A survey of physician training and credentialing in endoscopic submucosal dissection in the United States.
A survey of physician training and credentialing in endoscopic submucosal dissection in the United States.
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DOI：
10.1007/s00464-021-08565-0
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发表时间：
2022-05
期刊：
影响因子：
--
通讯作者：
Chak A
中科院分区：
文献类型：
--
作者：
Mistry S;Alaber O;Chandar AK;Perez LKM;Dumot J;Bhatt A;Chak A
内镜黏膜下剥离术（ESD）在技术上具有挑战性，与大多数新的内镜手术相比，学习曲线更长，并发症发生率更高。美国目前缺乏关于可持续发展教育的正式培训和认证指南。对美国各地的可持续发展教育专家进行调查，以确定他们的学习过程，并就如何开展可持续发展教育的培训和认证征求他们的意见。匿名电子调查。执业美国内镜医师的ASGE成员。该调查是通过对三名从事ESD研究超过5年的研究人员提出的问题进行反复修订而开发的。最终调查以电子方式分发给之前参加过ESD专家会议的美国内镜医生。在60名从事可持续发展教育的专家中，有35名（58.3%）对调查作出了答复。大多数（90.0%）是在大学，社区或三级保健医院。作为培训的一部分，所有从业人员都在猪外植体上进行了练习，并观察了活体ESD程序。在参与者中，75.8%的人参加了ESD培训课程，并在独立执行ESD之前接受了关于猪外植体和/或人体的正式监督实践培训。50%的受访者表示，他们的机构有专门针对ESD认证的书面指导方针。五分之四的人认为，资格认证要求应包括参加周末ESD课程，观察现场手术，在外植体上练习，以及介入性内窥镜检查的高级内窥镜培训，例如额外一年的奖学金。调查完成率为58.3%。ESD培训应包括外植体实践、现场手术观察、介入性内窥镜检查培训和参加教育课程。美国需要根据专家意见制定可持续发展教育的认证准则。
Endoscopic Submucosal Dissection (ESD) is technically challenging and has a longer learning curve and a greater complication rate than most new endoscopic procedures. Formal training and credentialing guidelines for ESD are currently lacking in the United States. To survey ESD experts across the United States (US) to determine their learning process and obtain their opinion on how training and credentialing for ESD should develop. Anonymous electronic survey. ASGE members who are practicing U.S. endoscopists. The survey was developed by iterative revisions of questions administered to three investigators who have been performing ESD for > 5 years. The final survey was distributed electronically to US endoscopists who had previously attended ESD expert conferences. Thirty-five (58.3%) of 60 practicing ESD experts responded to the survey. A majority (90.0%) were in university-based, community or tertiary care hospitals. All practitioners practiced on porcine explants and observed live ESD procedures as part of the training. Out of the participants, 75.8% attended ESD training courses and received formal supervised hands-on training on porcine explants and/or humans before performing ESD independently. Fifty percent indicated that their facility had written guidelines specifically for ESD credentialing. Four out of 5 felt that credentialing requirements should include attending weekend ESD courses, observing live procedures, practicing on explants, and advanced endoscopic training in interventional endoscopy such as an additional year of fellowship. Survey completion rate of 58.3%. ESD training should include practicing on explants, observation of live procedures, training in interventional endoscopy, and attending educational courses. Credentialing guidelines for ESD based on expert opinion need to be developed in the United States.
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影响因子：
2.5
作者：
Parra-Blanco A;Gonzalez N;Arnau MR
通讯作者：
Arnau MR
影响因子：
5.3
作者：
Goda, Kenichi;Fujishiro, Mitsuhiro;Uedo, Noriya
通讯作者：
Uedo, Noriya
影响因子：
4.2
作者：
Mannath, Jayan;Ragunath, Krish
通讯作者：
Ragunath, Krish
影响因子：
9.3
作者：
Tsuji, Y.;Ohata, K.;Koike, K.
通讯作者：
Koike, K.
DOI：
10.1159/000501404
发表时间：
2020-02-01
期刊：
GE-Portuguese Journal of Gastroenterology
影响因子：
--
作者：
Araújo-Martins, Miguel;Pimentel-Nunes, Pedro;Dinis-Ribeiro, Mário
通讯作者：
Dinis-Ribeiro, Mário