Download PDF
CC BY-NC-ND 4.0 · Endosc Int Open 2020; 08(10): E1231-E1232
DOI: 10.1055/a-1216-1933
Editorial

A standardized technique for gastroscopy: Still missing?

Rishad Khan
1   Department of Medicine, University of Toronto, Toronto, Canada
,
Samir C. Grover
1   Department of Medicine, University of Toronto, Toronto, Canada
2   Division of Gastroenterology, St. Michael’s Hospital, Toronto, Canada
3   Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Canada
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

The effectiveness of esophagogastroduodenoscopy (EGD) for diagnosis and management of upper gastrointestinal disorders is dependent on operator skill. Endoscopic training focuses on not only the technical skills needed for endoscope manipulation, but also cognitive skills, such as lesion identification, and non-technical skills, such as communication and teamwork [1]. Novice endoscopists encounter a prolonged learning curve, as they need to master all three skill domains to provide safe, high-quality endoscopic care [2] [3]. Despite EGD being a commonly performed procedure even taught to primary care physicians [4], there is no standardized technique or curriculum.



Publication History

Article published online:
21 September 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

Refers to:

‘Four-position method’ makes beginner endoscopists aware of spatial positioning of the left hand to master upper gastrointestinal endoscopyEndosc Int Open 2020; 08(10): E1225-E1230
DOI: 10.1055/a-1197-6418

 

  • References

  • 1 Walsh CM. In-training gastrointestinal endoscopy competency assessment tools: types of tools, validation and impact. Best Practice Res Clin Gastroenterol 2016; 30: 357-374
    CrossrefPubMedGoogle Scholar
  • 2 Miller AT, Sedlack RE. Competency in esophagogastroduodenoscopy: a validated tool for assessment and generalizable benchmarks for gastroenterology fellows. Gastrointest Endosc 2019; 90: 613
    CrossrefPubMedGoogle Scholar
  • 3 Han S, Obuch JC, Duloy AM. et al. A prospective multicenter study evaluating endoscopy competence among gastroenterology trainees in the era of the next accreditation system. Academic Med 2020; 95: 283-292
    CrossrefPubMedGoogle Scholar
  • 4 Thomas J, Bredfeldt R, Easterling G. et al. Esophagogastroduodenoscopy training in family practice residency program. Family Med 1997; 29: 572-574
    PubMedGoogle Scholar
  • 5 Siau K, Crossley J, Dunckley P. et al. Direct observation of procedural skills (DOPS) assessment in diagnostic gastroscopy: nationwide evidence of validity and competency development during training. Surg Endosc 2020; 34: 105-114
    CrossrefPubMedGoogle Scholar
  • 6 Lee S-H, Park Y-K, Cho S-M. et al. Technical skills and training of upper gastrointestinal endoscopy for new beginners. World J Gastroenterol 2015; 21: 759
    CrossrefPubMedGoogle Scholar
  • 7 Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med 2004; 79: S70-S81
    CrossrefPubMedGoogle Scholar
  • 8 Sugimoto K, Osawa S. "Four-position method" makes beginner endoscopists aware of spatial positioning of the left hand to master upper gastrointestinal endoscopy. Endosc Int Open 2020; 08: E1225-E1230
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Khan R, Plahouras J, Johnston BC. et al. Virtual reality simulation training for health professions trainees in gastrointestinal endoscopy. Cochrane Database Syst Rev 2018; 8: CD008237
    CrossrefPubMedGoogle Scholar
  • 10 Khan R, Plahouras J, Johnston BC. et al. Virtual reality simulation training in endoscopy: a Cochrane review and meta-analysis. Endoscopy 2019; 51: 653-664
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Van Merrienboer JJG, Sweller J. Cognitive load theory in health professional education: design principles and strategies: Cognitive load theory. Med Ed 2010; 44: 85-93
    CrossrefPubMedGoogle Scholar
  • 12 Grover SC, Scaffidi MA, Khan R. et al. Progressive learning in endoscopy simulation training improves clinical performance: a blinded randomized trial. Gastrointest Endosc 2017; 86: 881-889
    CrossrefPubMedGoogle Scholar
  • 13 Scaffidi M, Walsh CM, Khan R. et al. Influence of video-based feedback on self-assessment accuracy of endoscopic skills: a randomized controlled trial. Endosc Int Open 2019; 7: E678-E684
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Walsh CM, Scaffidi MA, Khan R. et al. Non-technical skills curriculum incorporating simulation-based training improves performance in colonoscopy among novice endoscopists: Randomized controlled trial. Dig Endosc 2020; DOI: 10.1111/den.13623. [published online ahead of print, 2020 Jan 7]
    CrossrefPubMedGoogle Scholar
  • 15 Park J, MacRae H, Musselman LJ. et al. Randomized controlled trial of virtual reality simulator training: transfer to live patients. Am J Surg 2007; 194: 205-211
    CrossrefPubMedGoogle Scholar
  • 16 Sedlack RE, Baron TH, Downing SM. et al. Validation of a colonoscopy simulation model for skills assessment. Am J Gastroenterol 2007; 102: 64-74
    CrossrefPubMedGoogle Scholar
  • 17 Khan R, Scaffidi MA, Satchwell J. et al. Impact of a simulation-based ergonomic training curriculum on work-related musculoskeletal injury risk in colonoscopy. Gastrointest Endosc 2020; DOI: 10.1016/j.gie.2020.03.3754.
    CrossrefPubMedGoogle Scholar