id sid tid token lemma pos cord-267229-hdnzs9o6 1 1 key key JJ cord-267229-hdnzs9o6 2 1 : : : cord-267229-hdnzs9o6 2 2 cord-267229-hdnzs9o6 cord-267229-hdnzs9o6 JJS cord-267229-hdnzs9o6 2 3 authors author NNS cord-267229-hdnzs9o6 2 4 : : : cord-267229-hdnzs9o6 2 5 Yang Yang NNP cord-267229-hdnzs9o6 2 6 , , , cord-267229-hdnzs9o6 2 7 Dennis Dennis NNP cord-267229-hdnzs9o6 2 8 ; ; : cord-267229-hdnzs9o6 2 9 Wagh Wagh NNP cord-267229-hdnzs9o6 2 10 , , , cord-267229-hdnzs9o6 2 11 Mihir Mihir NNP cord-267229-hdnzs9o6 2 12 S. S. NNP cord-267229-hdnzs9o6 2 13 ; ; : cord-267229-hdnzs9o6 2 14 Draganov Draganov NNP cord-267229-hdnzs9o6 2 15 , , , cord-267229-hdnzs9o6 2 16 Peter Peter NNP cord-267229-hdnzs9o6 2 17 V. V. NNP cord-267229-hdnzs9o6 2 18 title title NN cord-267229-hdnzs9o6 2 19 : : : cord-267229-hdnzs9o6 2 20 The the DT cord-267229-hdnzs9o6 2 21 status status NN cord-267229-hdnzs9o6 2 22 of of IN cord-267229-hdnzs9o6 2 23 training training NN cord-267229-hdnzs9o6 2 24 in in IN cord-267229-hdnzs9o6 2 25 new new JJ cord-267229-hdnzs9o6 2 26 technologies technology NNS cord-267229-hdnzs9o6 2 27 in in IN cord-267229-hdnzs9o6 2 28 advanced advanced JJ cord-267229-hdnzs9o6 2 29 endoscopy endoscopy NN cord-267229-hdnzs9o6 2 30 : : : cord-267229-hdnzs9o6 2 31 from from IN cord-267229-hdnzs9o6 2 32 defining define VBG cord-267229-hdnzs9o6 2 33 competence competence NN cord-267229-hdnzs9o6 2 34 to to IN cord-267229-hdnzs9o6 2 35 credentialing credentiale VBG cord-267229-hdnzs9o6 2 36 and and CC cord-267229-hdnzs9o6 2 37 privileging privilege VBG cord-267229-hdnzs9o6 2 38 date date NN cord-267229-hdnzs9o6 2 39 : : : cord-267229-hdnzs9o6 2 40 2020 2020 CD cord-267229-hdnzs9o6 2 41 - - HYPH cord-267229-hdnzs9o6 2 42 06 06 CD cord-267229-hdnzs9o6 2 43 - - HYPH cord-267229-hdnzs9o6 2 44 03 03 CD cord-267229-hdnzs9o6 2 45 journal journal NN cord-267229-hdnzs9o6 2 46 : : : cord-267229-hdnzs9o6 3 1 Gastrointest Gastrointest NNP cord-267229-hdnzs9o6 3 2 Endosc Endosc NNP cord-267229-hdnzs9o6 3 3 DOI doi NN cord-267229-hdnzs9o6 3 4 : : : cord-267229-hdnzs9o6 3 5 10.1016/ 10.1016/ CD cord-267229-hdnzs9o6 4 1 j.gie.2020.05.047 j.gie.2020.05.047 NNP cord-267229-hdnzs9o6 4 2 sha sha NNP cord-267229-hdnzs9o6 4 3 : : : cord-267229-hdnzs9o6 5 1 3a85a761fa33c4e2a847177587e75dae0999a199 3a85a761fa33c4e2a847177587e75dae0999a199 NNP cord-267229-hdnzs9o6 5 2 doc_id doc_id CD cord-267229-hdnzs9o6 5 3 : : : cord-267229-hdnzs9o6 5 4 267229 267229 CD cord-267229-hdnzs9o6 5 5 cord_uid cord_uid NNS cord-267229-hdnzs9o6 5 6 : : : cord-267229-hdnzs9o6 6 1 hdnzs9o6 hdnzs9o6 RB cord-267229-hdnzs9o6 6 2 Abstract Abstract NNP cord-267229-hdnzs9o6 7 1 The the DT cord-267229-hdnzs9o6 7 2 landscape landscape NN cord-267229-hdnzs9o6 7 3 of of IN cord-267229-hdnzs9o6 7 4 advanced advanced JJ cord-267229-hdnzs9o6 7 5 endoscopy endoscopy NN cord-267229-hdnzs9o6 7 6 continues continue VBZ cord-267229-hdnzs9o6 7 7 to to TO cord-267229-hdnzs9o6 7 