Training non-physicians to do endoscopy: Feasibility, effectiveness and cost-effectiveness.

Area of Science:

• Gastroenterology and Public Health

Background:

• Colorectal cancer (CRC) is a prevalent global cancer affecting both genders.
• Increasing demand for endoscopic procedures necessitates innovative approaches to screening access.

Purpose of the Study:

• To review the evidence supporting non-physician endoscopy for CRC screening.
• To identify challenges and requirements for implementing non-physician endoscopy programs.

Main Methods:

• Literature review exploring existing data on non-physician endoscopy.
• Analysis of factors influencing program organization, including training, oversight, and legal considerations.

Main Results:

• Non-physicians (nurses, nurse practitioners, physician assistants) can be trained to perform endoscopy safely and effectively.
• Formal training programs with didactic, hands-on, and oversight components are essential.
• Programmatic context impacts remuneration, recruitment, and professional/legal aspects.

Conclusions:

• Non-physician endoscopy offers a viable strategy to expand CRC screening.
• Successful implementation requires structured training, robust oversight, and careful consideration of organizational factors.