On endoscopic training and procedural competence
Article Abstract:
Physicians being trained in gastrointestinal endoscopy may need to carry out many procedures before achieving competency. Gastrointestinal endoscopy involves use of a flexible endoscope to examine or perform surgery on the gastrointestinal tract. The American Society for Gastrointestinal Endoscopy (ASGE) has had difficulty establishing standards for certification in gastrointestinal endoscopy. The standards finally accepted by the ASGE require trainees to carry out many procedures and to undergo evaluation of their performance before being certified. A research study found that research fellows and surgical residents being trained in gastrointestinal endoscopy needed to perform more than 100 supervised procedures before being qualified to perform one independently. Physicians who perform gastrointestinal endoscopy should also be required to undergo periodic re-evaluation of their competency.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1993
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Objective evaluation of endoscopy skills during training
Article Abstract:
Physicians being trained in gastrointestinal endoscopy may need to carry out more than 100 supervised procedures before achieving competency. Gastrointestinal endoscopy involves use of a flexible endoscope to examine or to perform surgery on the gastrointestinal tract. A study examined the number of supervised procedures required by seven research fellows and five surgery residents being trained in gastrointestinal endoscopy. Trainees were able to intubate the esophagus successfully more than 90% of the time after 50 procedures. With inclusion of more difficult patients, they were unable to intubate the esophagus successfully more than 90% of the time until after 100 procedures. The average time to perform the procedure remained approximately the same throughout training. None of the trainees achieved competency at a faster rate than the others.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1993
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Quantitative assessment of procedural competence: a prospective study of training in endoscopic retrograde cholangiopancreatography
Article Abstract:
The number of supervised endoscopic cholangiopancreagraphs (ERCPs) that doctors need to perform before becoming completely competent seems to be higher than previously thought. An ERCP is an invasive procedure used to visualize the liver structures. Doctors experienced in ERCP graded 17 doctors training in a gastroenterology specialty during 1450 ERCPs. One hundred eighty to 200 supervised ERCPs were required before these doctors in training were skillful in this procedure. Individual components of this procedure required fewer repetitions varying from 60 to 160 performed procedures.
Publication Name: Annals of Internal Medicine
Subject: Health
ISSN: 0003-4819
Year: 1996
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