Achieving competence in colonoscopy: Milestones and the need for a new endoscopic curriculum in gastroenterology training

• 作者: Candace Masaquel Robert H Lee Sara B Stanford Stephanie Lee
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: COMPETENCE COLONOSCOPY Colorectal cancer Core curr
• 年，卷（期）: 2015,（18）
• 页码范围: 1279-1286
• 页数: 8页
• 分类号: R574.62

摘要

Colonoscopy is considered to be the most effective tool for reducing colorectal cancer(CRC) morbidity and mortality. As a result, certifying trainee competence in the performance of colonoscopy is critical to maximizing CRC screening and prevention efforts. Guidelines on training and accreditation around the world have been revised to emphasize the attainment of milestones in the technical and cognitive skills necessary to perform the procedure. To meet this challenge, new evaluation systems have been developed to measure trainee competence through all aspects of colonoscopy training. These changes stem from increased recognition that procedural numbers alone do not necessarily guarantee trainees’ proficiency in the performance of colonoscopy. Variability in endoscopic practice and in CRC screening outcomes also point to deficiencies in the current approach towards colonoscopy instruction. However, technological innovations hold great promise in training endoscopists to perform high quality colonoscopy. Furthermore, potential advances in the use of feedback as a training tool provide new avenues for research. This review summarizes the latest evidence on the effort to define, evaluate and promote the achievement of competence in colonoscopy among trainees.