title: New NOTES Clinical Training and Program Development.
abstract: Natural orifice translumenal endoscopic surgery (NOTES) is an intense area of research, and is arguably the most significant endoscopic innovation of this decade. Training for new NOTES is a relatively long, encompassing advanced endoscopy training, mastery of endoscopic dexterity within the narrow submucosal or "third space" with an in-depth understanding of the tissue planes. Proficiency with new closure and hemostatic devices is also essential. Few institutions worldwide can provide all the cognitive and technical elements essential to train new NOTES trainees. Trainees may need to spend time across several institutions to ensure safe and effective practice of new NOTES.
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, Royal Prince Alfred Hospital, Missenden Rd, Camperdown, NSW 2050, Australia; Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, 1800 Orleans St, Baltimore, MD 21205, USA.
authors.forename: Payal
authors.initials: P
authors.lastname: Saxena
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, 1800 Orleans St, Baltimore, MD 21205, USA; Department of Medicine, Johns Hopkins Hospital, 1800 Orleans Street, Suite 7125B, Baltimore, MD 21205, USA. Electronic address: mkhasha1@jhmi.edu.
authors.forename: Mouen A
authors.initials: MA
authors.lastname: Khashab
mesh_terms: D016099:Endoscopy, Gastrointestinal / Q000193:education*; D006801:Humans; D057605:Natural Orifice Endoscopic Surgery / Q000193:education*; D016730:Program Development; D013536:Suture Techniques / Q000193:education
keywords: Endoscopy; Fellowship; NOTES; POEM; Peroral endoscopic myotomy; Pyloromyotomy; STER; Training