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Endoscopy 2024; 56(02): 131-150
DOI: 10.1055/a-2205-2613
Position Statement

Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

Giulio Antonelli  ‡   ‡
 1   Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, "Sapienza" University of Rome, Italy
 2   Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli Hospital, Ariccia, Rome, Italy
,
Andrei M. Voiosu  ‡   ‡
 3   Department of Gastroenterology, Colentina Clinical Hospital, Bucharest, Romania
 4   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
,
Katarzyna M. Pawlak 
 5   Endoscopy Unit, Gastroenterology Department, Hospital of the Ministry of Interior and Administration, Szczecin, Poland
 6   The Center for Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, University of Toronto, Ontario, Canada
,
Tiago Cúrdia Gonçalves
 7   Gastroenterology Department, Hospital da Senhora da Oliveira, Guimarães, Portugal
 8   Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
,
Nha Le
 9   Gastroenterology Division, Internal Medicine and Hematology Department, Semmelweis University, Budapest, Hungary
,
Michiel Bronswijk 
10   Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Belgium
11   Department of Gastroenterology and Hepatology, Imelda General Hospital, Bonheiden, Belgium
,
Marcus Hollenbach 
12   Division of Gastroenterology, Medical Department II, University of Leipzig Medical Center, Leipzig, Germany
,
Omar Elshaarawy 
13   Hepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Menoufia, Egypt
,
Ulrike Beilenhoff
14   ESGENA Scientific Secretary, Ulm, Germany
,
Pietro Mascagni
15   IHU Strasbourg, Strasbourg, France
16   Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
,
Theodor Voiosu
 3   Department of Gastroenterology, Colentina Clinical Hospital, Bucharest, Romania
 4   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
,
Maria Pellisé 
17   Department of Gastroenterology, Hospital Clínic Barcelona, Barcelona, Spain
,
Mário Dinis-Ribeiro
18   Gastroenterology Department, Portuguese Oncology Institute of Porto, Porto, Portugal
19   MEDCIDS/Faculty of Medicine, University of Porto, Porto, Portugal
,
Konstantinos Triantafyllou 
20   Gastroenterology Department, Attikon University Hospital, Chaidari, Greece
,
Marianna Arvanitakis
21   Department of Gastroenterology and Hepatology, University Hospitals Leuven, TARGID, Leuven, Belgium
,
Raf Bisschops 
21   Department of Gastroenterology and Hepatology, University Hospitals Leuven, TARGID, Leuven, Belgium
,
Cesare Hassan
22   Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
23   Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
,
Helmut Messmann
24   Department of Gastroenterology, Faculty of Medicine, University of Augsburg, Augsburg, Germany
,
Ian M. Gralnek
25   Institute of Gastroenterology and Hepatology, Emek Medical Center, Afula, Israel
26   Rappaport Faculty of Medicine Technion Israel Institute of Technology, Haifa, Israel
› Author Affiliations
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Main Statements

This ESGE Position Statement provides structured and evidence-based guidance on the essential requirements and processes involved in training in basic gastrointestinal (GI) endoscopic procedures. The document outlines definitions; competencies required, and means to their assessment and maintenance; the structure and requirements of training programs; patient safety and medicolegal issues.

1 ESGE and ESGENA define basic endoscopic procedures as those procedures that are commonly indicated, generally accessible, and expected to be mastered (technically and cognitively) by the end of any core training program in gastrointestinal endoscopy.

2 ESGE and ESGENA consider the following as basic endoscopic procedures: diagnostic upper and lower GI endoscopy, as well as a limited range of interventions such as: tissue acquisition via cold biopsy forceps, polypectomy for lesions ≤ 10 mm, hemostasis techniques, enteral feeding tube placement, foreign body retrieval, dilation of simple esophageal strictures, and India ink tattooing of lesion location.

3 ESGE and ESGENA recommend that training in GI endoscopy should be subject to stringent formal requirements that ensure all ESGE key performance indicators (KPIs) are met.

4 Training in basic endoscopic procedures is a complex process and includes the development and acquisition of cognitive, technical/motor, and integrative skills. Therefore, ESGE and ESGENA recommend the use of validated tools to track the development of skills and assess competence.

5 ESGE and ESGENA recommend incorporating a multimodal approach to evaluating competence in basic GI endoscopic procedures, including procedural thresholds and the measurement and documentation of established ESGE KPIs.

7 ESGE and ESGENA recommend the continuous monitoring of ESGE KPIs during GI endoscopy training to ensure the trainee’s maintenance of competence.

9 ESGE and ESGENA recommend that GI endoscopy training units fulfil the ESGE KPIs for endoscopy units and, furthermore, be capable of providing the dedicated personnel, infrastructure, and sufficient case volume required for successful training within a structured training program.

10 ESGE and ESGENA recommend that trainers in basic GI endoscopic procedures should be endoscopists with formal educational training in the teaching of endoscopy, which allows them to successfully and safely teach trainees.

