Endoscopy 2020; 52(10): 899-923
DOI: 10.1055/a-1231-5123
Position Statement

Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Evelien Dekker*
 1   Department of Gastroenterology and Hepatology, Amsterdam University Medical Centre, location Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
,
Britt B. S. L. Houwen*
 1   Department of Gastroenterology and Hepatology, Amsterdam University Medical Centre, location Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
,
Ignasi Puig
 2   Digestive Diseases Department, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain
 3   Department of Medicine, Facultat de Ciències de la Salut, Universitat de Vic-Universitat Central de Catalunya (UVic-UCC), Manresa, Spain
,
Marco Bustamante-Balén
 4   Gastrointestinal Endoscopy Unit, Digestive Diseases Department, La Fe Polytechnic University Hospital, Valencia, Spain
 5   Gastrointestinal Endoscopy Research Group, La Fe Health Research Institute, Valencia, Spain
,
Emmanuel Coron
 6   Institut des Maladies de l’Appareil Digestif (IMAD), CHU Nantes, Université Nantes, Nantes, France
,
Daniela E. Dobru
 7   Gastroenterology Department, County Hospital Mures, Targu Mures, Romania
,
Roman Kuvaev
 8   Endoscopy Department, Yaroslavl Regional Cancer Hospital, Yaroslavl, Russian Federation
 9   Department of Gastroenterology, Faculty of Additional Professional Education, Pirogov Russian National Research Medical University, Moscow, Russian Federation
,
Helmut Neumann
10   Department of Medicine I, University Medical Center Mainz, Mainz, Germany
,
Gavin Johnson
11   Department of Gastroenterology, University College London Hospitals, London, UK
,
Pedro Pimentel-Nunes
12   Gastroenterology Department, Portuguese Oncology Institute of Porto, Porto, Portugal
13   Center for Research in Health Technologies and Information Systems (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
14   Surgery and Physiology Department, Faculty of Medicine of the University of Porto, Porto, Portugal
,
David S. Sanders
15   Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
,
Mario Dinis-Ribeiro
12   Gastroenterology Department, Portuguese Oncology Institute of Porto, Porto, Portugal
13   Center for Research in Health Technologies and Information Systems (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
,
Marianna Arvanitakis
16   Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Brussels, Belgium
,
Thierry Ponchon
17   Gastroenterology Division, Hôpital Edouard Herriot, Lyon, France
,
James E. East
18   Translational Gastroenterology Unit, Nuffield Department of Medicine, Experimental Medicine Division, John Radcliffe Hospital, University of Oxford, Oxford, UK
19   Oxford National Institute for Health Research Biomedical Research Centre, University of Oxford, Oxford, UK
,
Raf Bisschops
20   Department of Gastroenterology and Hepatology, Catholic University of Leuven (KUL), TARGID, University Hospital Leuven, Leuven, Belgium
› Author Affiliations

Main Recommendations

This manuscript represents an official Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) aiming to guide general gastroenterologists to develop and maintain skills in optical diagnosis during endoscopy. In general, this requires additional training beyond the core curriculum currently provided in each country. In this context, ESGE have developed a European core curriculum for optical diagnosis practice across Europe for high quality optical diagnosis training.

1 ESGE suggests that every endoscopist should have achieved general competence in upper and/or lower gastrointestinal (UGI/LGI) endoscopy before commencing training in optical diagnosis of the UGI/LGI tract, meaning personal experience of at least 300 UGI and/or 300 LGI endoscopies and meeting the ESGE quality measures for UGI/LGI endoscopy. ESGE suggests that every endoscopist should be able and competent to perform UGI/LGI endoscopy with high definition white light combined with virtual and/or dye-based chromoendoscopy before commencing training in optical diagnosis.

2 ESGE suggests competency in optical diagnosis can be learned by attending a validated optical diagnosis training course based on a validated classification, and self-learning with a minimum number of lesions. If no validated training course is available, optical diagnosis can only be learned by attending a non-validated onsite training course and self-learning with a minimum number of lesions.

3 ESGE suggests endoscopists are competent in optical diagnosis after meeting the pre-adoption and learning criteria, and meeting competence thresholds by assessing a minimum number of lesions prospectively during real-time endoscopy. ESGE suggests ongoing in vivo practice by endoscopists to maintain competence in optical diagnosis. If a competent endoscopist does not perform in vivo optical diagnosis on a regular basis, ESGE suggests repeating the learning and competence phases to maintain competence.

Key areas of interest were optical diagnosis training in Barrett’s esophagus, esophageal squamous cell carcinoma, early gastric cancer, diminutive colorectal lesions, early colorectal cancer, and neoplasia in inflammatory bowel disease. Condition-specific recommendations are provided in the main document.

* Equal first authors


Supplementary material



Publication History

Article published online:
03 September 2020

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