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Teaching surgical endoscopy of the gastrointestinal tract

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Abstract

Surgical endoscopy, or the utilization of endoscopic techniques in the diagnosis and treatment of surgical disease, is an integral part of the practice of modern gastrointestinal surgery and the training of surgical residents. In addition to information crucial to preoperative evaluation and postoperative surveillance, endoscopy offers alternative therapeutic and complementary intraoperative options.

Surgical endoscopy can be taught as part of an integrated residency experience, a separate endoscopy rotation, a postresidency fellowship, or an individually-arranged preceptorship. Each method of teaching has relative advantages and disadvantages. The 3 surgical endoscopy training programs with which the authors have been associated include an integrated experience, a separate endoscopy rotation followed by an integrated experience, and a preceptorship followed by an integrated experience.

Résumé

L'endoscopie chirurgicale ou utilisation des techniques endoscopiques dans le diagnostic et le traitement des maladies chirurgicales fait partie de la chirurgie gastrointestinale moderne et de l'apprentissage des étudiants. L'endoscopie non seulement offre des renseignements essentiels pour l'évaluation préopératoire et la surveillance postopératoire mais constitue une méthode complémentaire thérapeutique et peropératoire.

L'endoscopie chirurgicale peut être enseignée dans un programme universitaire ou comme spécialité post-universitaire ou à titre personnel. Chaque façon d'enseigner présente ses avantages et ses inconvénients. Les 3 programmes que préconisent les auteurs sont: enseignement intégré, enseignement en spécialité suivi d'un enseignement intégré, et enseignement individuel suivi d'un enseignement intégré.

Resumen

La endoscopia quirúrgica, o sea la utilización de técnicas endoscópicas en el diagnóstico y tratamiento de la enfermedad quirúrgica, es una parte integral de la práctica de la moderna cirugía gastrointestinal y del adiestramiento de los residentes de cirugía. Además de la información crucial que aporta a la valoración preoperatoria y al control postoperatorio, la endoscopia ofrece opciones terapéuticas alternas y opciones intraoperatorias complementarias.

La endoscopia quirúrgica puede ser ensenada como una experiencia de residencia integrada, como una rotatión separada en endoscopia, como un “fellowship” postresidencia, o como una preceptoria individualmente organizada. Los 3 programas de endoscopia quirúrgica con los cuales han estado asociado los autores incluyen una experiencia integrada, una rotatión separada en endoscopia seguida de una experiencia integrada, y una preceptoría seguida de una experiencia integrada. Aún aquellos que completado su adiestramiento quirúrgico deciden no practicar endoscopia en su práctica profesional, muestran entusiasmo sobre el valor educacional de su adiestramiento endoscópico.

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Correspondence to Thomas L. Dent M.D..

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Dent, T.L., Kukora, J.S. & Leibrandt, T.J. Teaching surgical endoscopy of the gastrointestinal tract. World J. Surg. 13, 202–205 (1989). https://doi.org/10.1007/BF01658400

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Keywords

  • Gastrointestinal Tract
  • Training Program
  • Como
  • Preoperative Evaluation
  • Relative Advantage