{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T09:14:51Z","timestamp":1792487691866,"version":"4.5.0"},"reference-count":197,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Main Statements<\/jats:title>\n                  <jats:p>This ESGE Position Statement provides structured and evidence-based guidance on the essential requirements and processes involved in training in basic gastrointestinal (GI) endoscopic procedures. The document outlines definitions; competencies required, and means to their assessment and maintenance; the structure and requirements of training programs; patient safety and medicolegal issues.<\/jats:p>\n                  <jats:p>1\u2002ESGE and ESGENA define basic endoscopic procedures as those procedures that are commonly indicated, generally accessible, and expected to be mastered (technically and cognitively) by the end of any core training program in gastrointestinal endoscopy.<\/jats:p>\n                  <jats:p>2\u2002ESGE and ESGENA consider the following as basic endoscopic procedures: diagnostic upper and lower GI endoscopy, as well as a limited range of interventions such as: tissue acquisition via cold biopsy forceps, polypectomy for lesions \u2264\u200a10\u200amm, hemostasis techniques, enteral feeding tube placement, foreign body retrieval, dilation of simple esophageal strictures, and India ink tattooing of lesion location.<\/jats:p>\n                  <jats:p>3\u2002ESGE and ESGENA recommend that training in GI endoscopy should be subject to stringent formal requirements that ensure all ESGE key performance indicators (KPIs) are met.<\/jats:p>\n                  <jats:p>4\u2002Training in basic endoscopic procedures is a complex process and includes the development and acquisition of cognitive, technical\/motor, and integrative skills. Therefore, ESGE and ESGENA recommend the use of validated tools to track the development of skills and assess competence.<\/jats:p>\n                  <jats:p>5\u2002ESGE and ESGENA recommend incorporating a multimodal approach to evaluating competence in basic GI endoscopic procedures, including procedural thresholds and the measurement and documentation of established ESGE KPIs.<\/jats:p>\n                  <jats:p>7\u2002ESGE and ESGENA recommend the continuous monitoring of ESGE KPIs during GI endoscopy training to ensure the trainee\u2019s maintenance of competence.<\/jats:p>\n                  <jats:p>9\u2002ESGE and ESGENA recommend that GI endoscopy training units fulfil the ESGE KPIs for endoscopy units and, furthermore, be capable of providing the dedicated personnel, infrastructure, and sufficient case volume required for successful training within a structured training program.<\/jats:p>\n                  <jats:p>10\u2002ESGE and ESGENA recommend that trainers in basic GI endoscopic procedures should be endoscopists with formal educational training in the teaching of endoscopy, which allows them to successfully and safely teach trainees.<\/jats:p>","DOI":"10.1055\/a-2205-2613","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T19:08:40Z","timestamp":1701457720000},"page":"131-150","source":"Crossref","is-referenced-by-count":46,"title":["Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1797-3864","authenticated-orcid":false,"given":"Giulio","family":"Antonelli","sequence":"first","affiliation":[{"name":"Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, \"Sapienza\" University of Rome, Italy"},{"name":"Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli Hospital, Ariccia, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8579-9314","authenticated-orcid":false,"given":"Andrei M.","family":"Voiosu","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Colentina Clinical Hospital, Bucharest, Romania"},{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0771-1177","authenticated-orcid":false,"given":"Katarzyna M.","family":"Pawlak","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital of the Ministry of Interior and Administration, Szczecin, Poland"},{"name":"The Center for Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, University of Toronto, Ontario, 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General Hospital, Bonheiden, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2654-3164","authenticated-orcid":false,"given":"Marcus","family":"Hollenbach","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Medical Department II, University of Leipzig Medical Center, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6945-6204","authenticated-orcid":false,"given":"Omar","family":"Elshaarawy","sequence":"additional","affiliation":[{"name":"Hepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Menoufia, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Beilenhoff","sequence":"additional","affiliation":[{"name":"ESGENA Scientific Secretary, Ulm, 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Gemelli IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodor","family":"Voiosu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Colentina Clinical Hospital, Bucharest, Romania"},{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9739-4998","authenticated-orcid":false,"given":"Maria","family":"Pellis\u00e9","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hospital Cl\u00ednic Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rio","family":"Dinis-Ribeiro","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Portuguese Oncology Institute of Porto, Porto, Portugal"},{"name":"MEDCIDS\/Faculty of Medicine, University of Porto, Porto, 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Siau","year":"2022","journal-title":"Frontline Gastroenterol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"135","DOI":"10.4103\/0976-5042.150658","article-title":"Endoscopy training: Indian perspective","volume":"05","author":"M K Goenka","year":"2014","journal-title":"J Dig Endosc"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1055\/a-1231-5123","article-title":"Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement","volume":"52","author":"E