Training Simulators and Education in Gastrointestinal Endoscopy: Current Status and Perspectives in 2001

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Abstract
High tech medicine, optimal patient care and quality management are current topics in clinical medicine. While evidence-based medicine is rapidly becoming the “gold standard” for treatment modalities, the responsibility for education, the theoretical background as well as the acquisition and refinement of the manual skills of gastrointestinal endoscopy, remains in the hands of the individual physician. Practical skills are routinely acquired by practicing on the patient, initially under the supervision of a senior endoscopist. Over the years specialist medical societies have worked out guidelines and recommendations for establishing minimal quality requirements for the unsupervised performance of the various endoscopic techniques. However, structured training programs and mandatory teaching curricula for gastrointestinal endoscopy are still not established. The advent of new endoscopy simulators has rekindled the discussion as to whether it would be better to teach basic manual skills outside the patient. In the following review, we present a short overview of currently available training simulators. Present and potential future educational concepts in gastrointestinal endoscopy are discussed.

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