Division of Gastrointestinal Surgery, Department of Surgery, College of Medicine, the Catholic University of Korea, Seoul, Korea.
J Surg Educ. 2012 Jul-Aug;69(4):559-63. doi: 10.1016/j.jsurg.2012.03.002. Epub 2012 May 5.
Surgeons' interest and participation in endoscopy have increased recently. The aims of the present study were to assess the learning curve for surgical training in upper endoscopy and to suggest an appropriate training program for surgeons in Korea.
Under the supervision of skilled endoscopists, 4 trainees who participated in this study performed more than 150 esophagogastroduodenoscopy procedures, according to the recommendations of the American Society for Gastrointestinal Endoscopy. The success of the procedures was defined as the fulfillment of designated time and checkpoints. A cumulative sum model was used to assess the learning curve.
During the same period, the 4 trainees completed 158, 160, 166, and 180 procedures, respectively. Plateau points occurred on the learning curve at the 81st, 90th, 98th, and 111th case in the cumulative sum model and the mean value of the plateau was the 95th case.
An intensive education tool and training module that meets the conditions of surgical residents is mandatory for the training of proficient surgical endoscopists.
外科医生对内镜的兴趣和参与度最近有所增加。本研究旨在评估上消化道内镜手术培训的学习曲线，并为韩国外科医生提出一个合适的培训计划。
在熟练内镜医生的监督下，4 名参加本研究的学员根据美国胃肠内镜学会的建议，共完成了 150 多次食管胃十二指肠镜检查。手术的成功定义为满足指定的时间和检查点。累积和模型用于评估学习曲线。
同期，4 名学员分别完成了 158、160、166 和 180 例手术。累积和模型中，学习曲线的平台点出现在第 81、90、98 和 111 例，平台的平均值为第 95 例。
对于熟练的外科内镜医生的培训，强制性的需要一个符合外科住院医师条件的强化教育工具和培训模块。