Dekker","year":"2020","journal-title":"Endoscopy"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"5056","DOI":"10.3748\/wjg.v21.i16.5056","article-title":"Non-physician endoscopists: A systematic review","volume":"21","author":"M Stephens","year":"2015","journal-title":"World J Gastroenterol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"1931","DOI":"10.1016\/j.cgh.2021.08.029","article-title":"Association 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Med"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1016\/j.amjmed.2010.01.016","article-title":"Specialty differences in polyp detection, removal, and biopsy during colonoscopy","volume":"123","author":"C W Ko","year":"2010","journal-title":"Am J Med"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.cgh.2013.06.030","article-title":"Risk factors for early colonoscopic perforation include non-gastroenterologist endoscopists: a multivariable analysis","volume":"12","author":"B Bielawska","year":"2014","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref25","first-page":"469","article-title":"Who should perform endoscopic procedures?","volume":"53","author":"E Redondo-Cerezo","year":"2004","journal-title":"Gut"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/j.cgh.2013.03.009","article-title":"Colonoscopies by nurse practitioners: too premature to support their role","volume":"11","author":"U Navaneethan","year":"2013","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.gie.2020.06.054","article-title":"Colonoscopy core curriculum","volume":"93","author":"ASGE Training Committee","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1055\/s-0042-113128","article-title":"Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative","volume":"48","author":"R Bisschops","year":"2016","journal-title":"Endoscopy"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1055\/s-0043-103411","article-title":"Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative","volume":"49","author":"M F Kaminski","year":"2017","journal-title":"Endoscopy"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1055\/a-0755-7515","article-title":"Performance measures for endoscopy services: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative","volume":"50","author":"R Valori","year":"2018","journal-title":"Endoscopy"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1055\/s-0032-1325686","article-title":"Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE)","volume":"44","author":"B Rembacken","year":"2012","journal-title":"Endoscopy"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.bpg.2016.04.001","article-title":"In-training gastrointestinal endoscopy competency assessment tools: Types of tools, validation and impact","volume":"30","author":"C M Walsh","year":"2016","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1038\/ajg.2015.24","article-title":"Status of competency-based medical education in endoscopy training: a nationwide survey of US ACGME-accredited gastroenterology training programs","volume":"110","author":"S G Patel","year":"2015","journal-title":"Am J Gastroenterol"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1136\/bmj.325.7366.693","article-title":"Competency based medical training: review","volume":"325","author":"W-C Leung","year":"2002","journal-title":"BMJ"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"2664","DOI":"10.1056\/NEJMra054785","article-title":"Teaching surgical skills--changes in the wind","volume":"355","author":"R K Reznick","year":"2006","journal-title":"NEJM"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1056\/NEJMp1712900","article-title":"Toward competency-based medical education","volume":"378","author":"D E Powell","year":"2018","journal-title":"NEJM"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1136\/gutjnl-2014-307173","article-title":"Training and competence assessment in GI endoscopy: a systematic review","volume":"65","author":"V E Ekkelenkamp","year":"2016","journal-title":"Gut"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1053\/j.gastro.2013.09.029","article-title":"Milestones and competency-based medical education","volume":"145","author":"W F Iobst","year":"2013","journal-title":"Gastroenterology"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.gie.2011.02.019","article-title":"Training to competency in colonoscopy: assessing and defining competency standards","volume":"74","author":"R E Sedlack","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1055\/a-0576-6667","article-title":"Changes in scoring of Direct Observation of Procedural Skills (DOPS) forms and the impact on competence assessment","volume":"50","author":"K Siau","year":"2018","journal-title":"Endoscopy"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.gie.2013.10.003","article-title":"ASGE\u2019s assessment of competency in endoscopy evaluation tools for colonoscopy and EGD","volume":"79","author":"ASGE Training Committee","year":"2014","journal-title":"Gastrointest Endosc"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/j.gie.2015.04.041","article-title":"Assessment of competency in endoscopy: establishing and validating generalizable competency benchmarks for colonoscopy","volume":"83","author":"R E Sedlack","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1016\/j.gie.2013.10.035","article-title":"Gastrointestinal Endoscopy Competency Assessment Tool: development of a procedure-specific assessment tool for colonoscopy","volume":"79","author":"C M Walsh","year":"2014","journal-title":"Gastrointest Endosc"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.gie.2019.05.024","article-title":"Competency in esophagogastroduodenoscopy: a validated tool for assessment and generalizable benchmarks for gastroenterology fellows","volume":"90","author":"A T Miller","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1016\/j.gie.2019.02.018","article-title":"Development and validation of a video-based cold snare polypectomy assessment tool (with videos)","volume":"89","author":"S G Patel","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"1834","DOI":"10.1007\/s00464-010-0882-8","article-title":"Global Assessment of Gastrointestinal Endoscopic Skills (GAGES): a