8 evolve evolve VB cord-267229-hdnzs9o6 7 9 as as IN cord-267229-hdnzs9o6 7 10 new new JJ cord-267229-hdnzs9o6 7 11 technologies technology NNS cord-267229-hdnzs9o6 7 12 and and CC cord-267229-hdnzs9o6 7 13 techniques technique NNS cord-267229-hdnzs9o6 7 14 become become VBN cord-267229-hdnzs9o6 7 15 available available JJ cord-267229-hdnzs9o6 7 16 . . . cord-267229-hdnzs9o6 8 1 Although although IN cord-267229-hdnzs9o6 8 2 postgraduate postgraduate JJ cord-267229-hdnzs9o6 8 3 advanced advanced JJ cord-267229-hdnzs9o6 8 4 endoscopy endoscopy NN cord-267229-hdnzs9o6 8 5 fellowships fellowship NNS cord-267229-hdnzs9o6 8 6 have have VBP cord-267229-hdnzs9o6 8 7 traditionally traditionally RB cord-267229-hdnzs9o6 8 8 centered center VBN cord-267229-hdnzs9o6 8 9 on on IN cord-267229-hdnzs9o6 8 10 ERCP ERCP NNP cord-267229-hdnzs9o6 8 11 and and CC cord-267229-hdnzs9o6 8 12 diagnostic diagnostic JJ cord-267229-hdnzs9o6 8 13 EUS EUS NNP cord-267229-hdnzs9o6 8 14 , , , cord-267229-hdnzs9o6 8 15 the the DT cord-267229-hdnzs9o6 8 16 breadth breadth NN cord-267229-hdnzs9o6 8 17 of of IN cord-267229-hdnzs9o6 8 18 training training NN cord-267229-hdnzs9o6 8 19 has have VBZ cord-267229-hdnzs9o6 8 20 increased increase VBN cord-267229-hdnzs9o6 8 21 over over IN cord-267229-hdnzs9o6 8 22 the the DT cord-267229-hdnzs9o6 8 23 years year NNS cord-267229-hdnzs9o6 8 24 in in IN cord-267229-hdnzs9o6 8 25 response response NN cord-267229-hdnzs9o6 8 26 to to IN cord-267229-hdnzs9o6 8 27 the the DT cord-267229-hdnzs9o6 8 28 ever ever RB cord-267229-hdnzs9o6 8 29 - - HYPH cord-267229-hdnzs9o6 8 30 growing grow VBG cord-267229-hdnzs9o6 8 31 demand demand NN cord-267229-hdnzs9o6 8 32 for for IN cord-267229-hdnzs9o6 8 33 therapeutic therapeutic JJ cord-267229-hdnzs9o6 8 34 endoscopy endoscopy NN cord-267229-hdnzs9o6 8 35 . . . cord-267229-hdnzs9o6 9 1 The the DT cord-267229-hdnzs9o6 9 2 increasing increase VBG cord-267229-hdnzs9o6 9 3 diversity diversity NN cord-267229-hdnzs9o6 9 4 and and CC cord-267229-hdnzs9o6 9 5 complexity complexity NN cord-267229-hdnzs9o6 9 6 of of IN cord-267229-hdnzs9o6 9 7 emerging emerge VBG cord-267229-hdnzs9o6 9 8 endoscopic endoscopic NNS cord-267229-hdnzs9o6 9 9 techniques technique NNS cord-267229-hdnzs9o6 9 10 accompanied accompany VBN cord-267229-hdnzs9o6 9 11 by by IN cord-267229-hdnzs9o6 9 12 the the DT cord-267229-hdnzs9o6 9 13 shift shift NN cord-267229-hdnzs9o6 9 14 in in IN cord-267229-hdnzs9o6 9 15 focus focus NN cord-267229-hdnzs9o6 9 16 toward toward IN cord-267229-hdnzs9o6 9 17 competency competency NN cord-267229-hdnzs9o6 9 18 - - HYPH cord-267229-hdnzs9o6 9 19 based base VBN cord-267229-hdnzs9o6 9 20 medical medical JJ cord-267229-hdnzs9o6 9 21 education education NN cord-267229-hdnzs9o6 9 22 requires require VBZ cord-267229-hdnzs9o6 9 23 innovative innovative JJ cord-267229-hdnzs9o6 9 24 changes change NNS cord-267229-hdnzs9o6 9 25 to to IN cord-267229-hdnzs9o6 9 26 the the DT