Colonoscopy is considered to be the most effective tool for reducing colorectal cancer(CRC) morbidity and mortality. As a result, certifying trainee competence in the performance of colonoscopy is critical to maximizi...Colonoscopy is considered to be the most effective tool for reducing colorectal cancer(CRC) morbidity and mortality. As a result, certifying trainee competence in the performance of colonoscopy is critical to maximizing CRC screening and prevention efforts. Guidelines on training and accreditation around the world have been revised to emphasize the attainment of milestones in the technical and cognitive skills necessary to perform the procedure. To meet this challenge, new evaluation systems have been developed to measure trainee competence through all aspects of colonoscopy training. These changes stem from increased recognition that procedural numbers alone do not necessarily guarantee trainees' proficiency in the performance of colonoscopy. Variability in endoscopic practice and in CRC screening outcomes also point to deficiencies in the current approach towards colonoscopy instruction. However, technological innovations hold great promise in training endoscopists to perform high quality colonoscopy. Furthermore, potential advances in the use of feedback as a training tool provide new avenues for research. This review summarizes the latest evidence on the effort to define, evaluate and promote the achievement of competence in colonoscopy among trainees.展开更多
Quality colonoscopy is defined by the detection of adenomatous polyps at least 25% of the time in men and 15% of the time in women.Recent studies highlight the importance of key aspects of high quality colonoscopy.The...Quality colonoscopy is defined by the detection of adenomatous polyps at least 25% of the time in men and 15% of the time in women.Recent studies highlight the importance of key aspects of high quality colonoscopy.These include the amount of time spent examining the mucosa or withdrawal time,the quality of withdrawal technique and new technologies which seek to maximize the detection of colonic neoplasia.This review summarizes the latest evidence regarding the role of time,technique and technology in shaping the quality of colonoscopy.展开更多
文摘Colonoscopy is considered to be the most effective tool for reducing colorectal cancer(CRC) morbidity and mortality. As a result, certifying trainee competence in the performance of colonoscopy is critical to maximizing CRC screening and prevention efforts. Guidelines on training and accreditation around the world have been revised to emphasize the attainment of milestones in the technical and cognitive skills necessary to perform the procedure. To meet this challenge, new evaluation systems have been developed to measure trainee competence through all aspects of colonoscopy training. These changes stem from increased recognition that procedural numbers alone do not necessarily guarantee trainees' proficiency in the performance of colonoscopy. Variability in endoscopic practice and in CRC screening outcomes also point to deficiencies in the current approach towards colonoscopy instruction. However, technological innovations hold great promise in training endoscopists to perform high quality colonoscopy. Furthermore, potential advances in the use of feedback as a training tool provide new avenues for research. This review summarizes the latest evidence on the effort to define, evaluate and promote the achievement of competence in colonoscopy among trainees.
文摘Quality colonoscopy is defined by the detection of adenomatous polyps at least 25% of the time in men and 15% of the time in women.Recent studies highlight the importance of key aspects of high quality colonoscopy.These include the amount of time spent examining the mucosa or withdrawal time,the quality of withdrawal technique and new technologies which seek to maximize the detection of colonic neoplasia.This review summarizes the latest evidence regarding the role of time,technique and technology in shaping the quality of colonoscopy.