valid measurement tool for technical skills in flexible endoscopy","volume":"24","author":"M C Vassiliou","year":"2010","journal-title":"Surg Endosc"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1111\/j.1463-1318.2011.02883.x","article-title":"Towards continuous improvement of endoscopy standards: validation of a colonoscopy assessment form","volume":"14","author":"E Boyle","year":"2012","journal-title":"Colorectal Dis"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.gie.2014.11.030","article-title":"Gastrointestinal Endoscopy Competency Assessment Tool: reliability and validity evidence","volume":"81","author":"C M Walsh","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1136\/fg.2010.003269","article-title":"Development and roll out of the JETS e-portfolio: a web based electronic portfolio for endoscopists","volume":"2","author":"T Mehta","year":"2011","journal-title":"Frontline Gastroenterol"},{"key":"ref50","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1136\/flgastro-2017-100848","article-title":"Trends in UK endoscopy training in the BSG trainees\u2019 national survey and strategic planning for the future","volume":"9","author":"S Biswas","year":"2018","journal-title":"Frontline Gastroenterol"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1136\/gutjnl-2011-300651","article-title":"Colonoscopy quality measures: experience from the NHS Bowel Cancer Screening Programme","volume":"61","author":"T JW Lee","year":"2012","journal-title":"Gut"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1136\/gutjnl-2016-312044","article-title":"UK key performance indicators and quality assurance standards for colonoscopy","volume":"65","author":"C J Rees","year":"2016","journal-title":"Gut"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1055\/a-1874-0946","article-title":"Performance measures for colonoscopy in inflammatory bowel disease patients: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative","volume":"54","author":"E Dekker","year":"2022","journal-title":"Endoscopy"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.gie.2016.10.036","article-title":"Guidelines for privileging, credentialing, and proctoring to perform GI endoscopy","volume":"85","author":"ASGE Standards of Practice Committee","year":"2017","journal-title":"Gastrointest Endosc"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1155\/2008\/837347","article-title":"Canadian credentialing guidelines for colonoscopy","volume":"22","author":"J Romagnuolo","year":"2008","journal-title":"Can J Gastroenterol"},{"key":"ref57","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1097\/00042737-199604000-00021","article-title":"The European Diploma of Gastroenterology: progress towards harmonization of standards","volume":"8","author":"A D Beattie","year":"1996","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"ref60","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1111\/j.1445-2197.1991.tb00254.x","article-title":"Competency and the colonoscopist: a learning curve","volume":"61","author":"B R Parry","year":"1991","journal-title":"Aust N Z J Surg"},{"key":"ref61","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/S0016-5107(95)70123-0","article-title":"Technical proficiency of trainees performing colonoscopy: a learning curve","volume":"42","author":"J B Marshall","year":"1995","journal-title":"Gastrointest Endosc"},{"key":"ref62","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/S0016-5107(96)80073-3","article-title":"Acquisition of competency in endoscopic skills (ACES) during training: A multicenter study","volume":"43","author":"O Cass","year":"1996","journal-title":"Gastrointest Endosc"},{"key":"ref63","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/S0016-5107(96)70229-8","article-title":"Prospective assessment of colonoscopic intubation skills in trainees","volume":"44","author":"A Chak","year":"1996","journal-title":"Gastrointest Endosc"},{"key":"ref64","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1055\/s-1999-146","article-title":"Acquisition of competence in colonoscopy: the learning curve of trainees","volume":"31","author":"P S Tassios","year":"1999","journal-title":"Endoscopy"},{"key":"ref65","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1046\/j.1445-2197.2002.02312.x","article-title":"Colonoscopy training: the need for patience (patients)","volume":"72","author":"J Church","year":"2002","journal-title":"ANZ J Surg"},{"key":"ref66","doi-asserted-by":"crossref","first-page":"31","DOI":"10.5009\/gnl.2010.4.1.31","article-title":"Learning curves for colonoscopy: a prospective evaluation of gastroenterology fellows at a single center","volume":"4","author":"J I Chung","year":"2010","journal-title":"Gut Liver"},{"key":"ref67","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1016\/j.gie.2007.10.018","article-title":"An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve","volume":"67","author":"S-H Lee","year":"2008","journal-title":"Gastrointest Endosc"},{"key":"ref68","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1038\/ajg.2011.481","article-title":"Competence measurement during colonoscopy training: the use of self-assessment of performance measures","volume":"107","author":"A D Koch","year":"2012","journal-title":"Am J Gastroenterol"},{"key":"ref69","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.gie.2009.05.012","article-title":"Colonoscopy training in gastroenterology fellowships: determining competence","volume":"71","author":"B J Spier","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref70","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1007\/s00464-011-2033-2","article-title":"Trainees\u2019 adenoma detection rate is higher if \u2265 10 minutes is spent on withdrawal during colonoscopy","volume":"26","author":"M A Gromski","year":"2012","journal-title":"Surg Endosc"},{"key":"ref71","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1472-6920-13-5","article-title":"Predictive factors affecting cecal intubation failure in colonoscopy trainees","volume":"13","author":"H-J Park","year":"2013","journal-title":"BMC Med