Wong Jennie Y Y, Kongkam Pradermchai, Ho Khek Yu
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Endoscopic Ultrasound Research Unit, Chulalongkorn University, Bangkok, Thailand.
Dig Endosc. 2017 May;29(4):512-516. doi: 10.1111/den.12802. Epub 2017 Feb 8.
Training of endoscopic ultrasonography (EUS) in Asia faces two major challenges: (i) the ever-increasing demand for skills to handle a growing range of interventional EUS procedures; and (ii) a continual shortage of EUS training programs. As the therapeutic application of EUS continues to expand, the need to train more new endosonographers and upgrade skills of existing ones has become more critical than ever before. A formal fellowship to acquire EUS knowledge and skills in an advanced endoscopy center has always been perceived as the best way of training novices, but such opportunities remain limited in most Asian countries. To keep up with the pace of development in EUS, more short-term EUS programs have been conducted across Asia in recent years. Such programs are generally intensive and may combine didactic lectures, live-case demonstrations, and hands-on training on phantoms, or live animal models for teaching. Although not as rigorous as conventional full-time EUS fellowships, such short-term programs are not necessarily inferior in quality. With courses offered from basic to advanced levels, and at regular intervals, busy practising endoscopists have the flexibility to attend the course that best matches their individual levels of experience, learn at their own pace and acquire EUS knowledge and skills over as many courses as desired. This open-ended progressive learning model is more agile than established fixed-term learning models and is expected to adapt better to future needs.
亚洲的内镜超声检查（EUS）培训面临两大挑战：（i）处理越来越多的介入性EUS程序所需技能的需求不断增加；（ii）EUS培训项目持续短缺。随着EUS治疗应用的不断扩大，培训更多新的内镜超声医师并提升现有人员技能的需求比以往任何时候都更加迫切。在先进的内镜中心获得EUS知识和技能的正式进修一直被视为培训新手的最佳方式，但在大多数亚洲国家，此类机会仍然有限。为了跟上EUS的发展步伐，近年来亚洲各地开展了更多短期EUS项目。此类项目通常强度较大，可能会结合理论讲座、实际病例演示以及在模型或活体动物模型上的实操培训进行教学。虽然不如传统的全日制EUS进修严格，但此类短期项目的质量不一定逊色。课程从基础到高级定期提供，忙碌的执业内镜医师可以灵活选择最符合其个人经验水平的课程，按照自己的节奏学习，并通过参加尽可能多的课程来获取EUS知识和技能。这种开放式渐进学习模式比既定的固定期限学习模式更加灵活，预计能更好地适应未来需求。