‡ Joint first authors


Supplementary material



Publication History

Article published online:
01 December 2023

© 2023. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Rutter MD, Senore C, Bisschops R. et al. The European Society of Gastrointestinal Endoscopy Quality Improvement Initiative: developing performance measures. Endoscopy 2016; 48: 81-89
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Bisschops R, Rutter MD, Areia M. et al. Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement. Endoscopy 2021; 53: 196-202
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Maida M, Alrubaiy L, Bokun T. et al. Current challenges and future needs of clinical and endoscopic training in gastroenterology: a European survey. Endosc Int Open 2020; 8: E525-E533
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Jirapinyo P, Imaeda AB, Thompson CC. Endoscopic training in gastroenterology fellowship: adherence to core curriculum guidelines. Surg Endosc 2015; 29: 3570-3578
    CrossrefPubMedGoogle Scholar
  • 5 Hassan C, Ponchon T, Bisschops R. et al. European Society of Gastrointestinal Endoscopy (ESGE) Publications Policy – Update 2020. Endoscopy 2020; 52: 123-126
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Cotton PB, Eisen G, Romagnuolo J. et al. Grading the complexity of endoscopic procedures: results of an ASGE working party. Gastrointest Endosc 2011; 73: 868-874
    CrossrefPubMedGoogle Scholar
  • 7 Wani S. Training in advanced endoscopy. Gastroenterol Hepatol 2017; 13: 685-688
    PubMedGoogle Scholar
  • 8 ASGE Training Committee. Adler DG, Bakis G. et al. Principles of training in GI endoscopy. Gastrointest Endosc 2012; 75: 231-235
    CrossrefPubMedGoogle Scholar
  • 9 The European Section and Board of Gastroenterology and Hepatology (ESBGH). The Blue Book 2017. Accessed: 11 October 2023. www.eubogh.org/blue-book
    PubMedGoogle Scholar
  • 10 Moon HS, Choi EK, Seo JH. et al. Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy. Clin Endosc 2017; 50: 345-356
    CrossrefPubMedGoogle Scholar
  • 11 Siau K, Beales ILP, Haycock A. et al. JAG consensus statements for training and certification in oesophagogastroduodenoscopy. Frontline Gastroenterol 2022; 13: 193-205
    CrossrefPubMedGoogle Scholar
  • 12 La Sociedad Española de Endoscopia Digestiva (SEED). Programa de formación en Endoscopia digestiva básica. Accessed: 11 October 2023. https://wseed.org/images/site/SEED_Programa_Formaci%C3%B3n_MIR_Aparato_Digestivo.pdf
    PubMedGoogle Scholar
  • 13 Goenka MK, Reddy DN, Kochhar R. et al. Endoscopy training: Indian perspective. J Dig Endosc 2014; 05: 135-138
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Dekker E, Houwen BBSL, Puig I. et al. Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2020; 52: 899-923
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Stephens M, Hourigan LF, Appleyard M. et al. Non-physician endoscopists: A systematic review. World J Gastroenterol 2015; 21: 5056-5071
    CrossrefPubMedGoogle Scholar
  • 16 Mazurek M, Murray A, Heitman SJ. et al. Association between endoscopist specialty and colonoscopy quality: a systematic review and meta-analysis. Clin Gastroenterol Hepatol 2022; 20: 1931-1946
    CrossrefPubMedGoogle Scholar
  • 17 Day L, Siao D, Inadomi J. et al. Non-physician performance of lower and upper endoscopy: a systematic review and meta-analysis. Endoscopy 2014; 46: 401-410
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Ikenberry SO, Anderson MA. American Society for Gastrointestinal Endoscopy. et al. Endoscopy by nonphysicians. Gastrointest Endosc 2009; 69: 767-770
    CrossrefPubMedGoogle Scholar
  • 19 Cooper MA, Tinmouth JM, Rabeneck L. Registered nurse-performed flexible sigmoidoscopy in Ontario: development and implementation of the curriculum and program. Can J Gastroenterol Hepatol 2014; 28: 13-18
    CrossrefPubMedGoogle Scholar
  • 20 Smale S, Bjarnason I, Forgacs I. et al. Upper gastrointestinal endoscopy performed by nurses: scope for the future?. Gut 2003; 52: 1090-1094
    CrossrefPubMedGoogle Scholar
  • 21 Meaden C, Joshi M, Hollis S. et al. A randomized controlled trial comparing the accuracy of general diagnostic upper gastrointestinal endoscopy performed by nurse or medical endoscopists. Endoscopy 2006; 38: 553-560
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Pfeifer UG, Schilling D. Non-physician endoscopy: how far can we go?. Visc Med 2016; 32: 13-20
    CrossrefPubMedGoogle Scholar
  • 23 Ko CW, Dominitz JA, Green P. et al. Specialty differences in polyp detection, removal, and biopsy during colonoscopy. Am J Med 2010; 123: 528-535
    CrossrefPubMedGoogle Scholar
  • 24 Bielawska B, Day AG, Lieberman DA. et al. Risk factors for early colonoscopic perforation include non-gastroenterologist endoscopists: a multivariable analysis. Clin Gastroenterol Hepatol 2014; 12: 85-92
    CrossrefPubMedGoogle Scholar
  • 25 Redondo-Cerezo E, García-Cano J. Who should perform endoscopic procedures?. Gut 2004; 53: 469
    PubMedGoogle Scholar
  • 26 Navaneethan U, Mehta PP, Sanaka MR. Colonoscopies by nurse practitioners: too premature to support their role. Clin Gastroenterol Hepatol 2013; 11: 879
    CrossrefPubMedGoogle Scholar
  • 27 ASGE Training Committee. Walsh CM, Umar SB. et al. Colonoscopy core curriculum. Gastrointest Endosc 2021; 93: 297-304
    CrossrefPubMedGoogle Scholar
  • 28 Bisschops R, Areia M, Coron E. et al. Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy 2016; 48: 843-864
    Article in Thieme ConnectPubMedGoogle Scholar
  • 29 Kaminski MF, Thomas-Gibson S, Bugajski M. et al. Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy 2017; 49: 378-397
    Article in Thieme ConnectPubMedGoogle Scholar
  • 30 Valori R, Cortas G, de Lange T. et al. Performance measures for endoscopy services: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy 2018; 50: 1186-1204
    Article in Thieme ConnectPubMedGoogle Scholar
  • 31 Rembacken B, Hassan C, Riemann J. et al. Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE). Endoscopy 2012; 44: 957-968
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 Walsh CM. In-training gastrointestinal endoscopy competency assessment tools: Types of tools, validation and impact. Best Pract Res Clin Gastroenterol 2016; 30: 357-374
