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Simulator-based training method in gastrointestinal endoscopy training and currently available simulators

Jeong Hoon Lee|Seung Wook Hong|Gunn Huh|Hwoon-Yong Jung|Gin Hyug Lee|Ga Hee Kim|Yuri Kim
대한소화기내시경학회 (The Korean Society Of Gastrointestinal Endoscopy)|2023.01|Clinical Endoscopy|제56권 제1호|pp. 1-13|DOI 10.5946/ce.2022.191

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참고문헌

키워드

ColonoscopyEndoscopic retrograde cholangiopancreatographyEsophagogastroduodenoscopySimulator-based training methodApprenticeship-based training method
주제분류내과학

초록

The apprenticeship-based training method (ABTM) is highly effective for gastrointestinal (GI) endoscopic training. However, the conventionalABTM has significant issues. Although many supplementary training methods (TMs) have been developed and utilized, theycannot entirely replace the ABTM, which remains the major TM strategy. Currently, new TM construction is crucial and necessary dueto financial constraints, difficulty of obtaining sufficient training time due to patient safety-related regulations, and catastrophic damagecaused by disasters such as the coronavirus disease 2019 pandemic. The simulator-based TM (SBTM) is widely accepted as an alternativeto the ABTM, owing to the SBTM’s advantages. Since the 1960s, many GI endoscopy training simulators have been developedand numerous studies have been published on their effectiveness. While previous studies have focused on the simulator’s validity, thisreview focused on the accessibility of simulators that were introduced by the end of 2021. Although the current SBTM is effective in GIendoscopic education, extensive improvements are needed to replace the ABTM. Incorporating simulator-incorporated TMs into animproved ABTM is an attempt to overcome the incompleteness of the current SBTM. Until a new simulator is developed to replace theABTM, it is desirable to operate a simulator-integrated and well-coordinated TM that is suitable for each country and institution.

Abstract

The apprenticeship-based training method (ABTM) is highly effective for gastrointestinal (GI) endoscopic training. However, the conventionalABTM has significant issues. Although many supplementary training methods (TMs) have been developed and utilized, theycannot entirely replace the ABTM, which remains the major TM strategy. Currently, new TM construction is crucial and necessary dueto financial constraints, difficulty of obtaining sufficient training time due to patient safety-related regulations, and catastrophic damagecaused by disasters such as the coronavirus disease 2019 pandemic. The simulator-based TM (SBTM) is widely accepted as an alternativeto the ABTM, owing to the SBTM’s advantages. Since the 1960s, many GI endoscopy training simulators have been developedand numerous studies have been published on their effectiveness. While previous studies have focused on the simulator’s validity, thisreview focused on the accessibility of simulators that were introduced by the end of 2021. Although the current SBTM is effective in GIendoscopic education, extensive improvements are needed to replace the ABTM. Incorporating simulator-incorporated TMs into animproved ABTM is an attempt to overcome the incompleteness of the current SBTM. Until a new simulator is developed to replace theABTM, it is desirable to operate a simulator-integrated and well-coordinated TM that is suitable for each country and institution.

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