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The use of a standardized teaching approach among trainers is increasingly recognized as important to ensure consistency in regard to what and how particular endoscopic skills are taught [15]. The following section outlines the Preparation–Training–Wrap‐up framework that can be used by endoscopic trainers to structure a training session, including essential elements to prepare for training, deliver performance enhancing training, and provide an effective wrap‐up (Figure 4.2) [4, 25]. A training session may be a single case or a block of procedures within a single day. This framework is also useful in structuring multiple trainee–trainer interactions over time. It is not only helpful for teaching trainees within the context of a gastroenterology fellowship program but can also serve as a useful guide for endoscopic trainers involved in supporting junior colleagues to help foster their skills development. This framework can be applied to train both basic and more advanced endoscopic skills, and it can also be used to structure teaching encounters within simulation‐based environments. This framework was originally used in “train‐the‐trainer” programs [20] in the United Kingdom and was later adapted by the Canadian Skills Enhancement in Endoscopy (SEE) Program [19] with great success.