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Review
. 2020 Nov;92(5):1016-1025.
doi: 10.1016/j.gie.2020.05.047. Epub 2020 Jun 3.

The status of training in new technologies in advanced endoscopy: from defining competence to credentialing and privileging

Dennis Yang  1 , Mihir S Wagh  2 , Peter V Draganov  1
Affiliations
Review

The status of training in new technologies in advanced endoscopy: from defining competence to credentialing and privileging

Dennis Yang et al. Gastrointest Endosc. 2020 Nov.

Abstract

The landscape of advanced endoscopy continues to evolve as new technologies and techniques become available. Although postgraduate advanced endoscopy fellowships have traditionally centered on ERCP and diagnostic EUS, the breadth of training has increased over the years in response to the ever-growing demand for therapeutic endoscopy. The increasing diversity and complexity of emerging endoscopic techniques accompanied by the shift in focus toward competency-based medical education requires innovative changes to the curriculum that will ensure adequate training yet without compromising best patient practices. The purpose of this review is to highlight the expansive array of advanced endoscopic procedures and the challenges of both defining and measuring competence during training. All authors are interventional endoscopists at their respective institutions performing these complex procedures, as well as training fellows in these techniques. We share our perspectives based on our experience navigating through these issues at our institutions and discuss strategies to standardize training and how to potentially incorporate these measures in the process of credentialing and privileging in endoscopy.

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Figures

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Graphical abstract
Figure 1
Figure 1
Flow diagram for the creation of a structured training curriculum for novel endoscopic procedures using endoscopic submucosal dissection (ESD) as an example. ∗The ESD assessment tool in the diagram is used to illustrate potential core skills that could be graded using a numerical score. This is not a complete list or a validated tool.
See this image and copyright information in PMC

Comment in

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