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Format of training

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Training in upper endoscopy typically starts on the first day of an Accreditation Council for Graduate Medical Education (ACGME) certified fellowship in gastroenterology. Most gastroenterology fellows initially learn endoscopy during inpatient service and on‐call rotations during the first year of training. While this format gives fellows exposure to more challenging endoscopic therapies such as hemostasis for GI bleeding and foreign body extraction, these cases often require intervention by the attending physician as the first year fellow is still learning basic endoscopic skills. During the second and third years of training, most of the EGDs performed are elective outpatient cases, while exposure to inpatient EGDs continues when the trainee is on call.

Bedside teaching, involving a trainer and a trainee, remains the cornerstone of endoscopic education. An alternative method to training using simulators will be discussed below.

Successful Training in Gastrointestinal Endoscopy

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