Problems With Colorectal EMR Training for Some GI Fellows
Douglas K. Rex, MD, MASGE, reviewing Garg S, et al. Endosc Int Open 2021 Aug.
In a 2019-2020 academic year survey of all 1730 GI fellows in the U.S. regarding endoscopic mucosal resection (EMR) training and knowledge, the response rate was 9.4%. Most of the respondents were second- or third-year fellows, 70% did not plan on doing an advanced endoscopy fellowship, and 63% reported that EMR was performed by general GI and advanced endoscopy faculty, whereas 31% said that only advanced endoscopists performed EMR at their center.
Seventy-eight fellows (48%) reported no formal education or training in EMR. Areas of deficiency included the inability to arrange 6 basic steps of EMR in sequence (44.8%) and identify the correct current types for EMR (57.1%). Adenoma assessment (by the Paris and Narrow-Band Imaging International Colorectal Endoscopic classifications) was deficient. Predictors of higher EMR knowledge level included higher fellowship year, male sex, and availability of an advanced endoscopy rotation at their center.
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CITATION(S)
Garg S, Inamdar S, Tharian B, Muniraj T, Aslanian HR. Education and gastroenterology fellow knowledge about endoscopic mucosal resection of colon adenomas: a survey-based study. Endosc Int Open 2021;9:E1227-E1233. (https://doi.org/10.1055/a-1490-8255)