Clin Colon Rectal Surg 2001; 14(4): 387-392
DOI: 10.1055/s-2001-18518
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

How to Teach Colonoscopy

Santhat Nivatvongs
  • Department of Surgery, Mayo Medical School, and Mayo Clinic, Rochester, MN
Further Information

Publication History

Publication Date:
19 November 2001 (online)

ABSTRACT

Colonoscopy is a skilled procedure that can be learned by instruction, imitation, and actual performance. The most important of these is supervised hands-on performance. Trainees are responsible to learn basic knowledge related to colonoscopy such as indications, contraindications, colorectal pathology, and complications. Trainees rely on their trainers to coach them on proper techniques. Good technique must be learned early so that bad or dangerous habits including clumsiness and inefficiency will not be permanently imprinted on the trainees. Proper instruction hastens the development of skill and judgment. Colonoscopy instruction requires time and effort on a one-on-one basis. Trainers teach by demonstration of proper maneuvers, which includes techniques to avoid or correct problems such as looping. Competence should be measured by the ability to perform an accurate, safe, and gentle procedure.

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