    CrossrefPubMedGoogle Scholar
  • 33 Patel SG, Keswani R, Elta G. et al. Status of competency-based medical education in endoscopy training: a nationwide survey of US ACGME-accredited gastroenterology training programs. Am J Gastroenterol 2015; 110: 956-962
    CrossrefPubMedGoogle Scholar
  • 34 Leung W-C. Competency based medical training: review. BMJ 2002; 325: 693-696
    CrossrefPubMedGoogle Scholar
  • 35 Reznick RK, MacRae H. Teaching surgical skills--changes in the wind. NEJM 2006; 355: 2664-2669
    CrossrefPubMedGoogle Scholar
  • 36 Powell DE, Carraccio C. Toward competency-based medical education. NEJM 2018; 378: 3-5
    CrossrefPubMedGoogle Scholar
  • 37 Ekkelenkamp VE, Koch AD, de Man RA. et al. Training and competence assessment in GI endoscopy: a systematic review. Gut 2016; 65: 607-615
    CrossrefPubMedGoogle Scholar
  • 38 Iobst WF, Caverzagie KJ. Milestones and competency-based medical education. Gastroenterology 2013; 145: 921-924
    CrossrefPubMedGoogle Scholar
  • 39 Sedlack RE. Training to competency in colonoscopy: assessing and defining competency standards. Gastrointest Endosc 2011; 74: 355-366.e1–e2
    CrossrefPubMedGoogle Scholar
  • 40 Siau K, Dunckley P, Valori R. et al. Changes in scoring of Direct Observation of Procedural Skills (DOPS) forms and the impact on competence assessment. Endoscopy 2018; 50: 770-778
    Article in Thieme ConnectPubMedGoogle Scholar
  • 41 ASGE Training Committee. Sedlack RE, Coyle WJ. et al. ASGE’s assessment of competency in endoscopy evaluation tools for colonoscopy and EGD. Gastrointest Endosc 2014; 79: 1-7
    CrossrefPubMedGoogle Scholar
  • 42 Sedlack RE, Coyle WJ. ACE Research Group. Assessment of competency in endoscopy: establishing and validating generalizable competency benchmarks for colonoscopy. Gastrointest Endosc 2016; 83: 516-523.e1
    CrossrefPubMedGoogle Scholar
  • 43 Walsh CM, Ling SC, Khanna N. et al. Gastrointestinal Endoscopy Competency Assessment Tool: development of a procedure-specific assessment tool for colonoscopy. Gastrointest Endosc 2014; 79: 798-807.e5
    CrossrefPubMedGoogle Scholar
  • 44 Miller AT, Sedlack RE. ACE Research Group. Competency in esophagogastroduodenoscopy: a validated tool for assessment and generalizable benchmarks for gastroenterology fellows. Gastrointest Endosc 2019; 90: 613-620.e1
    CrossrefPubMedGoogle Scholar
  • 45 Patel SG, Duloy A, Kaltenbach T. et al. Development and validation of a video-based cold snare polypectomy assessment tool (with videos). Gastrointest Endosc 2019; 89: 1222-1230.e2
    CrossrefPubMedGoogle Scholar
  • 46 Vassiliou MC, Kaneva PA, Poulose BK. et al. Global Assessment of Gastrointestinal Endoscopic Skills (GAGES): a valid measurement tool for technical skills in flexible endoscopy. Surg Endosc 2010; 24: 1834-1841
    CrossrefPubMedGoogle Scholar
  • 47 Boyle E, Al-Akash M, Patchett S. et al. Towards continuous improvement of endoscopy standards: validation of a colonoscopy assessment form. Colorectal Dis 2012; 14: 1126-1131
    CrossrefPubMedGoogle Scholar
  • 48 Walsh CM, Ling SC, Khanna N. et al. Gastrointestinal Endoscopy Competency Assessment Tool: reliability and validity evidence. Gastrointest Endosc 2015; 81: 1417-1424.e2
    CrossrefPubMedGoogle Scholar
  • 49 Mehta T, Dowler K, McKaig BC. et al. Development and roll out of the JETS e-portfolio: a web based electronic portfolio for endoscopists. Frontline Gastroenterol 2011; 2: 35-42
    CrossrefPubMedGoogle Scholar
  • 50 Biswas S, Alrubaiy L, China L. et al. Trends in UK endoscopy training in the BSG trainees’ national survey and strategic planning for the future. Frontline Gastroenterol 2018; 9: 200-207
    CrossrefPubMedGoogle Scholar
  • 51 Lee TJW, Rutter MD, Blanks RG. et al. Colonoscopy quality measures: experience from the NHS Bowel Cancer Screening Programme. Gut 2012; 61: 1050-1057
    CrossrefPubMedGoogle Scholar
  • 52 Rees CJ, Thomas Gibson S, Rutter MD. et al. UK key performance indicators and quality assurance standards for colonoscopy. Gut 2016; 65: 1923-1929
    CrossrefPubMedGoogle Scholar
  • 53 Dekker E, Nass KJ, Iacucci M. et al. Performance measures for colonoscopy in inflammatory bowel disease patients: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy 2022; 54: 904-915
    Article in Thieme ConnectPubMedGoogle Scholar
  • 54 ASGE Standards of Practice Committee. Faulx AL, Lightdale JR. et al. Guidelines for privileging, credentialing, and proctoring to perform GI endoscopy. Gastrointest Endosc 2017; 85: 273-281
    CrossrefPubMedGoogle Scholar
  • 55 Romagnuolo J, Enns R, Ponich T. et al. Canadian credentialing guidelines for colonoscopy. Can J Gastroenterol 2008; 22: 17-22
    CrossrefPubMedGoogle Scholar
  • 56 JAG Endoscopy Training System. JETS certification pathways. Trainee certification process: colonoscopy; 7–8. Accessed: 23 October 2023. www.thejag.org.uk/Downloads/JAG/JAG%20certification/JETS%20certification%20pathways%202023.pdf
    PubMedGoogle Scholar
  • 57 Beattie AD, Greff M, Lamy V. et al. The European Diploma of Gastroenterology: progress towards harmonization of standards. Eur J Gastroenterol Hepatol 1996; 8: 403-406
    CrossrefPubMedGoogle Scholar
  • 58 Conjoint Committee for the Recognition of Training in Australia. Application for recognition: procedure requirements – colonoscopy. Accessed: 12 October 2023. www.conjoint.org.au/applicants.php#colonoscopy
    PubMedGoogle Scholar
  • 59 Accreditation Council for Graduate Medical Education (ACGME). Defined category minimum numbers for general surgery residents and credit role. Accessed: 23 October 2023. www.acgme.org/globalassets/DefinedCategoryMinimumNumbersforGeneralSurgeryResidentsandCreditRole.pdf
    PubMedGoogle Scholar
  • 60 Parry BR, Williams SM. Competency and the colonoscopist: a learning curve. Aust N Z J Surg 1991; 61: 419-422
    CrossrefPubMedGoogle Scholar
  • 61 Marshall JB. Technical proficiency of trainees performing colonoscopy: a learning curve. Gastrointest Endosc 1995; 42: 287-291
    CrossrefPubMedGoogle Scholar
