title: Development of expertise in the detection and classification of non-polypoid colorectal neoplasia: Experience-based data at an academic GI unit.
abstract: At its core, quality improvement in gastrointestinal (GI) practice relies on continuous training, education, and information among all health care providers, whether gastroenterologists, GI trainees, endoscopy nurses, or GI pathologists. Over the past few years, it became clear that objective criteria are needed to assess the quality of colonoscopy, such as cecum intubation rate, quality of bowel preparation, withdrawal time, and adenoma detection rate. In this context, development of competence among practicing endoscopists to adequately detect and treat non-polypoid colorectal neoplasms (NP-CRNs) deserves special attention. We describe a summary of the path to develop expertise in detection and management of NP-CRNs, based on experience at our academic GI unit.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Center, PO Box 5800, 6202 AZ Maastricht, The Netherlands. s.sanduleanu@mumc.nl
authors.forename: Silvia
authors.initials: S
authors.lastname: Sanduleanu
authors.forename: Eveline J A
authors.initials: EJ
authors.lastname: Rondagh
authors.forename: Ad A M
authors.initials: AA
authors.lastname: Masclee
mesh_terms: D000046:Academic Medical Centers / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002400:Cathartics / Q000008:administration & dosage / Q000009:adverse effects; D003111:Colonic Polyps / Q000145:classification / Q000175:diagnosis / Q000473:pathology; D003113:Colonoscopy / Q000379:methods*; D003123:Colorectal Neoplasms, Hereditary Nonpolyposis / Q000145:classification / Q000175:diagnosis* / Q000473:pathology; D004733:Enema / Q000379:methods; D005260:Female; D006801:Humans; D054368:Laxatives / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D011787:Quality of Health Care; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D002400:Cathartics; D054368:Laxatives