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

A Ruco1, C M Walsh2, M A Cooper3

  • 1Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

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|June 28, 2016
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Summary

Training non-physicians to perform endoscopy can increase colorectal cancer (CRC) screening access. A structured program with oversight is crucial for safe and effective non-physician endoscopy, addressing implementation challenges.

Keywords:
Colorectal cancer screeningEndoscopyNon-physician

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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.