Ruco A, Walsh C M, Cooper M A, Rabeneck L
Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Division of Gastroenterology, Hepatology and Nutrition, SickKids Learning and Research Institutes, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Peadiatrics, University of Toronto, Canada.
Best Pract Res Clin Gastroenterol. 2016 Jun;30(3):389-96. doi: 10.1016/j.bpg.2016.04.006. Epub 2016 May 4.
Colorectal cancer (CRC) is one of the most common cancers in women and men worldwide. Training non-physicians including nurses, nurse practitioners, and physician assistants to perform endoscopy can provide the opportunity to expand access to CRC screening as demand for endoscopic procedures continues to grow. A formal program, incorporating didactic instruction and hands-on practice in addition to oversight, is required to train non-physicians to perform endoscopy as safely and effectively as physicians. Additionally, the context in which the non-physician endoscopy program is organized will dictate key program characteristics including remuneration, participant recruitment and professional and legal considerations. This review explores the evidence in support of non-physician based endoscopy, potential challenges in implementing non-physician endoscopy and requirements for a high-quality program to support training and implementation.
结直肠癌（CRC）是全球男性和女性中最常见的癌症之一。随着对内窥镜检查程序的需求持续增长，培训包括护士、执业护士和医师助理在内的非医师进行内窥镜检查，可以提供扩大结直肠癌筛查机会。需要一个正式的项目，除监督外，还包括理论教学和实践操作，以培训非医师像医师一样安全有效地进行内窥镜检查。此外，组织非医师内窥镜检查项目的背景将决定关键的项目特征，包括薪酬、参与者招募以及专业和法律方面的考虑。本综述探讨了支持非医师内窥镜检查的证据、实施非医师内窥镜检查的潜在挑战以及高质量项目支持培训和实施的要求。