  • 62 Cass O, Freeman M, Cohen J. et al. Acquisition of competency in endoscopic skills (ACES) during training: A multicenter study. Gastrointest Endosc 1996; 43: 308
    CrossrefPubMedGoogle Scholar
  • 63 Chak A, Cooper GS, Blades EW. et al. Prospective assessment of colonoscopic intubation skills in trainees. Gastrointest Endosc 1996; 44: 54-57
    CrossrefPubMedGoogle Scholar
  • 64 Tassios PS, Ladas SD, Grammenos I. et al. Acquisition of competence in colonoscopy: the learning curve of trainees. Endoscopy 1999; 31: 702-706
    Article in Thieme ConnectPubMedGoogle Scholar
  • 65 Church J, Oakley J, Milsom J. et al. Colonoscopy training: the need for patience (patients). ANZ J Surg 2002; 72: 89-91
    CrossrefPubMedGoogle Scholar
  • 66 Chung JI, Kim N, Um MS. et al. Learning curves for colonoscopy: a prospective evaluation of gastroenterology fellows at a single center. Gut Liver 2010; 4: 31-35
    CrossrefPubMedGoogle Scholar
  • 67 Lee S-H, Chung I-K, Kim S-J. et al. An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve. Gastrointest Endosc 2008; 67: 683-689
    CrossrefPubMedGoogle Scholar
  • 68 Koch AD, Haringsma J, Schoon EJ. et al. Competence measurement during colonoscopy training: the use of self-assessment of performance measures. Am J Gastroenterol 2012; 107: 971-975
    CrossrefPubMedGoogle Scholar
  • 69 Spier BJ, Benson M, Pfau PR. et al. Colonoscopy training in gastroenterology fellowships: determining competence. Gastrointest Endosc 2010; 71: 319-324
    CrossrefPubMedGoogle Scholar
  • 70 Gromski MA, Miller CA, Lee S-H. et al. Trainees’ adenoma detection rate is higher if ≥ 10 minutes is spent on withdrawal during colonoscopy. Surg Endosc 2012; 26: 1337-1342
    CrossrefPubMedGoogle Scholar
  • 71 Park H-J, Hong J-H, Kim H-S. et al. Predictive factors affecting cecal intubation failure in colonoscopy trainees. BMC Med Educ 2013; 13: 5
    CrossrefPubMedGoogle Scholar
  • 72 Patwardhan VR, Feuerstein JD, Sengupta N. et al. Fellowship colonoscopy training and preparedness for independent gastroenterology practice. J Clin Gastroenterol 2016; 50: 45-51
    CrossrefPubMedGoogle Scholar
  • 73 Oh JR, Han KS, Hong CW. et al. Colonoscopy learning curves for colorectal surgery fellow trainees: experiences with the 15-year colonoscopy training program. Ann Surg Treat Res 2018; 95: 169-174
    CrossrefPubMedGoogle Scholar
  • 74 Ward ST, Mohammed MA, Walt R. et al. An analysis of the learning curve to achieve competency at colonoscopy using the JETS database. Gut 2014; 63: 1746-1754
    CrossrefPubMedGoogle Scholar
  • 75 Cass OW, Freeman ML, Peine CJ. et al. Objective evaluation of endoscopy skills during training. Ann Intern Med 1993; 118: 40-44
    CrossrefPubMedGoogle Scholar
  • 76 Kwon RS, Davila RE, Mullady DK. et al. EGD core curriculum. VideoGIE 2017; 2: 162-168
    CrossrefPubMedGoogle Scholar
  • 77 Gianotti RJ, Oza SS, Tapper EB. et al. A longitudinal study of adenoma detection rate in gastroenterology fellowship training. Dig Dis Sci 2016; 61: 2831-2837
    CrossrefPubMedGoogle Scholar
  • 78 Lim S, Hammond S, Park J. et al. Training interventions to improve adenoma detection rates during colonoscopy: a systematic review and meta-analysis. Surg Endosc 2020; 34: 3870-3882
    CrossrefPubMedGoogle Scholar
  • 79 Choung BS, Kim SH, Ahn DS. et al. Incidence and risk factors of delayed postpolypectomy bleeding: a retrospective cohort study. J Clin Gastroenterol 2014; 48: 784-789
    CrossrefPubMedGoogle Scholar
  • 80 Boo S-J, Jung JH, Park JH. et al. An adequate level of training for technically competent colonoscopic polypectomy. Scand J Gastroenterol 2015; 50: 908-915
    CrossrefPubMedGoogle Scholar
  • 81 American Association for the Study of Liver Diseases, American College of Gastroenterology, American Gastroenterological Association (AGA) Institute et al. The Gastroenterology Core Curriculum, Third Edition. Gastroenterology 2007; 132: 2012-2018
    CrossrefPubMedGoogle Scholar
  • 82 Gupta S, Anderson J, Bhandari P. et al. Development and validation of a novel method for assessing competency in polypectomy: direct observation of polypectomy skills. Gastrointest Endosc 2011; 73: 1232-1239.e2
    CrossrefPubMedGoogle Scholar
  • 83 Royal College of Physicians and Surgeons of Canada. CPD accreditation: Self-assessment programs. Royal College Web site. Accessed: 23 October 2023. www.royalcollege.ca/ca/en/cpd/accreditation-continuing-professional-development-cpd-activities/cpd-accreditation-self-assessment-programs-saps.html
    PubMedGoogle Scholar
  • 84 Siau K, Morris AJ, Murugananthan A. et al. Variation in exposure to endoscopic haemostasis for acute upper gastrointestinal bleeding during UK gastroenterology training. Frontline Gastroenterol 2020; 11: 436-440
    CrossrefPubMedGoogle Scholar
  • 85 Segal J, Siau K, Kanagasundaram C. et al. Training in endotherapy for acute upper gastrointestinal bleeding: a UK-wide gastroenterology trainee survey. Frontline Gastroenterol 2020; 11: 430-435
    CrossrefPubMedGoogle Scholar
  • 86 Ponich T, Enns R, Romagnuolo J. et al. Canadian Credentialing Guidelines for Esophagogastroduodenoscopy. Can J Gastroenterol 2008; 22: 349-354
    CrossrefPubMedGoogle Scholar
  • 87 Lowe JB, Page CP, Schwesinger WH. et al. Percutaneous endoscopic gastrostomy tube placement in a surgical training program. Am J Surg 1997; 174: 624-627 ; discussion 627–628
    CrossrefPubMedGoogle Scholar
  • 88 Sami SS, Haboubi HN, Ang Y. et al. UK guidelines on oesophageal dilatation in clinical practice. Gut 2018; 67: 1000-1023
    CrossrefPubMedGoogle Scholar
  • 89 Preisler L, Svendsen MBS, Svendsen LB. et al. Methods for certification in colonoscopy – a systematic review. Scand J Gastroenterol 2018; 53: 350-358
    CrossrefPubMedGoogle Scholar
  • 90 Scaffidi MA, Khan R, Grover SC. et al. Self-assessment of competence in endoscopy: challenges and insights. J Can Assoc Gastroenterol 2021; 4: 151-157
    CrossrefPubMedGoogle Scholar
  • 91 Hopkins TJ. A conceptual framework for understanding the three ‘isms’ --racism, ageism, sexism. J Educ Soc Work 1980; 16: 63-70
    CrossrefPubMedGoogle Scholar
