Читать книгу Successful Training in Gastrointestinal Endoscopy - Группа авторов - Страница 19

Guidelines for training in gastrointestinal endoscopy have been published and widely disseminated [4, 5]. Skill sets that trainees must acquire to successfully perform endoscopic procedures have been outlined [12–16] and include the following:

1 Understanding of the indications and contraindications for endoscopic procedures and risk factors for complications.

2 Knowledge of the endoscopic equipment and accessories and how to set up this equipment for use.

3 Familiarity with the endoscope control dials and buttons.

4 Dexterity in controlling the scope range of motion using the dials and torque applied to the endoscope shaft.

5 Hand–eye coordination to produce deliberate, precise manipulation of the endoscope within the lumen and of accessories.

6 Communication with nursing and technical staff regarding required assistance during the procedure.

7 Knowledge of normal anatomic landmarks and possible abnormal pathologies that might be encountered.

8 Interpretive skills to correctly identify abnormalities that are detected.

9 Judgment of how to manage appropriately those lesions that are encountered.

10 Familiarity with patient monitoring and the administration of moderate sedation.

11 Awareness of how to recognize and manage adverse events.

12 Understanding of risks and benefits of intended procedures and the ability to obtain informed consent.

13 Documentation of findings.

14 Communication of results to patients and other physicians.