美国胃肠道内镜学会 (American Society for Gastrointestinal Endoscopy) 准则,用于培训在口腔内镜肌切除术中的学员
Christopher C Thompson1, Mouen A Khashab2, Stavros N Stavropoulos3
1Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
Gastrointestinal endoscopy
|February 25, 2026
概括
建立基于共识的口腔内镜肌肉切除 (POEM) 培训的最低标准对于安全实践至关重要. 本研究确定了POEM计划的基本标准,以确保学员在技术和认知技能方面的能力.
科学领域:
- 胃肠病学和内镜外科
- 医学教育和培训 医学教育和培训
- 第三空间内镜检查
背景情况:
- 口腔内镜肌切除术 (POEM) 是一种复杂的程序,需要专门的培训.
- 现有的培训缺乏标准化,基于共识的指导.
- 需要确定的标准来确保安全有效的POEM实践.
研究的目的:
- 为门内镜肌切除术 (POEM) 培训计划制定最低标准.
- 确保在POEM的技术,认知和整合技能的能力.
- 为指导标准化POEM培训的发展提供指导.
主要方法:
- 由美国胃肠内镜学会召开的多学科专家小组.
- 使用RAND/加州大学洛杉矶分校的适当性方法 (RAM) 进行陈述评估.
- 两轮专家投票使用9分级来确定适当性.
主要成果:
- 在40个建议声明中,有34个符合适当的POEM培训标准的标准.
- 建议的年度程序量≥40个程序, ≥100个先前的POEM为导师.
- 在里程碑评估之前,培训人员至少需要15个POEM;掌握特定的认知技能.
结论:
- 通过共识开发的POEM培训的基于证据的最低标准.
- 适用于胃肠病学和外科实习生.
- 旨在指导培训计划结构,确保安全的POEM传播,并支持基于能力的教育.
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