  • 92 Ansell J, Hurley JJ, Horwood J. et al. Can endoscopists accurately self-assess performance during simulated colonoscopic polypectomy?A prospective, cross-sectional study. . Am J Surg 2014; 207: 32-38
    CrossrefPubMedGoogle Scholar
  • 93 Moritz V, Holme O, Leblanc M. et al. An explorative study from the Norwegian Quality Register Gastronet comparing self-estimated versus registered quality in colonoscopy performance. Endosc Int Open 2016; 4: E326-E332
    Article in Thieme ConnectPubMedGoogle Scholar
  • 94 Vyasa P, Willis RE, Dunkin BJ. et al. Are general surgery residents accurate assessors of their own flexible endoscopy skills?. J Surg Educ 2017; 74: 23-29
    CrossrefPubMedGoogle Scholar
  • 95 Scaffidi MA, Grover SC, Carnahan H. et al. Impact of experience on self-assessment accuracy of clinical colonoscopy competence. Gastrointest Endosc 2018; 87: 827-836.e2
    CrossrefPubMedGoogle Scholar
  • 96 Scaffidi MA, Khan R, Carnahan H. et al. Can pediatric endoscopists accurately assess their clinical competency? A comparison across skill levels. . J Pediatr Gastroenterol Nutr 2019; 68: 311-317
    CrossrefPubMedGoogle Scholar
  • 97 Scaffidi MA, 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
  • 98 JAG. Joint Advisory Group on Gastrointestinal Endoscopy (JAG) Accreditation Standards for Endoscopy Services 2014. Accessed: 12 October 2023. www.rcplondon.ac.uk/file/3890/download
    PubMedGoogle Scholar
  • 99 French JC, Colbert CY, Pien LC. et al. Targeted feedback in the milestones era: utilization of the ask-tell-ask feedback model to promote reflection and self-assessment. J Surg Educ 2015; 72: e274-e279
    CrossrefPubMedGoogle Scholar
  • 100 Forbes N, Boyne DJ, Mazurek MS. et al. Association between endoscopist annual procedure volume and colonoscopy quality: systematic review and meta-analysis. Clin Gastroenterol Hepatol 2020; 18: 2192-2208.e12
    CrossrefPubMedGoogle Scholar
  • 101 Reynolds C, Esrailian E, Hommes D. Quality improvement in gastroenterology: a systematic review of practical interventions for clinicians. Dig Dis Sci 2018; 63: 2507-2518
    CrossrefPubMedGoogle Scholar
  • 102 Bishay K, Causada-Calo N, Scaffidi MA. et al. Associations between endoscopist feedback and improvements in colonoscopy quality indicators: a systematic review and meta-analysis. Gastrointest Endosc 2020; 92: 1030-1040.e9
    CrossrefPubMedGoogle Scholar
  • 103 Multisociety Task Force on GI Training. Report of the Multisociety Task Force on GI Training. Am J Gastroenterol 2009; 104: 2659-2663
    CrossrefPubMedGoogle Scholar
  • 104 American Society for Gastrointestinal Endoscopy. Alternative pathways to training in gastrointestinal endoscopy. Accessed: 12 October 2023. www.asge.org/docs/default-source/education/training/f3cf9361-c650-47a1-9634-442ed63ec1d9.pdf?sfvrsn=4e234b51_4
    PubMedGoogle Scholar
  • 105 Walker T, Deutchman M, Ingram B. et al. Endoscopy training in primary care: innovative training program to increase access to endoscopy in primary care. Fam Med 2012; 44: 171-177
    PubMedGoogle Scholar
  • 106 Waschke KA, Coyle W. Advances and challenges in endoscopic training. Gastroenterology 2018; 154: 1985-1992
    CrossrefPubMedGoogle Scholar
  • 107 Atkinson A, Watling CJ, Brand PLP. Feedback and coaching. Eur J Pediatr 2022; 181: 441-446
    CrossrefPubMedGoogle Scholar
  • 108 Dilly CK, Sewell JL. How to give feedback during endoscopy training. Gastroenterology 2017; 153: 632-636
    CrossrefPubMedGoogle Scholar
  • 109 Jorgensen JE, Elta GH, Stalburg CM. et al. Do breaks in gastroenterology fellow endoscopy training result in a decrement in competency in colonoscopy?. Gastrointest Endosc 2013; 78: 503-509
    CrossrefPubMedGoogle Scholar
  • 110 Cotton PB, Feussner D, Dufault D. et al. A survey of credentialing for ERCP in the United States. Gastrointest Endosc 2017; 86: 866-869
    CrossrefPubMedGoogle Scholar
  • 111 Wani S, Keswani RN, Han S. et al. Competence in endoscopic ultrasound and endoscopic retrograde cholangiopancreatography, from training through independent practice. Gastroenterology 2018; 155: 1483-1494.e7
    CrossrefPubMedGoogle Scholar
  • 112 Siau K, Keane MG, Steed H. et al. UK Joint Advisory Group consensus statements for training and certification in endoscopic retrograde cholangiopancreatography. Endosc Int Open 2022; 10: E37-E49
    Article in Thieme ConnectPubMedGoogle Scholar
  • 113 Voiosu A, Dinis-Ribeiro M. Before you implement a new technique or technology in your unit: a strategic perspective of endoscopy. Gastrointest Endosc 2022; 96: 861-864
    CrossrefPubMedGoogle Scholar
  • 114 Rodríguez de Santiago E, Dinis-Ribeiro M, Pohl H. et al. Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement. Endoscopy 2022; 54: 797-826
    Article in Thieme ConnectPubMedGoogle Scholar
  • 115 Hassan C, Aabakken L, Ebigbo A. et al. Partnership with African countries: European Society of Gastrointestinal Endoscopy (ESGE) – Position Statement. Endosc Int Open 2018; 6: E1247-E1255
    Article in Thieme ConnectPubMedGoogle Scholar
  • 116 Sonnenberg A. Limitations of teaching endoscopy. Eur J Gastroenterol Hepatol 2018; 30: 252-256
    CrossrefPubMedGoogle Scholar
  • 117 Coderre S, Anderson J, Rostom A. et al. Training the endoscopy trainer: from general principles to specific concepts. Can J Gastroenterol 2010; 24: 700-704
    CrossrefPubMedGoogle Scholar
  • 118 Waschke KA, Anderson J, Macintosh D. et al. Training the gastrointestinal endoscopy trainer. Best Pract Res Clin Gastroenterol 2016; 30: 409-419
    CrossrefPubMedGoogle Scholar
  • 119 Walsh CM, Anderson JT, Fishman DS. Evidence-based approach to training pediatric gastrointestinal endoscopy trainers. J Pediatr Gastroenterol Nutr 2017; 64: 501-504
    CrossrefPubMedGoogle Scholar
  • 120 Sewell JL, Boscardin CK, Young JQ. et al. Measuring cognitive load during procedural skills training with colonoscopy as an exemplar. Med Educ 2016; 50: 682-692
    CrossrefPubMedGoogle Scholar
  • 121 Kaminski MF, Anderson J, Valori R. et al. Leadership training to improve adenoma detection rate in screening colonoscopy: a randomised trial. Gut 2016; 65: 616-624
    CrossrefPubMedGoogle Scholar
