""In the U.S., when you finish training, your competency is assessed only by a written test not procedurally. In addition, there are limited training opportunities for practicing gastroenterologists after fellowship, although they are performing very routine procedures like taking out larger polyps in increasing numbers.""
""Although colonoscopy with polypectomy is one of the most frequently performed procedures in gastroenterology, existing research shows wide variation in how clinicians execute key steps of the technique.""
""Studies have shown that colorectal cancers diagnosed within five years of a negative colonoscopy are often linked to residual adenomatous tissue left behind after an incomplete polypectomy.""
A Northwestern Medicine study indicates that a structured simulation-based training program enhances gastroenterologists' skills in removing precancerous colon polyps. After completing the training, the rate of successful polypectomies increased from 37% to 74%, surpassing a high minimum passing standard. This study is the first to demonstrate that simulation training can lead to better performance in real patient procedures. Current training methods in the U.S. primarily assess written knowledge, leaving a gap in procedural competency evaluation for practicing gastroenterologists.
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