소화기내시경 세부전문의 교육수련 가이드라인 = Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy

국문 초록 (Abstract)

1995년 후반 대한소화기내시경학회에서는 소화기내시경 세부전문의 제도와 세부 규정을 마련하여 현재까지 많은 세부전문의들을 배출하고 있으나 체계적인 교육목표와 지침이 미비하였다. 소화기내시경 세부전문의 수련과정에서 내시경 검사는 지도 전문의의 감독하에 실시되고 있지만, 수련기간 동안 여러 내시경 검사와 치료법에 익숙해지기는 현실적으로 어려움이 많다. 또한 수련과정 후 독자적인 검사와 치료를 통한 체득과정이 더욱 중요하다. 따라서 지도 전문의 감독을 벗어나 소화기 내시경 검사와 치료를 수행할 수 있는 지 여부를 판단할 만한 최소한의 가이드라인이 필요하다. 이에 대한소화기내시경학회 교육수련위원회에서는 안전하고 정확한 내시경 검사 및 치료를 위하여 세부전문의 수련과정 중에 반드시 알아야 할 최소한의 교육목표를 제시함으로써 지도 전문의 및 피교육자에 교육수련의 가이드라인 제공과 동시에 향후 내시경 검사와 치료의 질적 향상에 기여하고자 한다.

다국어 초록 (Multilingual Abstract)

The Korean Society of Gastrointestinal Endoscopy (KSGE) developed regulations and a gastrointestinal endoscopy board in 1995. Although the KSGE has acquired many specialists since then, the education and training aims and guidelines were insufficient. Although endoscopic examinations are supervised by a specialist during a GI fellowship, some types of GI endoscopic examinations and treatments are difficult to obtain exposure. Fellows should acquire endoscopic skills through repeated independent endoscopic examinations after a GI fellowship. Thus, the KSGE requires training guidelines for fellowships that allow fellows to perform endoscopic examinations without a supervisor. This document is intended to provide the principles that the Committee of Education and Training of KSGE can use to develop practical guidelines for granting privileges to perform accurate GI endoscopy safely. KSGE will contribute to improving the quality of GI endoscopy by providing guidelines for fellowships and supervisors.

참고문헌 (Reference)

1 임윤정, "대한소화기내시경학회: 캡슐내시경의 가이드라인" 대한소화기내시경학회 37 (37): 393-402, 2008

2 Faigel DO, "World Organization of Digestive Endoscopy. The London OMED position statement for credentialing and quality assurance in digestive endoscopy" 41 : 1069-1074, 2009

3 Hawes R, "Training resident physicians in fiberoptic flexible sigmoidoscopy. How many supervised examinations are required to achieve competence" 80 : 465-470, 1986

4 Buscaglia JM, "The American Society for Gastrointestinal Endoscopy First-Year Fellows’ Endoscopy Course: see one, do one, teach one" 67 : 513-514, 2008

5 Marshall JB, "Technical proficiency of trainees performing colonoscopy: a learning curve" 42 : 287-291, 1995

6 Faigel DO, "Quality indicators for endoscopic procedures: an introduction" 63 : 3s-9s, 2006

7 Jung IK, "Quality control of upper GI endoscopy" 39 : 53s-61s, 2009

8 Kim YH, "Quality control of colonoscopy" 39 : 65s-70s, 2009

9 Moon JS, "Quality control of cleaning and disinfection in gastrointestinal endoscopy" 39 : 71s-73s, 2009

10 Chak A, "Prospective assessment of colonoscopic intubation skills in trainees" 44 : 54-57, 1996

11 Wigton RS, "Procedural skills of practicing gastroenterologists. A national survey of 700 members of the American College of Physicians" 113 : 540-546, 1990

12 The American Society for Gastrointestinal Endoscopy, "Principles of training in gastrointestinal endoscopy"

13 ASGE Standards of Training Committees, "Principles of training in gastrointestinal endoscopy" 49 : 845-850, 1999

14 Kowalski T, "Perceptions of gastroenterology fellows regarding ERCP competency and training" 58 : 345-349, 2003

15 Cass OW, "Objective evaluation of endoscopy skills during training" 118 : 40-44, 1993

16 Han DS, "Necessity of quality control of gastrointestinal endoscopy and its present state" 39 : 50s-52s, 2009

17 Rosenthal LS, "Is a fourth year of training necessary to become competent in EUS and ERCP? Notes from the 2008 class of advanced endoscopy fellows" 68 : 1150-1152, 2008

18 Hoffman B, "How many supervised procedures does it take to becom competent in EUS? Results of a multicenter three year study" 51 : AB139-, 2000

19 ASGE, "Guidelines for training in endoscopic ultrasound" 49 : 829-833, 1996

20 ASGE, "Guidelines for credentialing and granting privileges for endoscopic ultrasound" 54 : 811-814, 2001

21 Korean Ministry of Health & Welfare, "Guideline for colorectal cancer screening"

22 Verma D, "Establishing a true assessment of endoscopic competence in ERCP during training and beyond: a single-operator learning curve for deep biliary cannulation in patients with native papillary anatomy" 65 : 394-400, 2007

23 Korean Society of Gastrointestinal Endoscopy, "Enforcement rules about education for gastrointestinal endoscopy subspecialty and specification of education hospital for gastrointestinal endoscopy subspecialty"

24 Hoffman BJ, "Endoscopic ultrasound and clinical competence" 5 : 879-884, 1995

25 ASGE Committee on Training, "ERCP core curriculum" 63 : 361-376, 2006

26 Lee SH, "An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve" 67 : 683-689, 2008

27 Cass OW, "Acquisition of competency in endoscopic skills (ACES) during training: a multicenter study" 43 : 308A-, 1996

28 Tassios PS, "Acquisition of competence in colonoscopy: the learning curve of trainees" 31 : 702-706, 1999