title: Training and Competency in Sedation Practice in Gastrointestinal Endoscopy.
abstract: The practice of endoscopic sedation requires a thorough understanding of preprocedural assessment, sedation pharmacology, intraprocedure monitoring, adverse event management, and postprocedural care. The training process has become increasingly standardized and entails knowledge and practice-based components. The use of propofol in particular requires a higher level of structured training owing to its narrow therapeutic window. Simulation has increased opportunities for practice-based training in a controlled environment. After completion of training, the endoscopist must demonstrate competence in theoretical understanding and technical ability to administer sedation. Although individual institutions have certification processes, there is a lack of validated, standardized methods to confirm competence.
authors.affiliation: Division of Gastroenterology and Liver Diseases, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Ben
authors.initials: B
authors.lastname: Da
authors.affiliation: Division of Gastroenterology and Liver Diseases, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address: jbuxbaum@usc.edu.
authors.forename: James
authors.initials: J
authors.lastname: Buxbaum
mesh_terms: D002983:Clinical Competence; D016292:Procedural Sedation / Q000592:standards*; D054810:Deep Sedation / Q000592:standards*; D016099:Endoscopy, Gastrointestinal / Q000592:standards*; D005762:Gastroenterology / Q000193:education*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007258:Informed Consent; D016343:Monitoring, Intraoperative; D008991:Monitoring, Physiologic; D011182:Postoperative Care; D015742:Propofol / Q000627:therapeutic use; D018570:Risk Assessment; D000066908:Simulation Training
chemical_list: D006993:Hypnotics and Sedatives; D015742:Propofol
keywords: Conscious sedation; Curriculum; Deep sedation; Education; Endoscopy; Gastrointestinal; Graduate; Medical