cord-267229-hdnzs9o6 9 27 curriculum curriculum NN cord-267229-hdnzs9o6 9 28 that that WDT cord-267229-hdnzs9o6 9 29 will will MD cord-267229-hdnzs9o6 9 30 ensure ensure VB cord-267229-hdnzs9o6 9 31 adequate adequate JJ cord-267229-hdnzs9o6 9 32 training training NN cord-267229-hdnzs9o6 9 33 yet yet RB cord-267229-hdnzs9o6 9 34 without without IN cord-267229-hdnzs9o6 9 35 compromising compromise VBG cord-267229-hdnzs9o6 9 36 best good JJS cord-267229-hdnzs9o6 9 37 patient patient JJ cord-267229-hdnzs9o6 9 38 practices practice NNS cord-267229-hdnzs9o6 9 39 . . . cord-267229-hdnzs9o6 10 1 The the DT cord-267229-hdnzs9o6 10 2 purpose purpose NN cord-267229-hdnzs9o6 10 3 of of IN cord-267229-hdnzs9o6 10 4 this this DT cord-267229-hdnzs9o6 10 5 review review NN cord-267229-hdnzs9o6 10 6 is be VBZ cord-267229-hdnzs9o6 10 7 to to TO cord-267229-hdnzs9o6 10 8 highlight highlight VB cord-267229-hdnzs9o6 10 9 the the DT cord-267229-hdnzs9o6 10 10 expansive expansive JJ cord-267229-hdnzs9o6 10 11 array array NN cord-267229-hdnzs9o6 10 12 of of IN cord-267229-hdnzs9o6 10 13 advanced advanced JJ cord-267229-hdnzs9o6 10 14 endoscopic endoscopic JJ cord-267229-hdnzs9o6 10 15 procedures procedure NNS cord-267229-hdnzs9o6 10 16 and and CC cord-267229-hdnzs9o6 10 17 the the DT cord-267229-hdnzs9o6 10 18 challenges challenge NNS cord-267229-hdnzs9o6 10 19 of of IN cord-267229-hdnzs9o6 10 20 both both DT cord-267229-hdnzs9o6 10 21 defining define VBG cord-267229-hdnzs9o6 10 22 and and CC cord-267229-hdnzs9o6 10 23 measuring measure VBG cord-267229-hdnzs9o6 10 24 competence competence NN cord-267229-hdnzs9o6 10 25 during during IN cord-267229-hdnzs9o6 10 26 training training NN cord-267229-hdnzs9o6 10 27 . . . cord-267229-hdnzs9o6 11 1 All all DT cord-267229-hdnzs9o6 11 2 authors author NNS cord-267229-hdnzs9o6 11 3 are be VBP cord-267229-hdnzs9o6 11 4 interventional interventional JJ cord-267229-hdnzs9o6 11 5 endoscopists endoscopist NNS cord-267229-hdnzs9o6 11 6 at at IN cord-267229-hdnzs9o6 11 7 their -PRON- PRP$ cord-267229-hdnzs9o6 11 8 respective respective JJ cord-267229-hdnzs9o6 11 9 institutions institution NNS cord-267229-hdnzs9o6 11 10 performing perform VBG cord-267229-hdnzs9o6 11 11 these these DT cord-267229-hdnzs9o6 11 12 complex complex JJ cord-267229-hdnzs9o6 11 13 procedures procedure NNS cord-267229-hdnzs9o6 11 14 , , , cord-267229-hdnzs9o6 11 15 as as RB cord-267229-hdnzs9o6 11 16 well well RB cord-267229-hdnzs9o6 11 17 as as IN cord-267229-hdnzs9o6 11 18 training training NN cord-267229-hdnzs9o6 11 19 fellows fellow NNS cord-267229-hdnzs9o6 11 20 in in IN cord-267229-hdnzs9o6 11 21 these these DT cord-267229-hdnzs9o6 11 22 techniques technique NNS cord-267229-hdnzs9o6 11 23 . . . cord-267229-hdnzs9o6 12 1 We -PRON- PRP cord-267229-hdnzs9o6 12 2 share share VBP cord-267229-hdnzs9o6 12 3 our -PRON- PRP$ cord-267229-hdnzs9o6 12 4 perspectives perspective NNS cord-267229-hdnzs9o6 12 5 based base