Ensuring Competence in Endoscopy - American College of ...

ASGE has developed guidelines to ensure that individuals receive adequate
training (see Principals of Training in Gastrointestinal Endoscopy, and
Guidelines for Training in Patient Monitoring and Sedation and Analgesia)
which are supported by ACG.
Training in gastrointestinal endoscopy should take place within the context
of a global clinical training program in the fields of adult or pediatric gastroenterology
or general surgery. These training programs must be recognized
by the Accreditation Council for Graduate Medical Education or the
American Osteopathic Association and should exist within institutions
where they are supported by the presence of accredited training programs
in internal medicine, pediatrics, general surgery, radiology, and pathology.
Through hands-on training with adequate case volume and a supporting
curriculum, the training program attains its goal of producing competent
endoscopists.
While an adequate procedure volume is clearly necessary to achieve competence,
performance of an arbitrary number of procedures in no way guarantees
competence. ASGE has established threshold numbers of procedures
that must be completed before competency can be assessed (see Methods of
Granting Hospital Privileges to Perform Gastrointestinal Endoscopy). For
example, ASGE recommends that 140 colonoscopies and 130 EGDs esophagogastroduodenoscopies
performed before competency (EGDs, can i.e. be upper assessed GI for endoscopies) these procedures. be performed It must
be
before recognized competency that these can be are assessed minimum for these numbers procedures. and that It most must trainees be recognized
require that more these than are this minimum number numbers to achieve and competence. that most trainees will require
will
more than this number to achieve competence.
ASGE recognizes that some practitioners will seek training outside of formal
ASGE
training
recognizes
programs.
that some
ASGE
practitioners
has developed
will
guidelines
seek training
for training
outside
in
of
these
formal
training
settings (see
programs.
Alternative
ASGE
Pathways
has developed
to Training
guidelines
in Gastrointestinal
for training in
Endoscopy).
these
settings
We
(see
emphasize
Alternative
that
Pathways
the content
to
and
Training
quality
in
of
Gastrointestinal
this training must
Endoscopy).
conform
to
We
the
emphasize
SAME guidelines
that the content
as for formal
and quality
fellowship
of this
or
training
residency
must
training.
conform
to
Short courses
the SAME
on endoscopy
guidelines as
deserve
for formal
special
fellowship
mention.
or residency
These should
training.
be
viewed
Short courses
as adjunctive
on endoscopy
training opportunities
deserve special
or as
mention.
tools for
These
continuing
should
medical
be
viewed
education.
as adjunctive
However,
training
in no
opportunities
way are these
or
short
as tools
courses
for continuing
a substitute
medical
education.
for
adequate formal
However,
training (see
in no
Statement
way are these
on Role
short
of Short
courses
Courses
a substitute
in Endoscopic
Training).
formal training (see in Statement an accredited, on Role global of Short program Courses of extended in Endo-
for
adequate
duration Once scopic training Training). (see Statement is complete, on Role competency of Short is Courses assessed. in Within Endoscopic a training Training). program,
Once training
competency
is complete,
is assessed
competency
by the training
is assessed.
program
Within
director
a training
who should
program,
competency
provide written support
is assessed
documenting
by the training
the individual’s
program director
competence
who
to
should
perform
provide
individual
written
endoscopic
support documenting
procedures.
the
Direct
individual’s
observation
competence
of the applicant
to perform
individual
performing endoscopic
endoscopic
procedures
procedures.
by an
Direct
impartial
observation
credentialed
of the
endoscopist
applicant
is
performing
also prudent,
endoscopic
and is specifically
procedures
recommended
by an impartial
for
credentialed
applicants who
endoscopist
received
their
is also
training
prudent,
outside
and is specifically
of a formal
recommended
program (see
for
Proctoring
applicants who
for Hospital
received
Endoscopy
their training
Privileges).
outside of a formal program (see Proctoring for Hospital
Endoscopy Privileges).
6 Ensuring Competence in Endoscopy