AGA White Paper: Training and Implementation of Endoscopic Image Enhancement Technologies

Area of Science:

• Gastroenterology
• Medical Imaging
• Endoscopic Technology

Background:

• Endoscopic image-enhancement technologies offer improved visualization of gastrointestinal (GI) tissues beyond conventional white light imaging.
• Despite availability, endoscopist adoption of these technologies remains limited due to a lack of formal training and clinical implementation guidelines.

Purpose of the Study:

• To review the literature on training for endoscopic image-enhancement technologies.
• To propose a framework for implementing these technologies into clinical practice.

Main Methods:

• The study synthesized findings from a 2-day workshop by the American Gastroenterological Association's Center for GI Innovation and Technology.
• Literature review on training methodologies and proposed implementation strategies were discussed.

Main Results:

• Competency-based education paradigms are recommended for training and assessing endoscopists.
• Diverse educational models (e.g., simulators, web-based, self-directed) are needed to accommodate varied learning styles.
• Sustained use requires refresher courses and skill maintenance programs.

Conclusions:

• Widespread implementation necessitates support from GI societies, payors, and patients.
• Manufacturers and GI societies must collaborate on training, patient education, and policy development to encourage adoption.