Endoscopic simulators

Goodman, Adam; Melson, Joshua; Aslanian, Harry R.; Bhutani, Manoop S.; Krishnan, Kumar; Lichtenstein, David R.; Navaneethan, Udayakumar; Pannala, Rahul; Parsi, Mansour A.; Schulman, Allison R.; Sethi, Amrita; Sullivan, Shelby; Thosani, Nirav; Trikudanathan, Guru; Trindade, Arvind J.; Watson, Rabindra R.; Maple, John T.

doi:10.1016/j.gie.2018.10.037

Cited by 53 publications

(43 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Simulation-based training refers to different educational tools that allow for repetitive instruction in a non-patient care environment, without stress and risks. In endoscopy, it includes [9][10][11]: ▪ mechanical simulators ▪ animal modelsin vivo and ex vivo (hybrid) ▪ computer-based/virtual reality simulators.…”

Section: B Training/learning Steps In Ercp and Eusmentioning

confidence: 99%

Curriculum for ERCP and endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

et al. 2021

View full text Add to dashboard Cite

Main RecommendationsThe European Society of Gastrointestinal Endoscopy (ESGE) has recognized the need to formalize and enhance training in endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). This manuscript represents the outcome of a formal Delphi process resulting in an official Position Statement of the ESGE and provides a framework to develop and maintain skills in ERCP and EUS. This curriculum is set out in terms of the prerequisites prior to training; recommended steps of training to a defined syllabus; the quality of training; and how competence should be defined and evidenced before independent practice. 1 Trainees should be competent in gastroscopy prior to commencing training. Formal training courses and the use of simulation in training are recommended. 2 Trainees should keep a contemporaneous logbook of their procedures, including key performance indicators and the degree of independence. Structured formative assessment is encouraged to enhance feedback. There should be a summative assessment process prior to commencing independent practice to ensure there is robust evidence of competence. This evidence should include a review of a trainee’s procedure volume and current performance measures. A period of mentoring is strongly recommended in the early stages of independent practice. 3 Specifically for ERCP, all trainees should be competent up to Schutz level 2 complexity (management of distal biliary strictures and stones > 10 mm), with advanced ERCP requiring a further period of training. Prior to independent practice, ESGE recommends that a trainee can evidence a procedure volume of > 300 cases, a native papilla cannulation rate of ≥ 80 % (90 % after a period of mentored independent practice), complete stones clearance of ≥ 85 %, and successful stenting of distal biliary strictures of ≥ 90 % (90 % and 95 % respectively after a mentored period of independent practice). 4 The progression of EUS training and competence attainment should start from diagnostic EUS and then proceed to basic therapeutic EUS, and finally to advanced therapeutic EUS. Before independent practice, ESGE recommends that a trainee can evidence a procedure volume of > 250 cases (75 fine-needle aspirations/biopsies [FNA/FNBs]), satisfactory visualization of key anatomical landmarks in ≥ 90 % of cases, and an FNA/FNB accuracy rate of ≥ 85 %. ESGE recognizes the often inadequate quality of the evidence and the need for further studies pertaining to training in advanced endoscopy, particularly in relation to therapeutic EUS.

show abstract

Section: B Training/learning Steps In Ercp and Eusmentioning

confidence: 99%

Curriculum for ERCP and endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

et al. 2021

View full text Add to dashboard Cite

show abstract

“…These models are more useful to teach basic skills along with the first steps of endoscopic navigation. 16…”

Section: Endoscopic Trainingmentioning

confidence: 99%

“…Despite some anatomical differences such as wall thickness and organs position, trainees feel as if they are dealing with a clinical case. 16 In fact, in vivo models allow a full immersion experience not only by providing more realistic clinical scenarios but also because of the potential advent of complications such as bleeding or perforation and the opportunity to learn how to manage them. Live animal use has several drawbacks, including costs, the need for highly equipped facilities, the limited number of repetitions for each procedure, and ethical concerns.…”

Section: Endoscopic Trainingmentioning

confidence: 99%

Training in bariatric and metabolic endoscopy

Spota

Laracca

Perretta

2020

Clin Med Insights Gastroenterol

View full text Add to dashboard Cite

The limited penetration of bariatric surgery and the scarce outcome of pharmacological therapies created a favorable space for primary bariatric endoscopic techniques. Furthermore, bariatric endoscopy is largely used to diagnose and treat surgical complications and weight regain after bariatric surgery. The increasingly essential role of endoscopy in the management of obese patients results in the need for trained professionals. Training methods are evolving, and the apprenticeship method is giving way to the simulation-based method. Existing simulation platforms include mechanical simulators, ex vivo and in vivo models, and virtual reality simulators. This review analyzes current training methods for bariatric endoscopy and available training programs with dedicated bariatric core curricula, giving a glimpse of future perspectives.

show abstract

“…Utilized during early endoscopic training are mechanical and virtual reality (VR) simulators. While the simulators show promise in their ability to advance technical skill acquisition, they are still limited in their ability to develop cognitive skills in endoscopists, which are needed to navigate variable tortuous colons [10]. The VR simulations lack the guidance and experience of an expert practitioner imparted during apprenticeship training.…”

Section: Introductionmentioning

confidence: 99%

Novel Endoscope Control Assessment System Using Video and Magnetic Tracking

Ferri

Hussain

Pauli

et al. 2021

2021 Design of Medical Devices Conference

View full text Add to dashboard Cite

Colonoscopy procedures are commonly performed to diagnose and prevent colorectal cancer. These procedures require highly trained practitioners to perform complex maneuvers with an endoscope. Extensive training is necessary to become proficient. To improve assessment during endoscope training the novel endoscopic control assessment system (ECAS) is proposed. This device uses a magnetic tracker to track the end of the endoscope in manikin training. In addition, camera imaging is used to track the angle of the control knobs during the training. Experiment 1 demonstrated that the magnetic tracker could sense the full range of motion of the endoscope. Experiment 2 showed that the control knob angle could be accurately tracked through 4 positions to within 0.6° accuracy. The feasibility of the ECAS system was shown and in the future, this can be employed as an effective means of assessing endoscopic training performance.

show abstract

Endoscopic simulators

Cited by 53 publications

References 44 publications

Curriculum for ERCP and endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Curriculum for ERCP and endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Training in bariatric and metabolic endoscopy

Novel Endoscope Control Assessment System Using Video and Magnetic Tracking

Contact Info

Product

Resources

About