VBN cord-267229-hdnzs9o6 12 6 on on IN cord-267229-hdnzs9o6 12 7 our -PRON- PRP$ cord-267229-hdnzs9o6 12 8 experience experience NN cord-267229-hdnzs9o6 12 9 navigating navigate VBG cord-267229-hdnzs9o6 12 10 through through IN cord-267229-hdnzs9o6 12 11 these these DT cord-267229-hdnzs9o6 12 12 issues issue NNS cord-267229-hdnzs9o6 12 13 at at IN cord-267229-hdnzs9o6 12 14 our -PRON- PRP$ cord-267229-hdnzs9o6 12 15 institutions institution NNS cord-267229-hdnzs9o6 12 16 and and CC cord-267229-hdnzs9o6 12 17 discuss discuss VB cord-267229-hdnzs9o6 12 18 strategies strategy NNS cord-267229-hdnzs9o6 12 19 to to TO cord-267229-hdnzs9o6 12 20 standardize standardize VB cord-267229-hdnzs9o6 12 21 training training NN cord-267229-hdnzs9o6 12 22 and and CC cord-267229-hdnzs9o6 12 23 how how WRB cord-267229-hdnzs9o6 12 24 to to TO cord-267229-hdnzs9o6 12 25 potentially potentially RB cord-267229-hdnzs9o6 12 26 incorporate incorporate VB cord-267229-hdnzs9o6 12 27 these these DT cord-267229-hdnzs9o6 12 28 measures measure NNS cord-267229-hdnzs9o6 12 29 toward toward IN cord-267229-hdnzs9o6 12 30 the the DT cord-267229-hdnzs9o6 12 31 process process NN cord-267229-hdnzs9o6 12 32 of of IN cord-267229-hdnzs9o6 12 33 credentialing credentiale VBG cord-267229-hdnzs9o6 12 34 and and CC cord-267229-hdnzs9o6 12 35 privileging privilege VBG cord-267229-hdnzs9o6 12 36 in in IN cord-267229-hdnzs9o6 12 37 endoscopy endoscopy NN cord-267229-hdnzs9o6 12 38 . . . cord-267229-hdnzs9o6 13 1 endoscopic endoscopic NNS cord-267229-hdnzs9o6 13 2 stenting stente VBG cord-267229-hdnzs9o6 13 3 , , , cord-267229-hdnzs9o6 13 4 deep deep JJ cord-267229-hdnzs9o6 13 5 enteroscopy enteroscopy NN cord-267229-hdnzs9o6 13 6 , , , cord-267229-hdnzs9o6 13 7 and and CC cord-267229-hdnzs9o6 13 8 more more RBR cord-267229-hdnzs9o6 13 9 recently recently RB cord-267229-hdnzs9o6 13 10 , , , cord-267229-hdnzs9o6 13 11 " " `` cord-267229-hdnzs9o6 13 12 third third JJ cord-267229-hdnzs9o6 13 13 space space NN cord-267229-hdnzs9o6 13 14 " " `` cord-267229-hdnzs9o6 13 15 endoscopy endoscopy NN cord-267229-hdnzs9o6 13 16 and and CC cord-267229-hdnzs9o6 13 17 endoscopic endoscopic JJ cord-267229-hdnzs9o6 13 18 bariatric bariatric JJ cord-267229-hdnzs9o6 13 19 therapies therapy NNS cord-267229-hdnzs9o6 13 20 ( ( -LRB- cord-267229-hdnzs9o6 13 21 EBT EBT NNP cord-267229-hdnzs9o6 13 22 ) ) -RRB- cord-267229-hdnzs9o6 13 23 . . . cord-267229-hdnzs9o6 14 1 With with IN cord-267229-hdnzs9o6 14 2 the the DT cord-267229-hdnzs9o6 14 3 increasing increase VBG cord-267229-hdnzs9o6 14 4 complexity complexity NN cord-267229-hdnzs9o6 14 5 of of IN cord-267229-hdnzs9o6 14 6 these these DT cord-267229-hdnzs9o6 14 7 procedures procedure NNS cord-267229-hdnzs9o6 14 8 and and CC cord-267229-hdnzs9o6 14 9 the the DT cord-267229-hdnzs9o6 14 10 inherent inherent JJ cord-267229-hdnzs9o6 14 11 higher high JJR cord-267229-hdnzs9o6 14 12 risk risk NN cord-267229-hdnzs9o6 14 13 