Educ"},{"key":"ref72","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/MCG.0000000000000376","article-title":"Fellowship colonoscopy training and preparedness for independent gastroenterology practice","volume":"50","author":"V R Patwardhan","year":"2016","journal-title":"J Clin Gastroenterol"},{"key":"ref73","doi-asserted-by":"crossref","first-page":"169","DOI":"10.4174\/astr.2018.95.4.169","article-title":"Colonoscopy learning curves for colorectal surgery fellow trainees: experiences with the 15-year colonoscopy training program","volume":"95","author":"J R Oh","year":"2018","journal-title":"Ann Surg Treat Res"},{"key":"ref74","doi-asserted-by":"crossref","first-page":"1746","DOI":"10.1136\/gutjnl-2013-305973","article-title":"An analysis of the learning curve to achieve competency at colonoscopy using the JETS database","volume":"63","author":"S T Ward","year":"2014","journal-title":"Gut"},{"key":"ref75","doi-asserted-by":"crossref","first-page":"40","DOI":"10.7326\/0003-4819-118-1-199301010-00008","article-title":"Objective evaluation of endoscopy skills during training","volume":"118","author":"O W Cass","year":"1993","journal-title":"Ann Intern Med"},{"key":"ref76","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.vgie.2017.03.009","article-title":"EGD core curriculum","volume":"2","author":"R S Kwon","year":"2017","journal-title":"VideoGIE"},{"key":"ref77","doi-asserted-by":"crossref","first-page":"2831","DOI":"10.1007\/s10620-016-4228-9","article-title":"A longitudinal study of adenoma detection rate in gastroenterology fellowship training","volume":"61","author":"R J Gianotti","year":"2016","journal-title":"Dig Dis Sci"},{"key":"ref78","doi-asserted-by":"crossref","first-page":"3870","DOI":"10.1007\/s00464-019-07153-7","article-title":"Training interventions to improve adenoma detection rates during colonoscopy: a systematic review and meta-analysis","volume":"34","author":"S Lim","year":"2020","journal-title":"Surg Endosc"},{"key":"ref79","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1097\/MCG.0000000000000027","article-title":"Incidence and risk factors of delayed postpolypectomy bleeding: a retrospective cohort study","volume":"48","author":"B S Choung","year":"2014","journal-title":"J Clin Gastroenterol"},{"key":"ref80","doi-asserted-by":"crossref","first-page":"908","DOI":"10.3109\/00365521.2015.1006672","article-title":"An adequate level of training for technically competent colonoscopic polypectomy","volume":"50","author":"S-J Boo","year":"2015","journal-title":"Scand J Gastroenterol"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.1053\/j.gastro.2007.03.079","article-title":"The Gastroenterology Core Curriculum, Third Edition","volume":"132","year":"2007","journal-title":"Gastroenterology"},{"key":"ref82","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1016\/j.gie.2011.01.069","article-title":"Development and validation of a novel method for assessing competency in polypectomy: direct observation of polypectomy skills","volume":"73","author":"S Gupta","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"ref84","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1136\/flgastro-2019-101351","article-title":"Variation in exposure to endoscopic haemostasis for acute upper gastrointestinal bleeding during UK gastroenterology training","volume":"11","author":"K Siau","year":"2020","journal-title":"Frontline Gastroenterol"},{"key":"ref85","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1136\/flgastro-2019-101345","article-title":"Training in endotherapy for acute upper gastrointestinal bleeding: a UK-wide gastroenterology trainee survey","volume":"11","author":"J Segal","year":"2020","journal-title":"Frontline Gastroenterol"},{"key":"ref86","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1155\/2008\/987012","article-title":"Canadian Credentialing Guidelines for Esophagogastroduodenoscopy","volume":"22","author":"T Ponich","year":"2008","journal-title":"Can J Gastroenterol"},{"key":"ref87","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1016\/S0002-9610(97)00177-3","article-title":"Percutaneous endoscopic gastrostomy tube placement in a surgical training program","volume":"174","author":"J B Lowe","year":"1997","journal-title":"Am J Surg"},{"key":"ref88","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1136\/gutjnl-2017-315414","article-title":"UK guidelines on oesophageal dilatation in clinical practice","volume":"67","author":"S S Sami","year":"2018","journal-title":"Gut"},{"key":"ref89","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1080\/00365521.2018.1428767","article-title":"Methods for certification in colonoscopy \u2013 a systematic review","volume":"53","author":"L Preisler","year":"2018","journal-title":"Scand J Gastroenterol"},{"key":"ref90","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1093\/jcag\/gwaa020","article-title":"Self-assessment of competence in endoscopy: challenges and insights","volume":"4","author":"M A Scaffidi","year":"2021","journal-title":"J Can Assoc Gastroenterol"},{"key":"ref91","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1080\/00220612.1980.10778509","article-title":"A conceptual framework for understanding the three \u2018isms\u2019 --racism, ageism, sexism","volume":"16","author":"T J Hopkins","year":"1980","journal-title":"J Educ Soc Work"},{"key":"ref92","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.amjsurg.2013.05.019","article-title":"Can endoscopists accurately self-assess performance during simulated colonoscopic polypectomy?A prospective, cross-sectional study.","volume":"207","author":"J Ansell","year":"2014","journal-title":"Am J Surg"},{"key":"ref93","doi-asserted-by":"crossref","first-page":"E326","DOI":"10.1055\/s-0042-100904","article-title":"An explorative study from the Norwegian Quality Register Gastronet comparing self-estimated versus registered quality in colonoscopy performance","volume":"4","author":"V Moritz","year":"2016","journal-title":"Endosc Int Open"},{"key":"ref94","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.jsurg.2016.06.018","article-title":"Are general surgery residents accurate assessors of their