Evolving endoscopy teaching in the era of the millennial trainee

Abstract

Rapid popularization of interactive technology is a key determinant of the behavior and learning traits of the millennial birth cohort (see Fig. 1 for key dates in the technological life of a prototypical millennial). 1 These unique styles of thinking, acting, and learning are welldescribed. [2][3][4][5][6][7] In fact, some procedure-based medical specialties have attempted to adapt their curricula to leverage these traits to enhance learning. [8][9][10][11][12][13] The literature on adapting endoscopy training to these distinct learning traits of millennials however is sparse. Engaging millennial trainees to learn more efficiently mandates applying non-traditional teaching tools in the cognitive aspects of endoscopy. In this perspective, we outlined millennial learning traits, reviewed approaches to active learning, and proposed discrete teaching interventions that may resonate with this group of trainees. Specifically, we examined experiential learning strategies and explored their application to the cognitive and technical aspects of endoscopy. It must be emphasized that improved learning by the new generation has a broad and important implication in the successful future of endoscopy.

Simulation-Based Mastery Learning With Virtual Coaching: Experience in Training Standardized Upper Endoscopy to Novice Endoscopists

“…Current trainees are composed of millennials, who are heavily influenced by digital innovation. 14 The majority of them have extensive experience in playing video games. Leveraging these skills may ease endoscopy training.…”

Training in bariatric and metabolic endoscopy

“…The second year the students have the possibility to choose one specific endoscopic field among hepatobiliopancreatic (ERCP, EUS), endoscopic imaging and resection (EMR, ESD, POEM, and tunneling techniques), and bariatric which includes primary techniques and adverse events management. 127 The university diploma and master's degree are based on a model of flipped learning pedagogy 9,128 where trainees have a 1-year online program with multiple lectures and procedural videos split into different modules which are interposed to three on-site meetings including theoretical lessons, live cases, and hands-on sessions. Furthermore, the participants have to complete a 150-hour clinical rotation to spend in one accredited endoscopy center under the mentorship of recognized world expert in the field.…”

“…However, taking the first steps in flexible endoscopy while performing procedures in patients has certain drawbacks. 9 It is trial-and-error learning, which potentially increases patient discomfort and the risk of complications. It also adds extra time to each procedure, thereby impacting the capacity of services and economics.…”

How to ACE your endoscopy training: let competency speak volumes

“…Creative approaches drawn from educational theory and including e-learning, digital technology, and social media can be implemented in gastroenterology fellowship programs to enrich endoscopy training. 10 Miller and colleagues 6 provide important thresholds where the average gastroenterology fellow will achieve competency in the cognitive and technical skills of upper endoscopy (on average, 250 EGDs). These data can be used to guide fellowship programs and curriculum development.…”