Training in Endoscopic Submucosal Dissection in the United States: The Current Paradigm

Cem Simsek; Hiroyuki Aihara

doi:10.1016/j.giec.2022.07.003

Training in Endoscopic Submucosal Dissection in the United States: The Current Paradigm

Gastrointest Endosc Clin N Am. 2023 Jan;33(1):41-53. doi: 10.1016/j.giec.2022.07.003.

Authors

Cem Simsek¹, Hiroyuki Aihara²

Affiliations

¹ Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
² Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: haihara@bwh.harvard.edu.

PMID: 36375885
DOI: 10.1016/j.giec.2022.07.003

Abstract

Endoscopic submucosal dissection (ESD) training in Japan is pursued through a designated master-apprentice, organ-based stepwise training model. However, applying a similar program to the United States is not a practical strategy due to the significant differences in the training system and disease prevalence. To incorporate the ESD training into the current advanced endoscopy fellowship program, the use of recently developed techniques and technologies to improve the efficiency of ESD is ideal. The ESD training program in the United States should be prevalence-based, with increased involvement of trainees depending on their objectively assessed competency levels.

Keywords: Advanced endoscopy fellowship; Endoscopic submucosal dissection; Training.

Publication types

Review

MeSH terms

Clinical Competence
Endoscopic Mucosal Resection* / methods
Endoscopy, Gastrointestinal / methods
Humans
Japan
United States