own flexible endoscopy skills?","volume":"74","author":"P Vyasa","year":"2017","journal-title":"J Surg Educ"},{"key":"ref95","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1016\/j.gie.2017.10.040","article-title":"Impact of experience on self-assessment accuracy of clinical colonoscopy competence","volume":"87","author":"M A Scaffidi","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"ref96","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/MPG.0000000000002191","article-title":"Can pediatric endoscopists accurately assess their clinical competency? A comparison across skill levels.","volume":"68","author":"M A Scaffidi","year":"2019","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"ref97","doi-asserted-by":"crossref","first-page":"E678","DOI":"10.1055\/a-0867-9626","article-title":"Influence of video-based feedback on self-assessment accuracy of endoscopic skills: a randomized controlled trial","volume":"7","author":"M A Scaffidi","year":"2019","journal-title":"Endosc Int Open"},{"key":"ref99","doi-asserted-by":"crossref","first-page":"e274","DOI":"10.1016\/j.jsurg.2015.05.016","article-title":"Targeted feedback in the milestones era: utilization of the ask-tell-ask feedback model to promote reflection and self-assessment","volume":"72","author":"J C French","year":"2015","journal-title":"J Surg Educ"},{"key":"ref100","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1016\/j.cgh.2020.03.046","article-title":"Association between endoscopist annual procedure volume and colonoscopy quality: systematic review and meta-analysis","volume":"18","author":"N Forbes","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref101","doi-asserted-by":"crossref","first-page":"2507","DOI":"10.1007\/s10620-018-5198-x","article-title":"Quality improvement in gastroenterology: a systematic review of practical interventions for clinicians","volume":"63","author":"C Reynolds","year":"2018","journal-title":"Dig Dis Sci"},{"key":"ref102","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1016\/j.gie.2020.03.3865","article-title":"Associations between endoscopist feedback and improvements in colonoscopy quality indicators: a systematic review and meta-analysis","volume":"92","author":"K Bishay","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"ref103","doi-asserted-by":"crossref","first-page":"2659","DOI":"10.1038\/ajg.2009.570","article-title":"Report of the Multisociety Task Force on GI Training","volume":"104","author":"Multisociety Task Force on GI Training","year":"2009","journal-title":"Am J Gastroenterol"},{"key":"ref105","first-page":"171","article-title":"Endoscopy training in primary care: innovative training program to increase access to endoscopy in primary care","volume":"44","author":"T Walker","year":"2012","journal-title":"Fam Med"},{"key":"ref106","doi-asserted-by":"crossref","first-page":"1985","DOI":"10.1053\/j.gastro.2017.11.293","article-title":"Advances and challenges in endoscopic training","volume":"154","author":"K A Waschke","year":"2018","journal-title":"Gastroenterology"},{"key":"ref107","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00431-021-04118-8","article-title":"Feedback and coaching","volume":"181","author":"A Atkinson","year":"2022","journal-title":"Eur J Pediatr"},{"key":"ref108","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1053\/j.gastro.2017.07.023","article-title":"How to give feedback during endoscopy training","volume":"153","author":"C K Dilly","year":"2017","journal-title":"Gastroenterology"},{"key":"ref109","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.gie.2013.03.1331","article-title":"Do breaks in gastroenterology fellow endoscopy training result in a decrement in competency in colonoscopy?","volume":"78","author":"J E Jorgensen","year":"2013","journal-title":"Gastrointest Endosc"},{"key":"ref110","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1016\/j.gie.2017.03.1530","article-title":"A survey of credentialing for ERCP in the United States","volume":"86","author":"P B Cotton","year":"2017","journal-title":"Gastrointest Endosc"},{"key":"ref111","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1053\/j.gastro.2018.07.024","article-title":"Competence in endoscopic ultrasound and endoscopic retrograde cholangiopancreatography, from training through independent practice","volume":"155","author":"S Wani","year":"2018","journal-title":"Gastroenterology"},{"key":"ref112","doi-asserted-by":"crossref","first-page":"E37","DOI":"10.1055\/a-1629-7540","article-title":"UK Joint Advisory Group consensus statements for training and certification in endoscopic retrograde cholangiopancreatography","volume":"10","author":"K Siau","year":"2022","journal-title":"Endosc Int Open"},{"key":"ref113","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.gie.2022.07.027","article-title":"Before you implement a new technique or technology in your unit: a strategic perspective of endoscopy","volume":"96","author":"A Voiosu","year":"2022","journal-title":"Gastrointest Endosc"},{"key":"ref114","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1055\/a-1859-3726","article-title":"Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement","volume":"54","author":"E Rodr\u00edguez de Santiago","year":"2022","journal-title":"Endoscopy"},{"key":"ref115","doi-asserted-by":"crossref","first-page":"E1247","DOI":"10.1055\/a-0677-2026","article-title":"Partnership with African countries: European Society of Gastrointestinal Endoscopy (ESGE) \u2013 Position Statement","volume":"6","author":"C Hassan","year":"2018","journal-title":"Endosc Int Open"},{"key":"ref116","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1097\/MEG.0000000000001041","article-title":"Limitations of teaching endoscopy","volume":"30","author":"A Sonnenberg","year":"2018","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"ref117","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1155\/2010\/493578","article-title":"Training the endoscopy trainer: from general principles to specific concepts","volume":"24","author":"S Coderre","year":"2010","journal-title":"Can J