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Successful Training in Gastrointestinal Endoscopy
Читать книгу Successful Training in Gastrointestinal Endoscopy - Группа авторов - Страница 1
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Вернуться на страницу книги Successful Training in Gastrointestinal Endoscopy
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Страница 1
Table of Contents
List of Tables
List of Illustrations
Guide
Pages
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List of Contributors
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1 Training in Endoscopy: A Historical Background
Introduction
Standard training in endoscopy: then and now
What must be learned?
Standards and end points of current endoscopic training
Emergence of complementary teaching modalities Why use simulators?
Evolution and types of endoscopy simulators Static models
Ex vivo artificial tissue models: the “Phantom” Tübingen models
Ex vivo animal tissue simulators: Erlanger and EASIE models
Live animal courses
Computer simulation
The future of simulators in endoscopy training
Ongoing evolution of endoscopic training
A peek into the future of endoscopic training to 2030
Conclusion
Videos
References
2 How Endoscopy is Learned: Deconstructing Skill Sets
Introduction
Identification of fundamental endoscopy skills
Introduction of the scope
Navigation
Overcoming obstacles
Inspection
Instrumentation
Simulators and task deconstruction
Summary
Videos
References
3 Training to Become a High‐Quality Endoscopist: Mastering the Nonprocedural Aspects
Preprocedure
Informed consent
Exceptions to informed consent
Informed refusal
Lack of informed consent
Documentation
Preoperative clinical assessment: focused history and physical exam
Intraprocedure
Postprocedure
Documentation of procedure
Feedback to referring provider
Recognition of complications
Patient satisfaction
Medicolegal issues
Elements of malpractice
Training in quality assurance and improvement
Conclusion
References
4 Training the Endoscopic Trainer
Introduction
Training environment
Attributes of effective endoscopy trainers
Framework for endoscopic training
Preparation
Training
Wrap‐up
Summary
Training aids
Magnetic imagers
Endoscopic simulators
Train‐the‐trainer programs
Conclusions
References
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5 Esophagogastroduodenoscopy (EGD)
Introduction to EGD training Need for training
Format of training
Requirements for EGD training Trainee
Trainer
Setting
EGD training Cognitive aspects Indication for the EGD
Administration of moderate sedation
Landmark and pathology recognition
Technical aspects
Equipment
Diagnostic endoscopy Patient positioning
Handling of the endoscope (Video 5.1)
Esophageal intubation (Video 5.2)
Examination of the esophagus and stomach
Examination of the duodenum (Video 5.4)
Routine tissue biopsy (Video 5.5)
Therapeutic endoscopy Management of bleeding ulcers
Variceal ligation
Stricture dilation
PEG tube placement
Stenting
Advanced endoscopic resection and endoscopic submucosal dissection
Alternatives for EGD training: simulator‐based training
Computer simulators
Animal models
Assessment of performance
Conclusions
Videos
References
Note
6 Colonoscopy
Introduction
Specific skills
Early skills Early cognitive skills
Anatomy
Basics of endoscopic anatomy
Preparation
Scope selection
Sedation
Indication/contraindications
Early motor skills How to hold scope
Scope dials
Scope valves
Scope insertion
Scope advancement
Tip control
Torque
Scope advancement techniques
Lumen identification
Air and water during scope advancement
Withdrawal/inspection
Intermediate skills
Intermediate cognitive skills Pathology recognition
Device selection and settings
Complication management
Intermediate motor skills Loop reduction
Angulated turns
Ileocecal valve
How to teach and assess colonoscopy skills
Early cognitive skills
Early motor skills
Intermediate cognitive skills
Intermediate motor skills
Ongoing assessment
Videos
References
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