible Endoskopie [German]. Z Gastro- enterol. 1997;35:722–3.

    Google Scholar 

  12. Matthes K, Cohen J, Kochman ML, Cerulli MA, Vora KC, Hochberger J. Efficacy and costs of a one-day hands-on EASIE endoscopy simulator train-the-trainer workshop. Gastrointest Endosc. 2005 Dec;62(6):921–7.

    Article  PubMed  Google Scholar 

  13. Hochberger J, Matthes K, Maiss J, et al. 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;61:204–15.

    Article  PubMed  Google Scholar 

  14. Ju R, Chang PL, Buckley AP, Wang KC. Comparison of Nintendo Wii and PlayStation2 for enhancing laparoscopic skills. JSLS. 2012 Oct–Dec;16(4):612–8.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Walsh CM, Sherlock ME, Ling SC, Carnahan H. Virtual reality simulation training for health professions trainees in gastrointestinal endoscopy. Cochrane Database Syst Rev. 2012 Jun 13;6:CD008237.

    Google Scholar 

  16. Hoff G, Bretthauer M, Dahler S, Huppertz-Hauss G, Sauar J, Paulsen J, Seip B, Moritz V. Improvement in caecal intubation rate and pain reduction by using 3-dimensional magnetic imaging for unsedated colonoscopy: a randomized trial of patients referred for colonoscopy. Scand J Gastroenterol. 2007;42:885–9.

    Article  PubMed  Google Scholar 

  17. Sathyanarayana S, Schär M, Kraitchman DL, Bottomley PA. Towards real-time intravascular endoscopic magnetic resonance imaging. JACC Cardiovasc Imaging. 2010;3:1158–65.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Shah SG, Brooker JC, Williams CB, Thapar C, Saunders BP. Effect of magnetic endoscope imaging on colonoscopy performance: a randomised controlled trial. Lancet. 2000;356:1718–1.

    Article  CAS  PubMed  Google Scholar 

  19. Chen Y, Duan YT, Xie Q, Qin XP, Chen B, Xia L, Zhou Y, Li NN, Wu XT. Magnetic endoscopic imaging vs standard colonoscopy: meta-analysis of randomized controlled trials. World J Gastroenterol. 2013;19(41):7197–204.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Baumgart DC, Wende I, Grittner U. Tablet computer-based multimedia enhanced medical training improves performance in gastroenterology and endoscopy board style exam compared with traditional medical education. Gut. 2016;65(3):535–6.

    Google Scholar 

  21. Arnold SH, Svendsen MB, Konge L, Svendsen LB, Preisler L. Three-dimensional motion tracking correlates with skill level in upper gastrointestinal endoscopy. Endoscopy. 2015 Sep;47(9):825–8.

    Article  PubMed  Google Scholar 

  22. Credentialing for gastrointestinal endoscopy. A reference document for credentialing committees and physicians seeking hospital privileges to perform gastrointestinal endoscopy produced in collaboration by: the American College of Gastroenterology (ACG) and the American Society for Gastrointestinal Endoscopy (ASGE). http://s3.gi.org/nataffairs/Asgeacg.pdf. Last Accessed on 17 Jan 2016.

  23. Barton JR, Corbett S, van der Vleuten CP, et al. The validity and reliability of a direct observation of procedural skills assessment tool: assessing colonoscopic skills of senior endoscopists. Gastrointest Endosc. 2012;75:591–7.

    Article  PubMed  Google Scholar 

  24. Vassiliou MC, Kaneva PA, Poulose BK, et al. Global assessment of gastrointestinal endoscopic skills (GAGES): a valid measurement tool for technical skills in flexible endoscopy. Surg Endosc. 2010;24:1834–41.

    Article  PubMed  Google Scholar 

  25. Training Committee ASGE, Sedlack RE, Coyle WJ, Obstein KL, et al. ASGE’s assessment of competency in endoscopy evaluation tools for colonoscopy and EGD. Gastrointest Endosc. 2014;79:1–7.