  • 122 Bowles CJA, Leicester R, Romaya C. et al. A prospective study of colonoscopy practice in the UK today: are we adequately prepared for national colorectal cancer screening tomorrow?. Gut 2004; 53: 277-283
    CrossrefPubMedGoogle Scholar
  • 123 Gavin DR, Valori RM, Anderson JT. et al. The national colonoscopy audit: a nationwide assessment of the quality and safety of colonoscopy in the UK. Gut 2013; 62: 242-249
    CrossrefPubMedGoogle Scholar
  • 124 World Endoscopy Organization. Program for endoscopic teachers. Accessed: 12 October 2023. www.worldendo.org/education/program-for-endoscopic-teachers-pet
    PubMedGoogle Scholar
  • 125 Canadian Association of Gastroenterology. Skills Enhancement for Endoscopy (SEE™) Program. Accessed: 12 October 2023. www.cag-acg.org/education/see-program
    PubMedGoogle Scholar
  • 126 Wyles SM, Schwarz E, Dort J. et al. SAGE(S) advice: application of a standardized train the trainer model for faculty involved in a Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) hands-on course. Surg Endosc 2017; 31: 2017-2022
    CrossrefPubMedGoogle Scholar
  • 127 Liu A, Wang H, Lin Y. et al. Gastrointestinal endoscopy nurse assistance during colonoscopy and polyp detection: A PRISMA-compliant meta-analysis of randomized control trials. Medicine (Baltimore) 2020; 99: e21278
    CrossrefPubMedGoogle Scholar
  • 128 Lee CK, Park DI, Lee S-H. et al. Participation by experienced endoscopy nurses increases the detection rate of colon polyps during a screening colonoscopy: a multicenter, prospective, randomized study. Gastrointest Endosc 2011; 74: 1094-1102
    CrossrefPubMedGoogle Scholar
  • 129 Dumonceau J-M, Riphaus A, Beilenhoff U. et al. European curriculum for sedation training in gastrointestinal endoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA). Endoscopy 2013; 45: 496-504
    Article in Thieme ConnectPubMedGoogle Scholar
  • 130 Beilenhoff U, Biering H, Blum R. et al. Reprocessing of flexible endoscopes and endoscopic accessories used in gastrointestinal endoscopy: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA) – Update 2018. Endoscopy 2018; 50: 1205-1234
    Article in Thieme ConnectPubMedGoogle Scholar
  • 131 van der Wiel SE, Küttner Magalhães R, Rocha Gonçalves CR. et al. Simulator training in gastrointestinal endoscopy - From basic training to advanced endoscopic procedures. Best Pract Res Clin Gastroenterol 2016; 30: 375-387
    CrossrefPubMedGoogle Scholar
  • 132 Qiao W, Bai Y, Lv R. et al. The effect of virtual endoscopy simulator training on novices: a systematic review. PloS One 2014; 9: e89224
    CrossrefPubMedGoogle Scholar
  • 133 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
  • 134 Nielsen AB, Pedersen FM, Laursen CB. et al. Assessment of esophagogastroduodenoscopy skills on simulators before real-life performance. Endosc Int Open 2022; 10: E815-E823
    Article in Thieme ConnectPubMedGoogle Scholar
  • 135 Ende A, Zopf Y, Konturek P. et al. Strategies for training in diagnostic upper endoscopy: a prospective, randomized trial. Gastrointest Endosc 2012; 75: 254-260
    CrossrefPubMedGoogle Scholar
  • 136 Ferlitsch A, Schoefl R, Puespoek A. et al. Effect of virtual endoscopy simulator training on performance of upper gastrointestinal endoscopy in patients: a randomized controlled trial. Endoscopy 2010; 42: 1049-1056
    Article in Thieme ConnectPubMedGoogle Scholar
  • 137 Di Giulio E, Fregonese D, Casetti T. et al. Training with a computer-based simulator achieves basic manual skills required for upper endoscopy: a randomized controlled trial. Gastrointest Endosc 2004; 60: 196-200
    CrossrefPubMedGoogle Scholar
  • 138 Sedlack RE, Kolars JC, Alexander JA. Computer simulation training enhances patient comfort during endoscopy. Clin Gastroenterol Hepatol 2004; 2: 348-352
    CrossrefPubMedGoogle Scholar
  • 139 Tuggy ML. Virtual reality flexible sigmoidoscopy simulator training: impact on resident performance. J Am Board Fam Pract 1998; 11: 426-433
    CrossrefPubMedGoogle Scholar
  • 140 Gerson LB, van Dam J. A prospective randomized trial comparing a virtual reality simulator to bedside teaching for training in sigmoidoscopy. Endoscopy 2003; 35: 569-575
    Article in Thieme ConnectPubMedGoogle Scholar
  • 141 Ahlberg G, Hultcrantz R, Jaramillo E. et al. Virtual reality colonoscopy simulation: a compulsory practice for the future colonoscopist?. Endoscopy 2005; 37: 1198-1204
    Article in Thieme ConnectPubMedGoogle Scholar
  • 142 Haycock A, Koch AD, Familiari P. et al. Training and transfer of colonoscopy skills: a multinational, randomized, blinded, controlled trial of simulator versus bedside training. Gastrointest Endosc 2010; 71: 298-307
    CrossrefPubMedGoogle Scholar
  • 143 McIntosh KS, Gregor JC, Khanna NV. Computer-based virtual reality colonoscopy simulation improves patient-based colonoscopy performance. Can J Gastroenterol Hepatol 2014; 28: 203-206
    CrossrefPubMedGoogle Scholar
  • 144 Mahmood T, Darzi A. The learning curve for a colonoscopy simulator in the absence of any feedback: no feedback, no learning. Surg Endosc 2004; 18: 1224-1230
    CrossrefPubMedGoogle Scholar
  • 145 Vilmann AS, Norsk D, Svendsen MBS. et al. Computerized feedback during colonoscopy training leads to improved performance: a randomized trial. Gastrointest Endosc 2018; 88: 869-876
    CrossrefPubMedGoogle Scholar
  • 146 Grover SC, Garg A, Scaffidi MA. et al. Impact of a simulation training curriculum on technical and nontechnical skills in colonoscopy: a randomized trial. Gastrointest Endosc 2015; 82: 1072-1079
    CrossrefPubMedGoogle Scholar
  • 147 Koczka CP, Geraldino-Pardilla LB, Goodman AJ. et al. A nationwide survey of gastroenterologists and their acquisition of knowledge. Am J Gastroenterol 2013; 108: 1033-1035
    CrossrefPubMedGoogle Scholar
  • 148 Huang C, Hopkins R, Huang K. et al. Standardizing endoscopy training: a workshop for endoscopy educators. MedEdPORTAL 2020; 16: 11015
    CrossrefPubMedGoogle Scholar
  • 149 Webster GJ, El Menabawey T, Arvanitakis M. et al. Live endoscopy events (LEEs): European Society of Gastrointestinal Endoscopy Position Statement – Update 2021. Endoscopy 2021; 53: 842-849
    Article in Thieme ConnectPubMedGoogle Scholar
