Training for advanced endoscopic procedures

Feurer, Matthew E.; Draganov, Peter V.

doi:10.1016/j.bpg.2016.04.005

Cited by 17 publications

(10 citation statements)

References 51 publications

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“…James et al, in this issue of Best Practice & Research Clinical Gastroenterology, performed a systematic review of measures of performance for trainees in advanced endoscopy and identified a total of 77 studies of tools for use in either endoscopic retrograde cholangio-pancreatography (ERCP), endoscopic ultrasound (EUS), colonoscopic polypectomy, balloon-assisted enteroscopy, luminal stenting, radiofrequency ablation (RFA) or endoscopic mucosal resection (EMR) [23]. Such a large number of tools is a manifestation of our evolving concepts around skills training as well as our understanding of competency, quality and safety as related to these procedures, be it for the novice or advanced trainee [18,24].…”

Section: Measuring In-training Progress and Competencymentioning

confidence: 99%

Acquiring and maintaining competency in gastrointestinal endoscopy

Dubé

Rostom

2016

Best Practice & Research Clinical Gastroenterology

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Section: Measuring In-training Progress and Competencymentioning

confidence: 99%

Acquiring and maintaining competency in gastrointestinal endoscopy

Dubé

Rostom

2016

Best Practice & Research Clinical Gastroenterology

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“…Quality control is an important issue in the practice of gastrointestinal endoscopy[12-21]. The primary objective of this study was to explore the feasibility of establishing a model to measure and predict the overall quality of endoscopic procedures in a system consisting of human resources, procedures and equipment, rather than to measure the performance of specific endoscopic procedures[22-28].…”

Section: Discussionmentioning

confidence: 99%

“…They did help examine the relationship between clinical outcomes ( e.g ., complications) and predictors based on a large sample size, which decreased the effect of selection bias. The clinical outcomes, including the incidence of endoscopic complications, occurrence of medical malpractice and disturbance from patients and their families, were regarded as valuable performance measures or quality indicators in other studies[12,13,29]. The predictive variables were deemed to be risk factors that might affect the performance of endoscopic procedures in clinical practice, although there was a lack of strong evidence.…”

Section: Discussionmentioning

confidence: 99%

Establishing a model to measure and predict the quality of gastrointestinal endoscopy

Wang

Han

Xin

et al. 2019

WJG

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BACKGROUND Tens of millions of gastrointestinal endoscopic procedures are performed every year in China, but the quality varies significantly and related factors are complex. Individual endoscopist- and endoscopy division-related factors may be useful to establish a model to measure and predict the quality of endoscopy. AIM To establish a model to measure and predict the quality of gastrointestinal endoscopic procedures in mainland China. METHODS Selected data on endoscopy experience, equipment, facility, qualification of endoscopists, and other relevant variables were collected from the National Database of Digestive Endoscopy of China. The multivariable logistic regression analysis was used to identify the potential predictive variables for occurrence of medical malpractice and patient disturbance. Linear and nonlinear regressions were used to establish models to predict incidence of endoscopic complications. RESULTS In 2012, gastroscopy/colonoscopy-related complications in mainland China included bleeding in 4,359 cases (0.02%) and perforation in 914 (0.003%). Endoscopic-retrograde-cholangiopancreatography-related complications included severe acute pancreatitis in 593 cases (0.3%), bleeding in 2,151 (1.10%), perforation in 257 (0.13%) and biliary infection in 4,125 (2.11%). Moreover, 1,313 (5.0%) endoscopists encountered with medical malpractice, and 5,243 (20.0%) encountered with the disturbance from patients. The length of endoscopy experience, weekly working hours, weekly night shifts, annual vacation days and job satisfaction were predictors for the occurrence of medical malpractice and patient disturbance. However, the length of endoscopy experience and the ratio of endoscopists to nurses were not adequate to establish an effective predictive model for endoscopy complications. CONCLUSION The workload and job satisfaction of endoscopists are valuable predictors for medical malpractice or patient disturbance. More comprehensive data are needed to establish quality-predictive models for endoscopic complications.

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“…After demonstrating adequate experience with the prerequisite skills, a trainee can begin to become adept in therapeutic EUS techniques. Trainees must be mentored by an expert endoscopist to ensure mastery of each step of the technique: needle puncture, tract dilation, and stent placement [ 28 ]. A trainee must also experience gradual independence, starting with large endoscopic targets (i.e., pancreatic pseudocysts) and moving to progressively smaller targets (i.e., gallbladder/biliary/pancreatic drainage).…”

Section: Training In Interventional Eusmentioning

confidence: 99%

Safety and Complications of Interventional Endoscopic Ultrasound

Saumoy

Kahaleh

2018

Clin Endosc

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Endoscopic ultrasound (EUS) has become an essential tool for the diagnostic and therapeutic intervention of gastrointestinal diseases. Beyond the drainage of fluid collections, it enables decompression of inaccessible bile and pancreatic ducts, the gallbladder, and the creation of anastomosis within the gastrointestinal tract using fully lumen-apposing stents. This review explored the safety and efficacy of these novel procedures and discussed the training pathway that is necessary to perform them efficiently and safely.

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Training for advanced endoscopic procedures

Cited by 17 publications

References 51 publications

Acquiring and maintaining competency in gastrointestinal endoscopy

Acquiring and maintaining competency in gastrointestinal endoscopy

Establishing a model to measure and predict the quality of gastrointestinal endoscopy

Safety and Complications of Interventional Endoscopic Ultrasound

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