and feedback to ensure the session is both effective and relevant. As an endoscopic community, we need to ensure our future workforce is trained to a high standard irrespective of location. This requires endoscopic training that is well supported (e.g., time allocation and funding), evidence‐based, efficient, and patient‐centered. It also demands trainers who are committed to continually developing their endoscopic teaching skills. Although there is not a robust evidence base that documents the impact of a standardized training framework or “train‐the‐trainer” programs on trainees’ learning and post‐certification practice outcomes, real‐world experience from programs that have embraced these concepts has clearly demonstrated ongoing direct benefits to patient care and quality of education.
References
1 1 Rodriguez‐Paz JM, Kennedy M, Salas E, et al.: Beyond “see one, do one, teach one”: toward a different training paradigm. Postgrad Med J 2009; 85(1003):244–249.
2 2 Coderre S, Anderson J, Rostom A, McLaughlin K: Training the endoscopy trainer: from general principles to specific concepts. Can J Gastroenterol 2010; 24(12):700–704.
3 3 Anderson J: The future of gastroenterology training: instruction in technical skills. Frontline Gastroenterol 2012; 3(Suppl 1):i13–i18. [DOI: 10.1136/flgastro‐2011‐100065.]
4 4 Walsh CM, Anderson JT, Fishman DS: An evidence‐based approach to training pediatric gastrointestinal endoscopy trainers. J Pediatr Gastroenterol Nutr 2017; 64(4):501–504.
5 5 Hitchins CR, Metzner M, Edworthy J, Ward C: Non‐technical skills and gastrointestinal endoscopy: a review of the literature. Frontline Gastroenterol 2018; 9(2):129–134.
6 6 Walsh CM: In‐training gastrointestinal endoscopy competency assessment tools: types of tools, validation and impact. Best Pract Res Clin Gastroenterol 2016; 30(3):357–374.
7 7 Bollipo S, Bilal M, Siau K, Charabaty A: How to introduce scopemanship into your training program. Gastroenterology 2020; 159(5):1648–1652.
8 8 Adler DG, Bakis G, Coyle WJ, et al.: Principles of training in GI endoscopy. Gastrointest Endosc 2012; 75(2):231–235.
9 9 Mark JA, Kramer RE: Impact of fellow training level on adverse events and operative time for common pediatric GI endoscopic procedures. Gastrointest Endosc 2018; 88(5):787–794.
10 10 McCashland T, Brand R, Lyden E, de Garmo P: The time and financial impact of training fellows in endoscopy. CORI Research Project. Clinical Outcomes Research Initiative. Am J Gastroenterol 2000; 95(11):3129–3132.
11 11 Depew WT, Hookey LC, Vanner SJ, et al.: Opportunity costs of gastrointestinal endoscopic training in Canada. Can J Gastroenterol 2010; 24(12):733–738.
12 12 Zanchetti DJ, Schueler SA, Jacobson BC, Lowe RC: Effective teaching of endoscopy: a qualitative study of the perceptions of gastroenterology fellows and attending gastroenterologists. Gastroenterol Rep 2016; 4(2):125–130.
13 13 Gabrani A, Monteiro IM, Walsh CM: Exploring use of endoscopy simulation in North American pediatric gastroenterology fellowship training programs. J Pediatr Gastroenterol Nutr 2020; 70(1):25–30.
14 14 Thuraisingam AI, MacDonald J, Shaw IS: Insights into endoscopy training: a qualitative study of learning experience. Med Teach 2006; 28(5):453–459.
15 15 Waschke KA, Anderson J, Valori RM, et al.: ASGE principles of endoscopic training. Gastrointest Endosc 2019; 90(1):27–34.
16 16 Peyton JWR: The learning cycle. In: Peyton JWR (ed), Teaching and Learning in Medical Practice. Rickmansworth, UK: Manticore Europe Limited, 1998:13–19.
17 17 Logan GD: Toward an instance theory of automatization. Psychol Rev 1988; 95(4):492–527.