    Article  Google Scholar 

  26. Sedlack RE. Training to competency in colonoscopy: assessing and defining competency standards. Gastrointest Endosc. 2011;74:355–66.

    Article  PubMed  Google Scholar 

  27. Walsh CM, Ling SC, Khanna N, et al. Gastrointestinal endoscopy competency assessment tool: development of a procedure-specific assessment tool for colonoscopy. Gastrointest Endosc. 2013;79:798–807.

    Article  PubMed  Google Scholar 

  28. Walsh CM, Ling SC, Khanna N, et al. Gastrointestinal endoscopy competency assessment tool: reliability and validity evidence. Gastrointest Endosc. 2015;81:1417–24.

    Article  PubMed  Google Scholar 

  29. Hawes R, Lehman GA, Hast J, O’Connor KW, Crabb DW, Lui A, et al. Training resident physicians in fiberoptic flexible sigmoidoscopy: how many supervised examinations are required to achieve competence? Am J Med. 1986;80:465–70.

    Article  CAS  PubMed  Google Scholar 

  30. Cass OW, Freeman ML, Cohen J, Zuckerman G, Watkins J, Nord J, et al. Acquisition of competency in endoscopic skills (ACES) during training: a multicenter study. Gastrointest Endosc. 1996;43:308A.

    Article  Google Scholar 

  31. Shahidi N, Ou G, Telford J, Enns R. Establishing the learning curve for achieving competency in performing colonoscopy: a systematic review. Gastrointest Endosc. 2014 Sep;80(3):410–6.

    Article  PubMed  Google Scholar 

  32. American Academy of Family Physicians. Colonoscopy (position paper). June 13, 2013. Available at: http://www.aafp.org/about/policies/all/colonoscopy.html . Accessed January 17, 2016.

  33. American Board of Surgery. ABS statement on GI endoscopy. Available at: http://www.absurgery.org/default.jsp?newsgiresponse. Accessed 17 Jan 2016.

  34. Alternative pathways to training in gastrointestinal endoscopy. Manchester: The American Society for Gastrointestinal Endoscopy;1995 Jul. Available at: https://www.asge.org/docs/default-source/education/training/f3cf936-c650-47a-9634-442ed63ec1d9.pdf?sfvrsn=4 Accessed 18 Oct 2017.

    Google Scholar 

  35. Paisley AM, Baldwin PJ, Paterson-Brown S. Accuracy of medical staff assessment of trainees’ operative performance. Med Teach. 2005 Nov;27(7):634–8.

    Article  PubMed  Google Scholar 

  36. Klare P, Ascher S, Wagenpfeil S, Rapp D, Bajbouj M, Neu B, Schmid RM, von Delius S. Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps. BMC Med Educ. 2015 Feb 27;15:26.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Walsh CM, Ling SC, Khanna N, Cooper MA, Grover SC, May G, Walters TD, Rabeneck L, Reznick R, Carnahan H. Gastrointestinal endoscopy competency assessment tool: development of a procedure-specific assessment tool for colonoscopy. Gastrointest Endosc. 2014 May;79(5):798–807.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Gastroenterology, Michael G. DeGroote School of Medicine, McMaster University and McMaster University Medical Center, Hamilton, ON, Canada

    Mohammad Yaghoobi

Authors
  1. Mohammad Yaghoobi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mohammad Yaghoobi .

Editor information

Editors and Affiliations

  1. Advanced Endoscopy, Digestive Health Center, Section of Gastroenterology & Hepatology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    Subbaramiah Sridhar

  2. Division of Gastroenterology-Hepatology, University of Connecticut Health Center, Farmington, Connecticut, USA

    George Y. Wu

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Yaghoobi, M. (2018). Teaching and Training in Upper and Lower GI Endoscopy. In: Sridhar, S., Wu, G. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-62993-3_51

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-62993-3_51

  • Published:

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-62991-9

  • Online ISBN: 978-3-319-62993-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation