Gastrointestinal endoscopy training in the United States: Program structure and competence assessment

Area of Science:

• Gastroenterology
• Medical Education

Background:

• General principles for gastrointestinal endoscopy training in the US were established over a decade ago.
• These training principles have remained consistent and form the basis for current practices.

Purpose of the Study:

• To provide an overview of the endoscopy training system in the United States.
• To detail the evaluation scheme, competence, and credentialing processes within US endoscopy training.

Main Methods:

• The article summarizes the established general principles of gastrointestinal endoscopy training.
• It outlines the key competencies expected of trainees in the US.

Main Results:

• Trainees must be proficient in recommending procedures, performing them safely and effectively, interpreting findings, managing complications, and understanding quality improvement.
• Key areas include understanding indications, contraindications, sedation techniques, patient monitoring, risk assessment, and recognizing procedural limitations.

Conclusions:

• The US gastrointestinal endoscopy training system is structured around well-defined principles ensuring competence.
• Adherence to these principles is crucial for safe and effective patient care through endoscopic procedures.