Division of Gastroenterology and Hepatology, National University Hospital, Singapore.
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
J Gastroenterol Hepatol. 2021 Oct;36(10):2715-2719. doi: 10.1111/jgh.15524. Epub 2021 Apr 28.
The COVID-19 pandemic is a unique challenge that has disrupted endoscopy training. Initial infection control measures aimed at protecting patients and staff meant nonessential endoscopic activity was suspended in many countries. The decrease in elective caseload from the pandemic also reduced training numbers during this period. While hands-on training took a backseat, more efforts were directed to didactic training of cognitive competencies. We review the literature describing the impact of COVID-19 on endoscopy training and summarize key measures aimed at mitigating this effect. These include leveraging on web-based didactic material and video-conferences, increased use of simulation and models to hone technical competencies, and a shift in focus from numbers-based accreditation to competency-based accreditation. While COVID-19 was hoped to be short-lived, it is clear the impact is long-lasting. Hence, it is crucial for training programs to take stock of how endoscopy training is evolving and use this opportunity to implement new paradigms into their endoscopic training curricula. COVID-19 might just be the catalyst that transforms endoscopy training into a new digital era.
新型冠状病毒肺炎疫情是一项独特的挑战，它扰乱了内镜培训。最初旨在保护患者和医护人员的感染控制措施意味着许多国家暂停了非必要的内镜活动。疫情期间，择期病例数量减少，培训人数也随之减少。虽然实操培训退居次席，但更多的精力被投入到认知能力的理论培训中。我们回顾了描述 COVID-19 对内镜培训影响的文献，并总结了旨在减轻这种影响的关键措施。这些措施包括利用基于网络的理论教材和视频会议、增加使用模拟和模型来磨练技术能力，以及从基于数量的认证转向基于能力的认证。虽然人们希望 COVID-19 是短暂的，但很明显，其影响是持久的。因此，培训计划必须评估内镜培训的发展情况，并利用这一机会将新的模式引入内镜培训课程。COVID-19 可能只是将内镜培训推向新时代的催化剂。
