Standards in Gastrointestinal Endoscopy Training
Standards in Gastrointestinal Endoscopy Training
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 36<br />
Table 3: Suggested Objective Performance Criteria for the Evaluation of Technical<br />
Skills <strong>in</strong> Gastro<strong>in</strong>test<strong>in</strong>al <strong>Endoscopy</strong><br />
PROCEDURE PERFORMANCE CRITERIA<br />
EGD<br />
Colonoscopy<br />
Balloon enteroscopy<br />
Capsule endoscopy<br />
ERCP<br />
Endoscopic ultrasound<br />
All procedures<br />
Polypectomy<br />
Esophageal dilation<br />
Esophageal motility<br />
Hemostasis<br />
PEG<br />
Pneumatic dilation<br />
Tumor ablation<br />
Esophageal and enteral stents<br />
Esophageal <strong>in</strong>tubation<br />
Pyloric <strong>in</strong>tubation<br />
Cardia retroflexion<br />
Splenic flexure <strong>in</strong>tubation<br />
Cecal <strong>in</strong>tubation<br />
Ileal <strong>in</strong>tubation (desirable skill)<br />
Rectal retroflexion<br />
Ligament of Trietz identification<br />
Estimated organ (jejunum, ileum) visualization compared to<br />
<strong>in</strong>structor Estimated depth of <strong>in</strong>sertion compared to <strong>in</strong>structor<br />
Esophageal visualization<br />
Gastric visualization<br />
Duodenal visualization<br />
Major papilla visualization<br />
Ileocecal valve visualization<br />
Colonic visualization<br />
Desired duct cannulation<br />
Desired duct opacification<br />
Stent placement<br />
Sph<strong>in</strong>cterotomy<br />
Stone extraction<br />
Esophageal <strong>in</strong>tubation<br />
Pyloric <strong>in</strong>tubation<br />
Imag<strong>in</strong>g of desired organ or lesion<br />
Successful lesion biopsy<br />
Tumor stag<strong>in</strong>g concurrent with:<br />
Surgical f<strong>in</strong>d<strong>in</strong>gs<br />
EUS f<strong>in</strong>d<strong>in</strong>gs of tra<strong>in</strong>er<br />
Accuracy similar to reported literature<br />
Accurate recognition of normal and abnormal f<strong>in</strong>d<strong>in</strong>gs<br />
Appropriate endoscopic/medical treatment <strong>in</strong> response to endoscopic<br />
f<strong>in</strong>d<strong>in</strong>gs<br />
Complications<br />
Successful performance<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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