  • 150 Li G, Yu T, Zhang L. et al. Use of a specialty endoscopy online platform for continuing medical education for clinical endoscopists during the COVID-19 pandemic. BMC Med Educ 2022; 22: 458
    CrossrefPubMedGoogle Scholar
  • 151 Nakanishi H, Doyama H, Ishikawa H. et al. Evaluation of an e-learning system for diagnosis of gastric lesions using magnifying narrow-band imaging: a multicenter randomized controlled study. Endoscopy 2017; 49: 957-967
    Article in Thieme ConnectPubMedGoogle Scholar
  • 152 Bollipo S, Bilal M, Siau K. et al. How to introduce scopemanship into your training program. Gastroenterology 2020; 159: 1648-1652
    CrossrefPubMedGoogle Scholar
  • 153 Bittner JG, Logghe HJ, Kane ED. et al. A Society of Gastrointestinal and Endoscopic Surgeons (SAGES) statement on closed social media (Facebook®) groups for clinical education and consultation: issues of informed consent, patient privacy, and surgeon protection. Surg Endosc 2019; 33: 1-7
    CrossrefPubMedGoogle Scholar
  • 154 Gralnek IM, Hassan C, Beilenhoff U. et al. ESGE and ESGENA Position Statement on gastrointestinal endoscopy and COVID-19: An update on guidance during the post-lockdown phase and selected results from a membership survey. Endoscopy 2020; 52: 891-898
    Article in Thieme ConnectPubMedGoogle Scholar
  • 155 Ekmektzoglou K, Tziatzios G, Siau K. et al. Covid-19: exploring the “new normal“ in gastroenterology training. Acta Gastroenterol Belg 2021; 84: 627-635
    PubMedGoogle Scholar
  • 156 Yip HC, Uedo N, Lau LH-S. et al. Telementoring for endoscopic submucosal dissection in vivo training. Dig Endosc 2023; 35: 140-145
    CrossrefPubMedGoogle Scholar
  • 157 Huang L, Liu J, Wu L. et al. Impact of computer-assisted system on the learning curve and quality in esophagogastroduodenoscopy: randomized controlled trial. Front Med 2021; 8: 781256
    CrossrefPubMedGoogle Scholar
  • 158 Barua I, Wieszczy P, Kudo S. et al. Real-time artificial intelligence–based optical diagnosis of neoplastic polyps during colonoscopy. NEJM Evid 2022; DOI: 10.1056/EVIDoa2200003.
    CrossrefPubMedGoogle Scholar
  • 159 Rondonotti E, Hassan C, Tamanini G. et al. Artificial intelligence assisted optical diagnosis for resect and discard strategy in clinical practice (Artificial intelligence BLI Characterization; ABC study). Endoscopy 2023; 55: 14-22
    Article in Thieme ConnectPubMedGoogle Scholar
  • 160 Pecere S, Antonelli G, Dinis-Ribeiro M. et al. Endoscopists performance in optical diagnosis of colorectal polyps in artificial intelligence studies. United Eur Gastroenterol J 2022; 10: 817-826
    CrossrefPubMedGoogle Scholar
  • 161 Frazzoni L, Arribas J, Antonelli G. et al. Endoscopists’ diagnostic accuracy in detecting upper gastrointestinal neoplasia in the framework of artificial intelligence studies. Endoscopy 2022; 54: 403-441
    Article in Thieme ConnectPubMedGoogle Scholar
  • 162 Bencteux V, Saibro G, Shlomovitz E. et al. Automatic task recognition in a flexible endoscopy benchtop trainer with semi-supervised learning. Int J Comput Assist Radiol Surg 2020; 15: 1585-1595
    CrossrefPubMedGoogle Scholar
  • 163 Tulchinsky H. Incidence and management of colonoscopic perforations: 8 years’ experience. World J Gastroenterol 2006; 12: 4211
    CrossrefPubMedGoogle Scholar
  • 164 Shi X, Shan Y, Yu E. et al. Lower rate of colonoscopic perforation: 110,785 patients of colonoscopy performed by colorectal surgeons in a large teaching hospital in China. Surg Endosc 2014; 28: 2309-2316
    CrossrefPubMedGoogle Scholar
  • 165 Lorenzo-Zúñiga V, Moreno de Vega V, Doménech E. et al. Endoscopist experience as a risk factor for colonoscopic complications: Colonoscopic complications and endoscopist experience. Colorectal Dis 2010; 12: e273-e277
    CrossrefPubMedGoogle Scholar
  • 166 Mark JA, Kramer RE. Impact of fellow training level on adverse events and operative time for common pediatric GI endoscopic procedures. Gastrointest Endosc 2018; 88: 787-794
    CrossrefPubMedGoogle Scholar
  • 167 Viiala CH, Zimmerman M, Cullen DJE. et al. Complication rates of colonoscopy in an Australian teaching hospital environment: Complication rates of colonoscopy. Intern Med J 2003; 33: 355-359
    CrossrefPubMedGoogle Scholar
  • 168 de Sousa JB, Silva SM, Fernandes MB. et al. Colonoscopies performed by resident physicians in a university teaching hospital: a consecutive analysis of 1000 cases [in Portuguese]. ABCD Arq Bras Cir Dig 2012; 25: 9-12
    PubMedGoogle Scholar
  • 169 Galandiuk S, Ahmad P. Impact of sedation and resident teaching on complications of colonoscopy. Dig Surg 1998; 15: 60-63
    CrossrefPubMedGoogle Scholar
  • 170 Thakkar K, El-Serag HB, Mattek N. et al. Complications of pediatric colonoscopy: a five-year multicenter experience. Clin Gastroenterol Hepatol 2008; 6: 515-520
    CrossrefPubMedGoogle Scholar
  • 171 Anderson ML, Pasha TM, Leighton JA. Endoscopic perforation of the colon: lessons from a 10-year study. Am J Gastroenterol 2000; 95: 3418-3422
    CrossrefPubMedGoogle Scholar
  • 172 Rotundo L, Afridi F, Feurdean M. et al. Effect of hospital teaching status on endoscopic retrograde cholangiopancreatography mortality and complications in the USA. Surg Endosc 2021; 35: 326-332
    CrossrefPubMedGoogle Scholar
  • 173 Ge PS, Thompson CC, Aihara H. Development and clinical outcomes of an endoscopic submucosal dissection fellowship program: early united states experience. Surg Endosc 2020; 34: 829-838
    CrossrefPubMedGoogle Scholar
  • 174 Voiosu T, Boskoski I, Voiosu AM. et al. Impact of trainee involvement on the outcome of ERCP procedures: results of a prospective multicenter observational trial. Endoscopy 2020; 52: 115-122
    Article in Thieme ConnectPubMedGoogle Scholar
  • 175 Voiosu T, Voiosu A, Benguş A. et al. Trainee involvement increases precut rates and delays access to the common bile duct without an increase in procedure-related adverse events: a brave new world of ERCP training?. Rom J Intern Med 2018; 56: 55-61
    PubMedGoogle Scholar
  • 176 Jorgensen JE, Rubenstein JH, Goodsitt MM. et al. Radiation doses to ERCP patients are significantly lower with experienced endoscopists. Gastrointest Endosc 2010; 72: 58-65
