PDF(Pubmed)
Abstract：
The general principles of gastrointestinal endoscopy training in the United States were formulated and summarized more than a decade ago and the principles have been consistent until now. To summarize, trainees should be prepared to (i) appropriately recommend endoscopic procedures as indicated by the findings of the consultative evaluation, with an explicit understanding of accepted specific indications, contraindications, and diagnostic/therapeutic alternatives, (ii) perform procedures safely, completely, and expeditiously, including possessing a thorough understanding of the principles of conscious sedation/analgesia techniques, the use of anesthesia-assisted sedation where appropriate, and pre-procedure clinical assessment and patient monitoring, (iii) correctly interpret endoscopic findings and integrate them into medical or endoscopic therapy, (iv) identify risk factors for each procedure, understand how to minimize each, and recognize and appropriately manage complications when they occur, (v) acknowledge the limitations of endoscopic procedures and personal skills and know when to request help, and (vi) understand the principles of quality measurement and improvement. This article provides an overview of the endoscopy training system and structure, evaluation scheme, and competence and credentialing process in the United States.
摘要：
美国胃肠镜检查培训的一般原则是在十多年前制定和总结的，到目前为止，这些原则一直是一致的。总结一下,受训者应准备（i）根据咨询评估的结果适当推荐内窥镜检查程序，对公认的具体适应症有明确的理解，禁忌症,和诊断/治疗替代方案，(ii)安全地执行程序，完全,迅速地,包括对清醒镇静/镇痛技术的原理有透彻的了解，适当时使用麻醉辅助镇静，以及术前临床评估和患者监测，（iii）正确解释内窥镜检查结果并将其整合到医学或内窥镜治疗中，(Iv)确定每个程序的风险因素，了解如何最小化每一个，并在并发症发生时识别并适当管理，（v）承认内窥镜手术和个人技能的局限性，并知道何时请求帮助，(六)了解质量测量和改进的原则。本文概述了内窥镜培训系统和结构，评估方案，以及美国的能力和认证过程。