for for IN cord-267229-hdnzs9o6 14 14 adverse adverse JJ cord-267229-hdnzs9o6 14 15 events event NNS cord-267229-hdnzs9o6 14 16 , , , cord-267229-hdnzs9o6 14 17 trainers trainer NNS cord-267229-hdnzs9o6 14 18 and and CC cord-267229-hdnzs9o6 14 19 trainees trainee NNS cord-267229-hdnzs9o6 14 20 alike alike RB cord-267229-hdnzs9o6 14 21 face face VBP cord-267229-hdnzs9o6 14 22 the the DT cord-267229-hdnzs9o6 14 23 daunting daunting JJ cord-267229-hdnzs9o6 14 24 task task NN cord-267229-hdnzs9o6 14 25 of of IN cord-267229-hdnzs9o6 14 26 measuring measure VBG cord-267229-hdnzs9o6 14 27 and and CC cord-267229-hdnzs9o6 14 28 attaining attain VBG cord-267229-hdnzs9o6 14 29 competence competence NN cord-267229-hdnzs9o6 14 30 in in IN cord-267229-hdnzs9o6 14 31 these these DT cord-267229-hdnzs9o6 14 32 various various JJ cord-267229-hdnzs9o6 14 33 techniques technique NNS cord-267229-hdnzs9o6 14 34 within within IN cord-267229-hdnzs9o6 14 35 a a DT cord-267229-hdnzs9o6 14 36 relatively relatively RB cord-267229-hdnzs9o6 14 37 short short JJ cord-267229-hdnzs9o6 14 38 period period NN cord-267229-hdnzs9o6 14 39 of of IN cord-267229-hdnzs9o6 14 40 time time NN cord-267229-hdnzs9o6 14 41 . . . cord-267229-hdnzs9o6 15 1 However however RB cord-267229-hdnzs9o6 15 2 , , , cord-267229-hdnzs9o6 15 3 because because IN cord-267229-hdnzs9o6 15 4 these these DT cord-267229-hdnzs9o6 15 5 fellowships fellowship NNS cord-267229-hdnzs9o6 15 6 are be VBP cord-267229-hdnzs9o6 15 7 not not RB cord-267229-hdnzs9o6 15 8 formally formally RB cord-267229-hdnzs9o6 15 9 accredited accredit VBN cord-267229-hdnzs9o6 15 10 , , , cord-267229-hdnzs9o6 15 11 there there EX cord-267229-hdnzs9o6 15 12 is be VBZ cord-267229-hdnzs9o6 15 13 little little JJ cord-267229-hdnzs9o6 15 14 to to IN cord-267229-hdnzs9o6 15 15 no no DT cord-267229-hdnzs9o6 15 16 regulatory regulatory JJ cord-267229-hdnzs9o6 15 17 oversight oversight NN cord-267229-hdnzs9o6 15 18 on on IN cord-267229-hdnzs9o6 15 19 the the DT cord-267229-hdnzs9o6 15 20 structure structure NN cord-267229-hdnzs9o6 15 21 of of IN cord-267229-hdnzs9o6 15 22 these these DT cord-267229-hdnzs9o6 15 23 programs program NNS cord-267229-hdnzs9o6 15 24 , , , cord-267229-hdnzs9o6 15 25 which which WDT cord-267229-hdnzs9o6 15 26 has have VBZ cord-267229-hdnzs9o6 15 27 traditionally traditionally RB cord-267229-hdnzs9o6 15 28 resulted result VBN cord-267229-hdnzs9o6 15 29 in in IN cord-267229-hdnzs9o6 15 30 significant significant JJ cord-267229-hdnzs9o6 15 31 variability variability NN cord-267229-hdnzs9o6 15 32 on on IN cord-267229-hdnzs9o6 15 33 how how WRB cord-267229-hdnzs9o6 15 34 training training NN cord-267229-hdnzs9o6 15 35 is be VBZ cord-267229-hdnzs9o6 15 36 provided provide VBN cord-267229-hdnzs9o6 15 37 and and CC cord-267229-hdnzs9o6 15 38 assessed assess VBN cord-267229-hdnzs9o6 15 39 . . . cord-267229-hdnzs9o6 16 1 Traditionally traditionally RB cord-267229-hdnzs9o6 16 2 , , , cord-267229-hdnzs9o6 16 3 advanced advanced JJ cord-267229-hdnzs9o6 16 4 endoscopy endoscopy NN cord-267229-hdnzs9o6 16 5 training training NN cord-267229-hdnzs9o6 16 6 has have VBZ cord-267229-hdnzs9o6 16 7 been be VBN cord-267229-hdnzs9o6 16 8 based base VBN cord-267229-hdnzs9o6 16 9 on on IN cord-267229-hdnzs9o6 16 10 an an DT cord-267229-hdnzs9o6 16 11 apprenticeship apprenticeship NN cord-267229-hdnzs9o6 16 12 model model NN cord-267229-hdnzs9o6 16 13 with with IN cord-267229-hdnzs9o6 16 14 volume volume NN cord-267229-hdnzs9o6 16 15 of of IN cord-267229-hdnzs9o6 16 16 cases case NNS cord-267229-hdnzs9o6 16 17 commonly commonly RB cord-267229-hdnzs9o6 16 18 serving serve VBG cord-267229-hdnzs9o6 16 19 as as IN cord-267229-hdnzs9o6 16 20 a a DT cord-267229-hdnzs9o6 16 21 surrogate surrogate NN cord-267229-hdnzs9o6 16 22 for for IN cord-267229-hdnzs9o6 16 23 competence competence NN cord-267229-hdnzs9o6 16 24 . . . cord-267229-hdnzs9o6 17 1 In in IN cord-267229-hdnzs9o6 17 2 this this DT cord-267229-hdnzs9o6 17 3 model model NN cord-267229-hdnzs9o6 17 4 , , , cord-267229-hdnzs9o6 17 5 trainees trainee NNS cord-267229-hdnzs9o6 17 6 learn learn VBP cord-267229-hdnzs9o6 17 7 through through IN cord-267229-hdnzs9o6 17 8 the the DT cord-267229-hdnzs9o6 17 9 observation observation NN cord-267229-hdnzs9o6 17 10 and and CC cord-267229-hdnzs9o6 17 11 performance performance NN cord-267229-hdnzs9o6 17 12 of of IN cord-267229-hdnzs9o6 17 13 procedures procedure NNS cord-267229-hdnzs9o6 17 14 under under IN cord-267229-hdnzs9o6 17 15 supervision supervision NN cord-267229-hdnzs9o6 17 16 . . . cord-267229-hdnzs9o6 18 1 Initially initially RB cord-267229-hdnzs9o6 18 2 , , , cord-267229-hdnzs9o6 18 3 the the DT cord-267229-hdnzs9o6 18 4 minimum minimum JJ cord-267229-hdnzs9o6 18 5 number number NN cord-267229-hdnzs9o6 18 6 of of IN cord-267229-hdnzs9o6 18 7 cases case NNS cord-267229-hdnzs9o6 18 8 required require VBN cord-267229-hdnzs9o6 18 9 to to TO cord-267229-hdnzs9o6 18 10 achieve achieve VB cord-267229-hdnzs9o6 18 11 competence competence NN cord-267229-hdnzs9o6 18 12 in in IN cord-267229-hdnzs9o6 18 13 any any DT cord-267229-hdnzs9o6 18 14 given give VBN cord-267229-hdnzs9o6 18 15 procedure procedure NN cord-267229-hdnzs9o6 18 16 was be VBD cord-267229-hdnzs9o6 18 17 largely largely RB cord-267229-hdnzs9o6 18 18 based base VBN cord-267229-hdnzs9o6 18 19 on on IN cord-267229-hdnzs9o6 18 20 expert expert JJ cord-267229-hdnzs9o6 18 21 opinion opinion NN cord-267229-hdnzs9o6 18 22 . . . cord-267229-hdnzs9o6 19 1 With with IN cord-267229-hdnzs9o6 19 2 time time NN cord-267229-hdnzs9o6 19 3 , , , cord-267229-hdnzs9o6 19 4 multiple multiple JJ cord-267229-hdnzs9o6 19 5 studies study NNS cord-267229-hdnzs9o6 19 6 have have VBP cord-267229-hdnzs9o6 19 7 attempted attempt VBN cord-267229-hdnzs9o6 19 8 to to TO cord-267229-hdnzs9o6 19 9 identify identify VB cord-267229-hdnzs9o6 19 10 and and CC cord-267229-hdnzs9o6 