    CrossrefPubMedGoogle Scholar
  • 177 Mahmood T, Scaffidi MA, Khan R. et al. Virtual reality simulation in endoscopy training: Current evidence and future directions. World J Gastroenterol 2018; 24: 5439-5445
    CrossrefPubMedGoogle Scholar
  • 178 Shah-Ghassemzadeh NK, Jackson CS, Juma D. et al. Training mid-career internists to perform high-quality colonoscopy: a pilot training programme to meet increasing demands for colonoscopy. Postgrad Med J 2017; 93: 484-488
    CrossrefPubMedGoogle Scholar
  • 179 Thakkar K, El-Serag HB, Mattek N. et al. Complications of pediatric EGD: a 4-year experience in PEDS-CORI. Gastrointest Endosc 2007; 65: 213-221
    CrossrefPubMedGoogle Scholar
  • 180 Petrini J, Egan JV. Risk management regarding sedation/analgesia. Gastrointest Endosc Clin N Am 2004; 14: 401-414
    CrossrefPubMedGoogle Scholar
  • 181 Voiosu TA, Benguș A, Bronswijk M. et al. A simple clinical score to stratify the risk of procedure-related adverse events in ERCP procedures with trainee involvement. Endoscopy 2023; 55: 804-811
    Article in Thieme ConnectPubMedGoogle Scholar
  • 182 Haycock AV, Patel JH, Tekkis PP. et al. Evaluating changes in gastrointestinal endoscopy training over 5 years: closing the audit loop. Eur J Gastroenterol Hepatol 2010; 22: 368-373
    CrossrefPubMedGoogle Scholar
  • 183 Matharoo M, Haycock A, Sevdalis N. et al. A prospective study of patient safety incidents in gastrointestinal endoscopy. Endosc Int Open 2017; 05: E83-E89
    Article in Thieme ConnectPubMedGoogle Scholar
  • 184 Rice SC, Slaughter JC, Smalley W. et al. The impact of distraction minimization on endoscopic mentoring and performance. Endosc Int Open 2020; 08: E1804-E1810
    Article in Thieme ConnectPubMedGoogle Scholar
  • 185 Chan MY, Cohen H, Spiegel BMR. Fewer polyps detected by colonoscopy as the day progresses at a veteran’s administration teaching hospital. Clin Gastroenterol Hepatol 2009; 7: 1217-1223
    CrossrefPubMedGoogle Scholar
  • 186 Ravindran S, Thomas-Gibson S, Murray S. et al. Improving safety and reducing error in endoscopy: simulation training in human factors. Frontline Gastroenterol 2019; 10: 160-166
    CrossrefPubMedGoogle Scholar
  • 187 Tziatzios G, Gkolfakis P, Triantafyllou K. Effect of fellow involvement on colonoscopy outcomes: A systematic review and meta-analysis. Dig Liver Dis 2019; 51: 1079-1085
    CrossrefPubMedGoogle Scholar
  • 188 van Doorn SC, Klanderman RB, Hazewinkel Y. et al. Adenoma detection rate varies greatly during colonoscopy training. Gastrointest Endosc 2015; 82: 122-129
    CrossrefPubMedGoogle Scholar
  • 189 Duloy AM, Keswani RN. Assessing the quality of polypectomy and teaching polypectomy. Gastrointest Endosc Clin N Am 2019; 29: 587-601
    CrossrefPubMedGoogle Scholar
  • 190 Singh H, Thomas EJ, Petersen LA. et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med 2007; 167: 2030
    CrossrefPubMedGoogle Scholar
  • 191 Kohn LT, Corrigan JM, Donaldson MS. Institute of Medicine (US) Committee on Quality of Health Care in America. To err is human: building a safer health system. Washington DC: National Academies Press (US); 2000
    Google Scholar
  • 192 Gralnek IM, Bisschops R, Matharoo M. et al. Guidance for the implementation of a safety checklist for gastrointestinal endoscopic procedures: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement. Endoscopy 2022; 54: 206-210
    Article in Thieme ConnectPubMedGoogle Scholar
  • 193 Calderwood AH, Chapman FJ, Cohen J. et al. Guidelines for safety in the gastrointestinal endoscopy unit. Gastrointest Endosc 2014; 79: 363-372
    CrossrefPubMedGoogle Scholar
  • 194 Kachalia A, Studdert DM. Professional liability issues in graduate medical education. JAMA 2004; 292: 1051
    CrossrefPubMedGoogle Scholar
  • 195 Gerstenberger PD, Plumeri PA. Malpractice claims in gastrointestinal endoscopy: analysis of an insurance industry data base. Gastrointest Endosc 1993; 39: 132-138
    CrossrefPubMedGoogle Scholar
  • 196 Thornton RG. Responsibility for the acts of others. Proc (Bayl Univ Med Cent) 2010; 23: 313-315
    PubMedGoogle Scholar
  • 197 Cotton PB, Saxton JW, Finkelstein MM. Avoiding medicolegal complications. Gastrointest Endosc Clin N Am 2007; 17: 197-207
    CrossrefPubMedGoogle Scholar
  • 198 Feld KA, Feld AD. Risk management and legal issues for colonoscopy. Gastrointest Endosc Clin N Am 2010; 20: 593-601
    CrossrefPubMedGoogle Scholar
  • 199 Cassell BE, Walker T, Alghamdi S. et al. Do consultants follow up on tests they recommend? Insights from an academic inpatient gastrointestinal consult service. . Dig Dis Sci 2017; 62: 1448-1454
    CrossrefPubMedGoogle Scholar
  • 200 Richter JM, Kelsey PB, Campbell EJ. Adverse event and complication management in gastrointestinal endoscopy. Am J Gastroenterol 2016; 111: 348-352
    CrossrefPubMedGoogle Scholar
  • 201 Moses RE, Feld AD. Legal risks of clinical practice guidelines. Am J Gastroenterol 2008; 103: 7-11
    CrossrefPubMedGoogle Scholar
  • 202 Pierluissi E. Discussion of medical errors in morbidity and mortality conferences. JAMA 2003; 290: 2838-2842
    CrossrefPubMedGoogle Scholar
  • 203 Rex DK. Avoiding and defending malpractice suits for postcolonoscopy cancer: advice from an expert witness. Clin Gastroenterol Hepatol 2013; 11: 768-773
    CrossrefPubMedGoogle Scholar
  • 204 Feld AD, Moses RE. Most doctors win: what to do if sued for medical malpractice. Am J Gastroenterol 2009; 104: 1346-1351
    CrossrefPubMedGoogle Scholar
  • 205 Donnangelo LL, Shah BJ, Kothari DJ. Disclosure and reflection after an adverse event: tips for training and practice. Gastroenterology 2022; 163: 568-571
    CrossrefPubMedGoogle Scholar
  • 206 Ward ST, Hancox A, Mohammed MA. et al. The learning curve to achieve satisfactory completion rates in upper GI endoscopy: an analysis of a national training database. Gut 2017; 66: 1022-1033
    CrossrefPubMedGoogle Scholar
  • 207 Sidhu R, Chetcuti Zammit S, Baltes P. et al. Curriculum for small-bowel capsule endoscopy and device-assisted enteroscopy training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2020; 52: 669-686
    Article in Thieme ConnectPubMedGoogle Scholar