Читать книгу Successful Training in Gastrointestinal Endoscopy - Группа авторов - Страница 107

Proper training in upper endoscopy is essential for residents or fellows in an endoscopic training program. Trainees should become proficient in both cognitive and procedural aspects of endoscopy. This includes understanding when a procedure is indicated, recognizing landmarks and pathology, performing the procedure safely and thoroughly, and translating endoscopic findings into a management plan for the patient. Skills in therapeutic endoscopy, particularly in the management of endoscopic hemostasis, are important, and thresholds exist for the determination of competence for each therapeutic modality. Simulation in EGD is available through computer and animal models; both models have shown that trainees improve endoscopic skill sets with simulation compared to no simulation, but further studies are needed to determine if simulation alone can reduce or even ultimately replace bedside training.