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Endoscopy 2001; 33(6): 541-549
DOI: 10.1055/s-2001-14972
Review

© Georg Thieme Verlag Stuttgart · New York

Training Simulators and Education in Gastrointestinal Endoscopy: Current Status and Perspectives in 2001

J. Hochberger1 , J. Maiss1 , B. Magdeburg1 , J. Cohen2 , E. G. Hahn1
  • 1 Department of Medicine I, University of Erlangen-Nuremberg, Erlangen, Germany
  • 2 New York Society for Gastrointestinal Endoscopy & New York University
Further Information

Publication History

Publication Date:
31 December 2001 (online)

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Introduction

High tech medicine, optimal patient care and quality management are current topics in clinical medicine. While evidence-based medicine is rapidly becoming the “gold standard” for treatment modalities, the responsibility for education, the theoretical background as well as the acquisition and refinement of the manual skills of gastrointestinal endoscopy, remains in the hands of the individual physician. Practical skills are routinely acquired by practicing on the patient, initially under the supervision of a senior endoscopist. Over the years specialist medical societies have worked out guidelines and recommendations for establishing minimal quality requirements for the unsupervised performance of the various endoscopic techniques. However, structured training programs and mandatory teaching curricula for gastrointestinal endoscopy are still not established. The advent of new endoscopy simulators has rekindled the discussion as to whether it would be better to teach basic manual skills outside the patient. In the following review, we present a short overview of currently available training simulators. Present and potential future educational concepts in gastrointestinal endoscopy are discussed.

