title: Training the gastrointestinal endoscopy trainer.
abstract: Endoscopy training has traditionally been accomplished by an informal process in the endoscopy unit that parallels apprenticeship training seen in other areas of professional education. Subsequent to an audit, a series of interventions were implemented in the English National Health Service to support both service delivery and to improve endoscopy training. The resulting training centers deliver a variety of hands-on endoscopy courses, established in parallel with the roll out of a colon cancer screening program that monitors and documents quality outcomes among endoscopists. The program developed a 'training the trainer' module that subsequently became known as the Training the Colonoscopy Trainer course (TCT). Several years after its implementation, colonoscopy quality outcomes in the UK have improved substantially. The core TCT program has spread to other countries with demonstration of a marked impact on endoscopy training and performance. The aim of this chapter is to describe the principles that underlie effective endoscopy training in this program using the TCT as an example. While the review focuses on the specific example of colonoscopy training, the approach is generic to the teaching of any technical skill; it has been successfully transferred to the teaching of laparoscopic surgery as well as other endoscopic techniques.
authors.affiliation: McGill University Health Centre, McGill University, Department of Medicine (Division of Gastroenterology), 1001 Decarie Boulevard, Room D057156, Montreal, Quebec, H4A 3J1, Canada. Electronic address: Kevin.waschke@mcgill.ca.
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Waschke
authors.affiliation: Gloucestershire Hospitals NHS Foundation Trust, Great Western Road, Gloucester, GL1 3NN, United Kingdom.
authors.forename: John
authors.initials: J
authors.lastname: Anderson
authors.affiliation: Division of Digestive Care & Endoscopy, Dalhousie University, QEII - Victoria Building, Suite 909, 1276 South Park Street, Halifax, Nova Scotia, B3H 2Y9, Canada. Electronic address: donald.macintosh@dal.ca.
authors.forename: Donald
authors.initials: D
authors.lastname: Macintosh
authors.affiliation: Gloucestershire Hospitals NHS Foundation Trust, Great Western Road, Gloucester, GL1 3NN, United Kingdom. Electronic address: roland.valori@nhs.net.
authors.forename: Roland M
authors.initials: RM
authors.lastname: Valori
mesh_terms: D002983:Clinical Competence; D003113:Colonoscopy / Q000193:education; D055088:Early Detection of Cancer; D004503:Education, Medical, Graduate / Q000592:standards*; D016099:Endoscopy, Gastrointestinal / Q000193:education*; D005246:Feedback; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration
keywords: Colonoscopy; Endoscopy; Feedback; Medical education; Training