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Related Experiment Videos

Gastrointestinal endoscopy training in India.

V A Saraswat1, R K Tandon

  • 1Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|October 26, 1999
PubMed
Summary

Structured endoscopy training programs are essential for developing competent gastroenterologists and certified endoscopists. Standardized training and professional society involvement are crucial for improving GI endoscopy practice in India.

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Area of Science:

  • Medical Education
  • Gastroenterology
  • Endoscopic Procedures

Background:

  • Current endoscopy training lacks standardization, leading to varied skill levels among practitioners.
  • Trainees often face apprehension due to the perceived complexity of endoscopy.
  • Integrating training within patient care ensures procedures are viewed in the context of overall patient management.

Purpose of the Study:

  • To advocate for structured endoscopy training programs with clear goals and evaluation metrics.
  • To emphasize the importance of standardized training protocols across all healthcare settings.
  • To propose a framework for improving the quality and consistency of gastrointestinal (GI) endoscopy training and practice in India.

Main Methods:

  • Defining essential components of endoscopy training, including unit setup, trainer qualifications, and procedural volume.

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  • Highlighting the role of postgraduate programs (DM/MCh, DNB) in producing certified endoscopists.
  • Suggesting the establishment of technical committees by professional societies to set training and practice standards.

    • Main Results:

    • Structured training alleviates trainee apprehension and ensures procedural skills are learned within patient care context.
    • Standardization aims to produce uniform training quality in both teaching and non-teaching hospitals.
    • A clear pathway exists for basic training, with advanced therapeutic endoscopy requiring 1-2 years of focused training.

    Conclusions:

    • Short-term courses are insufficient for basic endoscopy training but valuable for continuing medical education (CME) and skill maintenance.
    • Active involvement of professional societies is vital for standardizing GI endoscopy training and practice.
    • Implementing hospital accreditation, performance audits, and credentialing for new techniques is necessary for sustained quality improvement.