Training surgeons to perform flexible gastrointestinal endoscopy

摘要

The extent and type of training involved in producing a competent flexible endoscopist has recently been debated. Traditionally, the number of procedures performed has been used as a surrogate for competency; however, the number of procedures required to achieve competence has varied, has not been validated, and does not take into account the cognitive portion of the procedure. In response, the American Board of Surgery has evaluated the entire Fundamentals of Endoscopic Surgery Program, as well as the Flexible Endoscopy Curriculum, to provide a consistent, scientifically accepted method of teaching and training flexible endoscopy, defining technical and cognitive milestones, and establishing a validated assessment method. This endeavor will provide the surgeon in training with the basic foundation to safely perform flexible endoscopy. In addition, the testing model may supplement case logs and Maintenance of Certification hours at the time of recertification. The goal of all these efforts is to improve the quality endoscopic care that patients receive.