19 11 validate validate VB cord-267229-hdnzs9o6 19 12 the the DT cord-267229-hdnzs9o6 19 13 minimal minimal JJ cord-267229-hdnzs9o6 19 14 procedural procedural JJ cord-267229-hdnzs9o6 19 15 number number NN cord-267229-hdnzs9o6 19 16 for for IN cord-267229-hdnzs9o6 19 17 competence competence NN cord-267229-hdnzs9o6 19 18 , , , cord-267229-hdnzs9o6 19 19 perhaps perhaps RB cord-267229-hdnzs9o6 19 20 best well RBS cord-267229-hdnzs9o6 19 21 illustrated illustrate VBN cord-267229-hdnzs9o6 19 22 with with IN cord-267229-hdnzs9o6 19 23 regard regard NN cord-267229-hdnzs9o6 19 24 to to IN cord-267229-hdnzs9o6 19 25 ERCP ERCP NNP cord-267229-hdnzs9o6 19 26 during during IN cord-267229-hdnzs9o6 19 27 advanced advanced JJ cord-267229-hdnzs9o6 19 28 endoscopy endoscopy NN cord-267229-hdnzs9o6 19 29 training training NN cord-267229-hdnzs9o6 19 30 . . . cord-267229-hdnzs9o6 20 1 Early early JJ cord-267229-hdnzs9o6 20 2 studies study NNS cord-267229-hdnzs9o6 20 3 on on IN cord-267229-hdnzs9o6 20 4 ERCP ERCP NNP cord-267229-hdnzs9o6 20 5 suggested suggest VBD cord-267229-hdnzs9o6 20 6 that that IN cord-267229-hdnzs9o6 20 7 a a DT cord-267229-hdnzs9o6 20 8 threshold threshold NN cord-267229-hdnzs9o6 20 9 number number NN cord-267229-hdnzs9o6 20 10 as as RB cord-267229-hdnzs9o6 20 11 low low JJ cord-267229-hdnzs9o6 20 12 as as IN cord-267229-hdnzs9o6 20 13 35 35 CD cord-267229-hdnzs9o6 20 14 was be VBD cord-267229-hdnzs9o6 20 15 sufficient sufficient JJ cord-267229-hdnzs9o6 20 16 to to TO cord-267229-hdnzs9o6 20 17 achieve achieve VB cord-267229-hdnzs9o6 20 18 competency competency NN cord-267229-hdnzs9o6 20 19 [ [ -LRB- cord-267229-hdnzs9o6 20 20 1 1 CD cord-267229-hdnzs9o6 20 21 ] ] -RRB- cord-267229-hdnzs9o6 20 22 . . . cord-267229-hdnzs9o6 21 1 Subsequent subsequent JJ cord-267229-hdnzs9o6 21 2 studies study NNS cord-267229-hdnzs9o6 21 3 , , , cord-267229-hdnzs9o6 21 4 using use VBG cord-267229-hdnzs9o6 21 5 predefined predefined JJ cord-267229-hdnzs9o6 21 6 target target NN cord-267229-hdnzs9o6 21 7 measures measure NNS cord-267229-hdnzs9o6 21 8 ( ( -LRB- cord-267229-hdnzs9o6 21 9 ie ie FW cord-267229-hdnzs9o6 21 10 , , , cord-267229-hdnzs9o6 21 11 biliary biliary JJ cord-267229-hdnzs9o6 21 12 cannulation cannulation NN cord-267229-hdnzs9o6 21 13 success success NN cord-267229-hdnzs9o6 21 14 rate rate NN cord-267229-hdnzs9o6 21 15 ≥80 ≥80 NNP cord-267229-hdnzs9o6 21 16 % % NN cord-267229-hdnzs9o6 21 17 , , , cord-267229-hdnzs9o6 21 18 bile bile NN cord-267229-hdnzs9o6 21 19 duct duct NN cord-267229-hdnzs9o6 21 20 clearance clearance NN cord-267229-hdnzs9o6 21 21 of of IN cord-267229-hdnzs9o6 21 22 choledocholithiasis choledocholithiasis NNP cord-267229-hdnzs9o6 21 23 , , , cord-267229-hdnzs9o6 21 24 successful successful JJ cord-267229-hdnzs9o6 21 25 placement placement NN cord-267229-hdnzs9o6 21 26 of of IN cord-267229-hdnzs9o6 21 27 an an DT cord-267229-hdnzs9o6 21 28 endoprosthesis endoprosthesis