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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 34<br />

Table 1<br />

ASGE a Guidel<strong>in</strong>es for Endoscopic Tra<strong>in</strong><strong>in</strong>g <strong>in</strong> Rout<strong>in</strong>e Procedures: M<strong>in</strong>imum<br />

Threshold for Assess<strong>in</strong>g Competence<br />

PROCEDURE<br />

REQUIRED<br />

NUMBER b<br />

Esophagogastroduodenoscopy 130<br />

Includ<strong>in</strong>g treatment of nonvariceal bleed<strong>in</strong>g (10 actively bleed<strong>in</strong>g) 25<br />

Includ<strong>in</strong>g treatment of variceal bleed<strong>in</strong>g (5 actively bleed<strong>in</strong>g) 20<br />

Esophageal dilation (guidewire and through the scope) 20<br />

Colonoscopy 140<br />

Includ<strong>in</strong>g snare polypectomy and hemostasis 30<br />

Percutaneous endoscopic gastrostomy c 15<br />

Capsule endoscopy (small bowel) 25<br />

a American Society for Gastro<strong>in</strong>test<strong>in</strong>al <strong>Endoscopy</strong><br />

b Required number represents the threshold number of procedures that must be performed<br />

before competency can be assessed. The number represents a m<strong>in</strong>imum, and it is<br />

understood that most tra<strong>in</strong>ees will require more (never less) than the stated number to meet<br />

the competency based on exist<strong>in</strong>g data.<br />

c Refers to the gastric component of the PEG tube placement.<br />

NOTE: The <strong>in</strong>formation <strong>in</strong> this table represents the current recommendations of the<br />

American Society for Gastro<strong>in</strong>test<strong>in</strong>al <strong>Endoscopy</strong> which undergoes frequent revision.<br />

Please check www.asge.org for the most current <strong>in</strong>formation.<br />

Modified from Pr<strong>in</strong>ciples of Tra<strong>in</strong><strong>in</strong>g <strong>in</strong> Gastro<strong>in</strong>test<strong>in</strong>al <strong>Endoscopy</strong>, Gastro<strong>in</strong>test Endosc<br />

1999;49:845-53.

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