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Standards in Gastrointestinal Endoscopy Training

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<strong>Standards</strong> <strong>in</strong> Gastro<strong>in</strong>test<strong>in</strong>al <strong>Endoscopy</strong> Tra<strong>in</strong><strong>in</strong>g 28<br />

2. UPPER GASTROINTESTINAL ENDOSCOPY<br />

OBJECTIVE: TO PROVIDE TRAINEES WITH THE KNOWLEDGE AND SKILLS TO<br />

UNDERTAKE DIAGNOSTIC & THERAPEUTIC UPPER GASTROINTESTINAL<br />

ENDOSCOPY<br />

SUBJECT<br />

MATTER<br />

Diagnostic<br />

gastroscopy<br />

Endoscopic therapy<br />

of esophageal<br />

strictures<br />

Thermal therapy of<br />

gastro esophageal<br />

tumors, ulcers and<br />

vascular<br />

malformations<br />

Direct <strong>in</strong>jection/<br />

band<strong>in</strong>g techniques<br />

for bleed<strong>in</strong>g lesions<br />

& tumor therapy<br />

KNOWLEDGE SKILLS ATTITUDES<br />

Indications, contra<br />

<strong>in</strong>dications,<br />

complications,<br />

patient preparation<br />

and documentation<br />

Methods for dilation<br />

of esophageal<br />

stricture and<br />

<strong>in</strong>sertion of<br />

prosthetic tube or<br />

expandable metal<br />

stents<br />

Laser and thermal<br />

methods for tumor<br />

ablation and control<br />

of bleed<strong>in</strong>g lesions<br />

Endoscopic<br />

sclerotherapy/<br />

band<strong>in</strong>g of varices<br />

and <strong>in</strong>jection of<br />

vasoconstrictor<br />

agents for arterial<br />

bleed<strong>in</strong>g lesions,<br />

alcohol <strong>in</strong>jection for<br />

tumor lysis<br />

Able to undertake<br />

OGD, take biopsies,<br />

<strong>in</strong>terpret f<strong>in</strong>d<strong>in</strong>gs<br />

and take necessary<br />

action<br />

Able to dilate<br />

esophageal strictures<br />

and <strong>in</strong>sert<br />

appropriate<br />

prosthetic devices<br />

Able to use thermal<br />

and laser methods<br />

dur<strong>in</strong>g upper GI<br />

endoscopy<br />

Able to perform<br />

<strong>in</strong>jection<br />

sclerotherapy, band<br />

ligation and<br />

adrenal<strong>in</strong>e and<br />

alcohol <strong>in</strong>jection as<br />

appropriate<br />

Will<strong>in</strong>g to undertake<br />

endoscopy <strong>in</strong> such a<br />

way as to m<strong>in</strong>imize<br />

risk and discomfort<br />

to patients and<br />

obta<strong>in</strong> help when<br />

needed<br />

Will<strong>in</strong>g to undertake<br />

therapeutic<br />

procedures safely<br />

and with m<strong>in</strong>imum<br />

patient discomfort<br />

Will<strong>in</strong>g to undertake<br />

therapy to reduce<br />

tumor bulk and stop<br />

or prevent bleed<strong>in</strong>g<br />

and will<strong>in</strong>g to obta<strong>in</strong><br />

help when needed<br />

Will<strong>in</strong>g to undertake<br />

therapy to stop or<br />

prevent bleed<strong>in</strong>g,<br />

eradicate varices,<br />

reduce tumor bulk<br />

safely and obta<strong>in</strong><br />

help when needed

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