Successful Training in Gastrointestinal Endoscopy. Группа авторов

still requires limited hands‐on assistance and/or significant coaching) □ 3. Advanced (Able to perform independently with limited coaching and/or requires additional time to complete) □ 4. Superior (Competent to perform routine colonoscopy independently) The fellow’s overall cognitive skills (Situational Awareness (SA)/abnormality interpretation/decision‐making skills): □ N/A. Not Assessed (i.e. Fellow observed procedure only) □ 1. Novice (Needs significant prompting, correction or basic instruction by staff) □ 2. Intermediate (Needs intermittent coaching or correction by staff) □ 3. Advanced (Fellow has good SA, and interpretation/decision‐making skills) □ 4. Superior (Competent to make interpretations and treatment decisions independently)

Figure 6.35 Learning curves. Mayo's colonoscopy skills assessment tool (MCSAT) allows ongoing monitoring of various metrics of an individual trainee's performance throughout training. These three images demonstrate how the learning curves of three different fellows (blue lines) might appear for the parameter of cecal intubation rates as compared to the average learning curves of their peers (Magenta). Fellow A is above the learning curve (a), B is following the curve closely (b), and C is repeatedly below the curve and might be identified for early remediation (c).

      (Copyrighted and used with permission of Mayo Foundation for Medical Education and Research.)

Videos

      Video 6.1 Endoscopic anatomy of the colon

      Video 6.2 Rectal intubation techniques

      Video 6.3 Locating the lumen

      Video 6.4 Subtle lesions of colon

      Video 6.5 Alpha‐loop

      Video 6.6 N‐loop

      Video 6.7 Reverse alpha‐loop

      Video 6.8 Transverse colon loop

      Video 6.9 Acute turn

      Video 6.10 Intubation of the ileal–caecal valve

      Video 6.11 Ex vivo colonoscopy model overview

      Video 6.12 Ex vivo colonoscopy model setup

      Video 1.6 Virtual reality colonoscopy simulator training

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