Gastroenterol"},{"key":"ref118","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.bpg.2016.05.001","article-title":"Training the gastrointestinal endoscopy trainer","volume":"30","author":"K A Waschke","year":"2016","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"ref119","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1097\/MPG.0000000000001473","article-title":"Evidence-based approach to training pediatric gastrointestinal endoscopy trainers","volume":"64","author":"C M Walsh","year":"2017","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"ref120","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1111\/medu.12965","article-title":"Measuring cognitive load during procedural skills training with colonoscopy as an exemplar","volume":"50","author":"J L Sewell","year":"2016","journal-title":"Med Educ"},{"key":"ref121","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1136\/gutjnl-2014-307503","article-title":"Leadership training to improve adenoma detection rate in screening colonoscopy: a randomised trial","volume":"65","author":"M F Kaminski","year":"2016","journal-title":"Gut"},{"key":"ref122","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1136\/gut.2003.016436","article-title":"A prospective study of colonoscopy practice in the UK today: are we adequately prepared for national colorectal cancer screening tomorrow?","volume":"53","author":"C JA Bowles","year":"2004","journal-title":"Gut"},{"key":"ref123","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1136\/gutjnl-2011-301848","article-title":"The national colonoscopy audit: a nationwide assessment of the quality and safety of colonoscopy in the UK","volume":"62","author":"D R Gavin","year":"2013","journal-title":"Gut"},{"key":"ref126","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.1007\/s00464-017-5463-7","article-title":"SAGE(S) advice: application of a standardized train the trainer model for faculty involved in a Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) hands-on course","volume":"31","author":"S M Wyles","year":"2017","journal-title":"Surg Endosc"},{"key":"ref127","doi-asserted-by":"crossref","first-page":"e21278","DOI":"10.1097\/MD.0000000000021278","article-title":"Gastrointestinal endoscopy nurse assistance during colonoscopy and polyp detection: A PRISMA-compliant meta-analysis of randomized control trials","volume":"99","author":"A Liu","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"ref128","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1016\/j.gie.2011.06.033","article-title":"Participation by experienced endoscopy nurses increases the detection rate of colon polyps during a screening colonoscopy: a multicenter, prospective, randomized study","volume":"74","author":"C K Lee","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"ref129","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1055\/s-0033-1344142","article-title":"European curriculum for sedation training in gastrointestinal endoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA)","volume":"45","author":"J-M Dumonceau","year":"2013","journal-title":"Endoscopy"},{"key":"ref130","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1055\/a-0759-1629","article-title":"Reprocessing of flexible endoscopes and endoscopic accessories used in gastrointestinal endoscopy: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA) \u2013 Update 2018","volume":"50","author":"U Beilenhoff","year":"2018","journal-title":"Endoscopy"},{"key":"ref131","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.bpg.2016.04.004","article-title":"Simulator training in gastrointestinal endoscopy - From basic training to advanced endoscopic procedures","volume":"30","author":"S E van der Wiel","year":"2016","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"ref132","doi-asserted-by":"crossref","first-page":"e89224","DOI":"10.1371\/journal.pone.0089224","article-title":"The effect of virtual endoscopy simulator training on novices: a systematic review","volume":"9","author":"W Qiao","year":"2014","journal-title":"PloS One"},{"key":"ref133","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1055\/a-0894-4400","article-title":"Virtual reality simulation training in endoscopy: a Cochrane review and meta-analysis","volume":"51","author":"R Khan","year":"2019","journal-title":"Endoscopy"},{"key":"ref134","doi-asserted-by":"crossref","first-page":"E815","DOI":"10.1055\/a-1814-9747","article-title":"Assessment of esophagogastroduodenoscopy skills on simulators before real-life performance","volume":"10","author":"A B Nielsen","year":"2022","journal-title":"Endosc Int Open"},{"key":"ref135","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.gie.2011.07.063","article-title":"Strategies for training in diagnostic upper endoscopy: a prospective, randomized trial","volume":"75","author":"A Ende","year":"2012","journal-title":"Gastrointest Endosc"},{"key":"ref136","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1055\/s-0030-1255818","article-title":"Effect of virtual endoscopy simulator training on performance of upper gastrointestinal endoscopy in patients: a randomized controlled trial","volume":"42","author":"A Ferlitsch","year":"2010","journal-title":"Endoscopy"},{"key":"ref137","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/S0016-5107(04)01566-4","article-title":"Training with a computer-based simulator achieves basic manual skills required for upper endoscopy: a randomized controlled trial","volume":"60","author":"E Di Giulio","year":"2004","journal-title":"Gastrointest Endosc"},{"key":"ref138","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/S1542-3565(04)00067-9","article-title":"Computer simulation training enhances patient comfort during endoscopy","volume":"2","author":"R E Sedlack","year":"2004","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref139","doi-asserted-by":"crossref","first-page":"426","DOI":"10.3122\/jabfm.11.6.426","article-title":"Virtual reality flexible sigmoidoscopy simulator training: impact on resident performance","volume":"11","author":"M L Tuggy","year":"1998","journal-title":"J Am Board Fam