References

  • 1 Classen M, Ruppin H. Practical training using a new gastrointestinal phantom.  Endoscopy. 1974;  6 127-131
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Williams C B, Saunders B P, Bladen J S. Development of colonoscopy teaching simulation.  Endoscopy. 2000;  32(11) 901-905
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Lucero R S, Zarate J O, Espinella F, et al. Introducing digestive endoscopy with the “SimPrac-EDF y VEE” simulator, other organ models and mannquins: Teaching experience in 21 courses attended by 422 physicians.  Endoscopy. 1995;  27 93-100
    PubMedGoogle Scholar
  • 4 Rey J F, Romanczyk T. The development of experimental models in the teaching of endoscopy: an overview.  Endoscopy. 1995;  27 101-105
    PubMedGoogle Scholar
  • 5 Grund K E, Bräutigam D, Zindel C, et al. Interventionsfähiges Tübinger Simulationsmodell INTERPHANT für die flexible Endoskopie.  Endoskopie heute. 1998;  11(1) 134
    PubMedGoogle Scholar
  • 6 Williams C B, Baillie J, Gillies D F, et al. Teaching gastrointestinal endoscopy by computer simulation: A prototype for colonoscopy and ERCP.  Gastrointest Endosc. 1990;  36 49
    PubMedGoogle Scholar
  • 7 Noar M D. Robotics interactive endoscopy simulation of ERCP/sphincterotomy and EGD.  Endoscopy. 1992;  24 (Suppl. 2) 539-541
    PubMedGoogle Scholar
  • 8 Noar M D, Soehendra N. Endoscopy simulation training devices.  Endoscopy. 1992;  24 159-166
    PubMedGoogle Scholar
  • 9 Beer-Gabel M, Delmotte S, Muntlak L. Computer assisted training in endoscopy (C.A.T.E): from a simulator to a learning station.  Endoscopy. 1992;  24 (Suppl. 2) 534-538
    PubMedGoogle Scholar
  • 10 Bar-Meir S. A new endoscopic simulator.  Endoscopy. 2000;  32(11) 898-900
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Aabakken L, Adamsen S, Kruse A. Performance of a colonoscopy simulator: experience from a hands-on endoscopy course.  Endoscopy. 2000;  32(11) 911-913
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Gholson C F, Provenza J M, Silver R C, Bacon B R. Endoscopic retrograde cholangiography in the swine: a new model for endoscopic training and hepatobiliary research.  Gastrointest Endosc. 1990;  36 600-603
    CrossrefPubMedGoogle Scholar
  • 13 Noar M D. An established porcine model for animate training in diagnostic and therapeutic ERCP.  Endoscopy. 1995;  27 77-80
    PubMedGoogle Scholar
  • 14 Freys S M, Heimbucher J, Fuchs K H. Teaching upper gastrointestinal endoscopy: the pig stomach.  Endoscopy. 1995;  27 73-76
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Hochberger J, Neumann M, Maiss J, et al. Erlanger Ausbildungs-Simulator für die interventionelle Endoskopie (EASIE) - Eine neue Perspektive für die qualitätsorientierte praktische Ausbildung.  Endoskopie heute. 1998;  4 23-25
    PubMedGoogle Scholar
  • 16 Neumann M, Mayer G, Ell C, Felzmann T, et al. The Erlangen Endo-Trainer: Life-like simulation for diagnostic and interventional endoscopic retrograde cholangiography.  Endoscopy. 2000;  32 (11) 906-910
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Hochberger J, Neumann M, Maiss J, Hohenberger W, Hahn E G. EASIE - Erlangen Active Simulator for Interventional Endoscopy - a new bio-simulation-model - first experiences gained in training workshops.  Gastrointest Endosc. 1998;  47 (Suppl.) AB116
    PubMedGoogle Scholar
  • 18 Scinicz G, Beller S, Bodner W, et al. Simulated operations by pulsatile organ perfusion in minimally invasive surgery.  Surg Laparosc Endosc. 1993;  3 315-317
    PubMedGoogle Scholar
  • 19 Reh H, Hochberger J, Brather A, et al. Comparison of different variceal single- and multiple-band ligators for ring elasticity and ligation volume using a multicylindrical stretching apparatus and porcine esophagi in vitro.  Gastrointest Endosc. 1996;  43(4) 344
    PubMedGoogle Scholar
  • 20 Hochberger J, Neumann M, Hohenberger W, Hahn E G. Neuer Endoskopie-Trainer für die therapeutische flexible Endoskopie.  Z Gastroenterol. 1997;  35 722-723
    PubMedGoogle Scholar
  • 21 Maiss J, Nägel A, Tex S, et al. EASIE-team-training ERCP - experiences with a new training concept for interventional ERCP.  Endoscopy. 2000;  32 (Suppl. 1) E65
    PubMedGoogle Scholar
  • 22 Hochberger J, Maiss J, Neumann M, et al. EASIE-Team-Training in endoscopic hemostasis - acceptance of a systematic training in interventional endoscopy by 134 trainees.  Gastrointest Endosc. 1999;  49(4) AB143
    PubMedGoogle Scholar
  • 23 Maiss J, Hildebrand V, Bayer J, et al. MiniEASIE - ein neues, auf die Belange der interventionellen Endoskopie reduziertes Trainingsmodell.  Endoskopie heute. 1999;  12(1) 53
    PubMedGoogle Scholar
  • 24 Hochberger J, Maiss J, Nägel A, et al. Polypectomy/vital endoscopic staining/mucosectomy: a new structured team-training in a close-to-reality endoscopy simulator (EASIE).  Endoscopy. 2000;  32 (Suppl. 1) E23
    PubMedGoogle Scholar
  • 25 Vennes J A, Ament M, Boyce H W, et al. Principles of training in gastrointestinal endoscopy. American Society of Gastrointestinal Endoscopy, Standards of Training Committees 1989 - 1990.  Gastrointest Endosc. 1992;  38 743-747
    PubMedGoogle Scholar
  • 26 Maiss J, Hahn E G, Hochberger J. A prospective evaluation of 14 EASIE team-training workshops on endoscopic hemostasis.  Endoscopy. 2000;  32 (Suppl. 1) E23
    PubMedGoogle Scholar
  • 27 Dafnis G, Granath F, Påhlman L, et al. The impact of endoscopist experience and learning curves and interendoscopist variation on colonoscopy completion rates.  Endoscopy. 2001;  33(6) 511-517
    Article in Thieme ConnectPubMedGoogle Scholar
  • 28 Hochberger J, Maiss J, Hahn E G. The Erlangen “EASIE” model for a close-to-reality team-training of doctors and nurses in interventional endoscopy. In: Bhutani MS, Tandon RK (eds). Advances in gastrointestinal endoscopy.  New Dehli; Jaypee Brothers Medical Publishers (P) LTD, 2001
    Google Scholar

J. Hochberger,M.D. 

Department of Medicine I
University of Erlangen-Nuremberg

Krankenhausstrasse 12
91054 Erlangen
Germany


Fax: Fax:+ 49-9131-430187

Email: Email:juehochber@aol.com

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