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Note
1 † Deceased
6 Colonoscopy
Robert E. Sedlack
Mayo Clinic, Rochester, MN, USA
Introduction
All trainees in gastroenterology must acquire competence in the basic endoscopic procedures of esophagogastroduodenoscopy (EGD) and colonoscopy. Though some skills learned in EGD may translate to colonoscopy, overall the skills required for colonoscopy are more technically demanding and require more time to achieve competence. This chapter focuses on the specific skills required in colonoscopy, how best to teach/learn these skills, and methods to assess competence in each of these skills.
Specific skills
The skills required in colonoscopy can be broken down into two main groups: motor and cognitive skills. Traditionally, the focus of many previous colonoscopy‐training chapters published has been almost exclusively on the motor skills. However, the cognitive skills are just as, if not more, important. In this chapter, we will try to address both skill sets.
These two skill groups can be broken down further into “early” and “intermediate” skills as shown in Table 6.1. It is well established in the surgical literature that the most effective method for teaching any technical procedure is to deconstruct the overall procedure down into individual