Pract"},{"key":"ref140","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1055\/s-2003-40243","article-title":"A prospective randomized trial comparing a virtual reality simulator to bedside teaching for training in sigmoidoscopy","volume":"35","author":"L B Gerson","year":"2003","journal-title":"Endoscopy"},{"key":"ref141","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1055\/s-2005-921049","article-title":"Virtual reality colonoscopy simulation: a compulsory practice for the future colonoscopist?","volume":"37","author":"G Ahlberg","year":"2005","journal-title":"Endoscopy"},{"key":"ref142","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.gie.2009.07.017","article-title":"Training and transfer of colonoscopy skills: a multinational, randomized, blinded, controlled trial of simulator versus bedside training","volume":"71","author":"A Haycock","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref143","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1155\/2014\/804367","article-title":"Computer-based virtual reality colonoscopy simulation improves patient-based colonoscopy performance","volume":"28","author":"K S McIntosh","year":"2014","journal-title":"Can J Gastroenterol Hepatol"},{"key":"ref144","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1007\/s00464-003-9143-4","article-title":"The learning curve for a colonoscopy simulator in the absence of any feedback: no feedback, no learning","volume":"18","author":"T Mahmood","year":"2004","journal-title":"Surg Endosc"},{"key":"ref145","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.gie.2018.07.008","article-title":"Computerized feedback during colonoscopy training leads to improved performance: a randomized trial","volume":"88","author":"A S Vilmann","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"ref146","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1016\/j.gie.2015.04.008","article-title":"Impact of a simulation training curriculum on technical and nontechnical skills in colonoscopy: a randomized trial","volume":"82","author":"S C Grover","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"ref147","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1038\/ajg.2012.309","article-title":"A nationwide survey of gastroenterologists and their acquisition of knowledge","volume":"108","author":"C P Koczka","year":"2013","journal-title":"Am J Gastroenterol"},{"key":"ref148","doi-asserted-by":"crossref","first-page":"11015","DOI":"10.15766\/mep_2374-8265.11015","article-title":"Standardizing endoscopy training: a workshop for endoscopy educators","volume":"16","author":"C Huang","year":"2020","journal-title":"MedEdPORTAL"},{"key":"ref149","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1055\/a-1511-1657","article-title":"Live endoscopy events (LEEs): European Society of Gastrointestinal Endoscopy Position Statement \u2013 Update 2021","volume":"53","author":"G J Webster","year":"2021","journal-title":"Endoscopy"},{"key":"ref150","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1186\/s12909-022-03516-2","article-title":"Use of a specialty endoscopy online platform for continuing medical education for clinical endoscopists during the COVID-19 pandemic","volume":"22","author":"G Li","year":"2022","journal-title":"BMC Med Educ"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1055\/s-0043-111888","article-title":"Evaluation of an e-learning system for diagnosis of gastric lesions using magnifying narrow-band imaging: a multicenter randomized controlled study","volume":"49","author":"H Nakanishi","year":"2017","journal-title":"Endoscopy"},{"key":"ref152","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1053\/j.gastro.2020.08.013","article-title":"How to introduce scopemanship into your training program","volume":"159","author":"S Bollipo","year":"2020","journal-title":"Gastroenterology"},{"key":"ref153","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00464-018-6569-2","article-title":"A Society of Gastrointestinal and Endoscopic Surgeons (SAGES) statement on closed social media (Facebook\u00ae) groups for clinical education and consultation: issues of informed consent, patient privacy, and surgeon protection","volume":"33","author":"J G Bittner","year":"2019","journal-title":"Surg Endosc"},{"key":"ref154","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1055\/a-1213-5761","article-title":"ESGE and ESGENA Position Statement on gastrointestinal endoscopy and COVID-19: An update on guidance during the post-lockdown phase and selected results from a membership survey","volume":"52","author":"I M Gralnek","year":"2020","journal-title":"Endoscopy"},{"key":"ref155","first-page":"627","article-title":"Covid-19: exploring the \u201cnew normal\u201c in gastroenterology training","volume":"84","author":"K Ekmektzoglou","year":"2021","journal-title":"Acta Gastroenterol Belg"},{"key":"ref156","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1111\/den.14440","article-title":"Telementoring for endoscopic submucosal dissection in vivo training","volume":"35","author":"H C Yip","year":"2023","journal-title":"Dig Endosc"},{"key":"ref157","doi-asserted-by":"crossref","first-page":"781256","DOI":"10.3389\/fmed.2021.781256","article-title":"Impact of computer-assisted system on the learning curve and quality in esophagogastroduodenoscopy: randomized controlled trial","volume":"8","author":"L Huang","year":"2021","journal-title":"Front Med"},{"key":"ref158","doi-asserted-by":"publisher","DOI":"10.1056\/EVIDoa2200003","article-title":"Real-time artificial intelligence\u2013based optical diagnosis of neoplastic polyps during colonoscopy","author":"I Barua","year":"2022","journal-title":"NEJM Evid"},{"key":"ref159","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1055\/a-1852-0330","article-title":"Artificial intelligence assisted optical diagnosis for resect and discard strategy in clinical practice (Artificial intelligence BLI Characterization; ABC study)","volume":"55","author":"E Rondonotti","year":"2023","journal-title":"Endoscopy"},{"key":"ref160","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1002\/ueg2.12285","article-title":"Endoscopists performance in optical diagnosis