Читать книгу Successful Training in Gastrointestinal Endoscopy - Группа авторов - Страница 105

The primary animal model used has been the Erlangen Endo‐Trainer (ECE Ltd., Erlangen, Germany) or the compact Erlanger Active Simulator for Interventional Endoscopy (EASIE) simulator. Both models feature a rotatable plastic torso in which organ packages can be placed for training. In the compact EASIE model, a roller pump has been used to drive an artificial blood circulation through major organ arteries and simulate spurting arterial bleeding. Initial comparison of both models used during endoscopic courses showed no difference in trainee preferences between the two models [30]. Subsequent analyses of data generated from training courses showed that trainees all improved in endoscopic skills [31] and that the usage of the EASIE simulator improved skills over bedside training alone [32]. In a multicenter study enrolling novices in endoscopy, a 1‐week course with the Erlangen Endo‐Trainer was associated with significant improvements in the tested endoscopic parameters, but no control group was used [33]. In a subsequent study where fellows were randomized to education only versus simulator training in EGD with the Erlangen Endo‐Trainer, the learning curve for the simulator‐trained group after 9 months of fellowship was significantly higher compared to the group receiving education alone [34].