Remote training in flexible gastrointestinal endoscopy

摘要

Formal training in GI endoscopy has always been a 1-to- 1 apprentice type of education. The teacher is in the same room as the student, watching each movement, each touch of the controls, every twist and torque, giving verbal sug- gestions and support during each procedure. The best in- structors do a lot of talking, especially during the early phases of learning, describing each turn, remarking on the mucosal appearance, painting a verbal picture of the endoscope configuration as the tip advances in the lumen. Taking over control of the instrument during a training ses- sion is to be avoided, and the endoscopic trainer’s motto is “keep your hands in your pockets.” In fact, in one study, successful colonoscopy by the trainee was defined as cecal intubation without any physical assistance by the supervi- sor. 1 If the supervising endoscopist had to take over for any reason, the procedure was considered a failure for the trainee.