18 18 Waschke KA, Anderson J, Macintosh D, Valori RM: Training the gastrointestinal endoscopy trainer. Best Pract Res Clin Gastroenterol 2016; 30(3):409–419.
19 19 Canadian Association of Gastroenterology. Skills enhancement for endoscopy program. Published 2016. Available: https://www.cag‐acg.org/education/see‐program (accessed May 1, 2021).
20 20 Joint Advisory Group on GI Endoscopy. Course finder, JAG edoscopy training system. 2021. Available: https://www.jets.thejag.org.uk/FindCourseHome.aspx (accessed May 1, 2021).
21 21 Pourmand K, Sewell JL, Shah BJ, Francisco S: What makes a good endoscopic teacher: a qualitative analysis. J Surg Educ 2018; 75(5):1195–1199.
22 22 Kumar NL, Smith BN, Lee LS, Sewell JL: Best practices in teaching endoscopy based on a Delphi survey of gastroenterology program directors and experts in endoscopy education. Clin Gastroenterol Hepatol 2020; 18(3):574–579.
23 23 Wells C: The characteristics of an excellent endoscopy trainer. Frontline Gastroenterol 2010; 1(1):13–18.
24 24 Joint Advisory Group on GI Endoscopy. JAG Endoscopy Trainer Pathway: How to Become and Develop as an Endoscopy Trainer. London, UK: Royal College of Physicians of London, 2006.
25 25 Anderson JT: Teaching colonoscopy. In: Waye J, Rex DK, Williams C (eds), Colonoscopy: Principles and Practice, 2nd ed. New York: Wiley‐Blackwell, 2009:141–153.
26 26 Singla M, Kwok RM, Deriban G, Young PE: Training the endo‐athlete: an update in ergonomics in endoscopy. Clin Gastroenterol Hepatol 2018; 16(7):1003–1006.
27 27 Shergill AK, Asundi KR, Barr A, et al.: Pinch force and forearm‐muscle load during routine colonoscopy: a pilot study. Gastrointest Endosc 2009; 69(1):142–146.
28 28 Walsh C, Qayed E, Aihara H, Anand G, Byrne K: Core curriculum for ergonomics in endoscopy. Gastrointest Endosc 2021 Apr 2;S0016‐5107(21)00050‐X. [DOI: 10.1016/j.gie.2021.01.023.] [Online ahead of print].
29 29 Doran G: There’s a S.M.A.R.T. way to write management’s goals and objectives. Manag Rev (AMA Forum) 1981; 11(35):36.
30 30 Anderson JT, Valori R: Training for trainers in endoscopy (colonoscopy). In: Francis N, Fingerhut A, Bergamaschi R, Motson R (eds), Training in Minimal Access Surgery. London, UK: Springer, 2015:61–78.
31 31 Anderson JT: Optimizing ergonomics during endoscopy training. Tech Gastrointest Endosc 2019; 21(7):143–149.
32 32 Grover SC, Garg A, Scaffidi MA, et al.: Impact of a simulation training curriculum on technical and nontechnical skills in colonoscopy: a randomized trial. Gastrointest Endosc 2015; 82(6):1072–1079.
33 33 Kruglikova I, Grantcharov TP, Drewes AM, Funch‐Jensen P: The impact of constructive feedback on training in gastrointestinal endoscopy using high‐fidelity virtual‐reality simulation: a randomised controlled trial. Gut 2010; 59(2):181–185.
34 34 Ericsson KA: Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med 2004; 79(10 Suppl):S70–S81.
35 35 Khan R, Zheng E, Wani S, et al.: Colonoscopy competence assessment tools: a systematic review of validity evidence. Endoscopy 2021 Jan 13; [DOI: 10.1055/a‐1352‐7293.] [Online ahead of print].
36 36 Sedlack RE, Coyle WJ: Assessment of competency in endoscopy: establishing and validating generalizable competency benchmarks for colonoscopy. Gastrointest Endosc 2016; 83(8):516–523.
37 37
