在先进的内镜学员中进行结直肠内镜粘膜切除培训的最低标准
Dennis Yang1, Ernesto Robalino Gonzaga2, Muhammad Khalid Hasan1
1Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Endoscopy international open
|September 22, 2025
概括
先进的内镜学员需要比通常执行的更多的结直肠内镜粘膜切除 (C-EMR) 程序来达到能力. 学习曲线表现出变化,总体技能需要19个案例,但大多数学员没有达到熟练程度.
科学领域:
- 胃肠病学 胃肠病学
- 外科教育的外科教育
- 医疗培训 医学培训
背景情况:
- 在高级内镜学术期间,关于结直肠内镜粘膜切除 (C-EMR) 培训的数据有限.
- 评估培训人员对C-EMR能力所需的程序数量至关重要.
研究的目的:
- 为了确定C-EMR手术的最低数量,平均高级内镜学员 (AET) 需要达到认知和技术能力.
- 建立C-EMR培训计划的基准.
主要方法:
- 在C-EMR程序上使用标准化工具对AET进行了评估.
- 累积总和 (CUSUM) 分析产生了学习曲线,以估计能力值.
- 实习生填写了自我评估问卷.
主要成果:
- 22名AET进行了637次C-EMR (每名实习生平均32次).
- 学习曲线显示了一系列19-39个程序,用于跨技能能力;19个案例用于整体能力.
- 尽管自我报告的舒适性,但只有14%的AET获得了整体能力.
结论:
- 在许多培训计划中,目前的C-EMR数量可能不足以实现能力.
- 估计的能力值为在AETP中设定最低案例量标准提供了一个框架.
相关概念视频
Endoscopic Procedures II: Colonoscopy
632
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
632
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
574
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
574
Endoscopic Procedures I: Esophagogastroduodenoscopy
935
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
935
Endoscopic Procedures V: ERCP
2.8K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.8K
Endoscopic Procedures III: Video Capsule Endoscopy
731
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
731
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
537
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
537