of colorectal polyps in artificial intelligence studies","volume":"10","author":"S Pecere","year":"2022","journal-title":"United Eur Gastroenterol J"},{"key":"ref161","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1055\/a-1500-3730","article-title":"Endoscopists\u2019 diagnostic accuracy in detecting upper gastrointestinal neoplasia in the framework of artificial intelligence studies","volume":"54","author":"L Frazzoni","year":"2022","journal-title":"Endoscopy"},{"key":"ref162","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1007\/s11548-020-02208-w","article-title":"Automatic task recognition in a flexible endoscopy benchtop trainer with semi-supervised learning","volume":"15","author":"V Bencteux","year":"2020","journal-title":"Int J Comput Assist Radiol Surg"},{"key":"ref163","doi-asserted-by":"crossref","first-page":"4211","DOI":"10.3748\/wjg.v12.i26.4211","article-title":"Incidence and management of colonoscopic perforations: 8 years\u2019 experience","volume":"12","author":"H Tulchinsky","year":"2006","journal-title":"World J Gastroenterol"},{"key":"ref164","doi-asserted-by":"crossref","first-page":"2309","DOI":"10.1007\/s00464-014-3458-1","article-title":"Lower rate of colonoscopic perforation: 110,785 patients of colonoscopy performed by colorectal surgeons in a large teaching hospital in China","volume":"28","author":"X Shi","year":"2014","journal-title":"Surg 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from a 10-year study","volume":"95","author":"M L Anderson","year":"2000","journal-title":"Am J Gastroenterol"},{"key":"ref172","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1007\/s00464-020-07403-z","article-title":"Effect of hospital teaching status on endoscopic retrograde cholangiopancreatography mortality and complications in the USA","volume":"35","author":"L Rotundo","year":"2021","journal-title":"Surg Endosc"},{"key":"ref173","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1007\/s00464-019-06836-5","article-title":"Development and clinical outcomes of an endoscopic submucosal dissection fellowship program: early united states experience","volume":"34","author":"P S Ge","year":"2020","journal-title":"Surg Endosc"},{"key":"ref174","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1055\/a-1049-0359","article-title":"Impact of trainee involvement on the outcome of ERCP procedures: results of a prospective multicenter observational trial","volume":"52","author":"T Voiosu","year":"2020","journal-title":"Endoscopy"},{"key":"ref175","first-page":"55","article-title":"Trainee involvement increases precut rates and delays access to the common bile duct without an increase in procedure-related adverse events: a brave new world of ERCP training?","volume":"56","author":"T Voiosu","year":"2018","journal-title":"Rom J Intern Med"},{"key":"ref176","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.gie.2009.12.060","article-title":"Radiation doses to ERCP patients are significantly lower with experienced endoscopists","volume":"72","author":"J E Jorgensen","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref177","doi-asserted-by":"crossref","first-page":"5439","DOI":"10.3748\/wjg.v24.i48.5439","article-title":"Virtual reality simulation in endoscopy training: Current evidence and future directions","volume":"24","author":"T Mahmood","year":"2018","journal-title":"World J Gastroenterol"},{"key":"ref178","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1136\/postgradmedj-2016-134578","article-title":"Training mid-career internists to perform high-quality colonoscopy: a pilot training programme to meet increasing demands for colonoscopy","volume":"93","author":"N K Shah-Ghassemzadeh","year":"2017","journal-title":"Postgrad Med J"},{"key":"ref179","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.gie.2006.03.015","article-title":"Complications of pediatric EGD: a 4-year experience in PEDS-CORI","volume":"65","author":"K Thakkar","year":"2007","journal-title":"Gastrointest Endosc"},{"key":"ref180","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.giec.2004.01.007","article-title":"Risk management regarding sedation\/analgesia","volume":"14","author":"J Petrini","year":"2004","journal-title":"Gastrointest Endosc Clin N 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Open"},{"key":"ref184","doi-asserted-by":"crossref","first-page":"E1804","DOI":"10.1055\/a-1265-6731","article-title":"The impact of distraction minimization on endoscopic mentoring and performance","volume":"08","author":"S C Rice","year":"2020","journal-title":"Endosc Int Open"},{"key":"ref185","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/j.cgh.2009.07.013","article-title":"Fewer polyps detected by colonoscopy as the day progresses at a veteran\u2019s administration teaching hospital","volume":"7","author":"M Y Chan","year":"2009","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref186","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1136\/flgastro-2018-101078","article-title":"Improving safety and reducing error in endoscopy: simulation training in human factors","volume":"10","author":"S Ravindran","year":"2019","journal-title":"Frontline 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involving trainees: a study of closed malpractice claims from 5 insurers","volume":"167","author":"H Singh","year":"2007","journal-title":"Arch Intern Med"},{"key":"ref191","volume-title":"To err is human: building a safer health system","author":"L T Kohn","year":"2000"},{"key":"ref192","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1055\/a-1695-3244","article-title":"Guidance for the implementation of a safety checklist for gastrointestinal endoscopic procedures: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement","volume":"54","author":"I M Gralnek","year":"2022","journal-title":"Endoscopy"},{"key":"ref193","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.gie.2013.12.015","article-title":"Guidelines for safety in the gastrointestinal endoscopy unit","volume":"79","author":"A H Calderwood","year":"2014","journal-title":"Gastrointest 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