“Into the fire” approach to teaching endoscopic foreign body removal using a modular simulation curriculum

Not All Porcine Intestinal Segments Are Equal in Terms of Breaking Force, but None Were Associated to Allometric Parameters

“…Similar effects have been demonstrated for different procedures including foreign body removal [79], endoscopic submucosal dissection [32], and peroral endoscopic myectomy [33]. An additional advantage is that even difficult procedures [32,33,79], or parts of them [31], can be trained before they are first used in patient care, and, thus, the early phase of the learning curve can be avoided in the patient [33].…”

“…They have been evaluated and thoroughly tested, including a randomized controlled trial, and found to be helpful in gaining experience, training, and even proficiency, irrespective of the level of experience at the start of the training [32,78]. Trainees and even advanced and experienced endoscopists felt that they gained additional experience and proficiency from using ex vivo simulators, especially if they were using them in a structured manner [79]. Similar effects have been demonstrated for different procedures including foreign body removal [79], endoscopic submucosal dissection [32], and peroral endoscopic myectomy [33].…”

“…Trainees and even advanced and experienced endoscopists felt that they gained additional experience and proficiency from using ex vivo simulators, especially if they were using them in a structured manner [79]. Similar effects have been demonstrated for different procedures including foreign body removal [79], endoscopic submucosal dissection [32], and peroral endoscopic myectomy [33]. An additional advantage is that even difficult procedures [32,33,79], or parts of them [31], can be trained before they are first used in patient care, and, thus, the early phase of the learning curve can be avoided in the patient [33].…”