NN cord-267229-hdnzs9o6 21 29 ) ) -RRB- cord-267229-hdnzs9o6 21 30 , , , cord-267229-hdnzs9o6 21 31 showed show VBD cord-267229-hdnzs9o6 21 32 that that IN cord-267229-hdnzs9o6 21 33 a a DT cord-267229-hdnzs9o6 21 34 threshold threshold NN cord-267229-hdnzs9o6 21 35 of of IN cord-267229-hdnzs9o6 21 36 100 100 CD cord-267229-hdnzs9o6 21 37 to to TO cord-267229-hdnzs9o6 21 38 200 200 CD cord-267229-hdnzs9o6 21 39 ERCPs ercp NNS cord-267229-hdnzs9o6 21 40 was be VBD cord-267229-hdnzs9o6 21 41 necessary necessary JJ cord-267229-hdnzs9o6 21 42 for for IN cord-267229-hdnzs9o6 21 43 competency competency NN cord-267229-hdnzs9o6 21 44 [ [ -LRB- cord-267229-hdnzs9o6 21 45 2 2 CD cord-267229-hdnzs9o6 21 46 ] ] -RRB- cord-267229-hdnzs9o6 21 47 [ [ -LRB- cord-267229-hdnzs9o6 21 48 3 3 CD cord-267229-hdnzs9o6 21 49 ] ] -RRB- cord-267229-hdnzs9o6 21 50 [ [ -LRB- cord-267229-hdnzs9o6 21 51 4 4 CD cord-267229-hdnzs9o6 21 52 ] ] -RRB- cord-267229-hdnzs9o6 21 53 . . . cord-267229-hdnzs9o6 22 1 Based base VBN cord-267229-hdnzs9o6 22 2 on on IN cord-267229-hdnzs9o6 22 3 these these DT cord-267229-hdnzs9o6 22 4 studies study NNS cord-267229-hdnzs9o6 22 5 , , , cord-267229-hdnzs9o6 22 6 the the DT cord-267229-hdnzs9o6 22 7 American American NNP cord-267229-hdnzs9o6 22 8 Society Society NNP cord-267229-hdnzs9o6 22 9 of of IN cord-267229-hdnzs9o6 22 10 Gastrointestinal Gastrointestinal NNP cord-267229-hdnzs9o6 22 11 Endoscopy Endoscopy NNP cord-267229-hdnzs9o6 22 12 ( ( -LRB- cord-267229-hdnzs9o6 22 13 ASGE ASGE NNP cord-267229-hdnzs9o6 22 14 ) ) -RRB- cord-267229-hdnzs9o6 22 15 and and CC cord-267229-hdnzs9o6 22 16 National National NNP cord-267229-hdnzs9o6 22 17 Institutes Institutes NNPS cord-267229-hdnzs9o6 22 18 of of IN cord-267229-hdnzs9o6 22 19 Health Health NNP cord-267229-hdnzs9o6 22 20 consensus consensus NN cord-267229-hdnzs9o6 22 21 guidelines guideline NNS cord-267229-hdnzs9o6 22 22 published publish VBN cord-267229-hdnzs9o6 22 23 in in IN cord-267229-hdnzs9o6 22 24 2002 2002 CD cord-267229-hdnzs9o6 22 25 recommended recommend VBD cord-267229-hdnzs9o6 22 26 that that IN cord-267229-hdnzs9o6 22 27 competence competence NN cord-267229-hdnzs9o6 22 28 be be VB cord-267229-hdnzs9o6 22 29 assessed assess VBN cord-267229-hdnzs9o6 22 30 after after IN cord-267229-hdnzs9o6 22 31 200 200 CD cord-267229-hdnzs9o6 22 32 ERCPs ERCPs NNPS cord-267229-hdnzs9o6 22 33 [ [ -LRB- cord-267229-hdnzs9o6 22 34 5 5 CD cord-267229-hdnzs9o6 22 35 , , , cord-267229-hdnzs9o6 22 36 6 6 CD cord-267229-hdnzs9o6 22 37 ] ] -RRB- cord-267229-hdnzs9o6 22 38 . . . cord-267229-hdnzs9o6 23 1 Yet yet RB cord-267229-hdnzs9o6 23 2 , , , cord-267229-hdnzs9o6 23 3 subsequent subsequent JJ cord-267229-hdnzs9o6 23 4 publications publication NNS cord-267229-hdnzs9o6 23 5 have have VBP cord-267229-hdnzs9o6 23 6 suggested suggest VBN cord-267229-hdnzs9o6 23 7 different different JJ cord-267229-hdnzs9o6 23 8 thresholds threshold NNS cord-267229-hdnzs9o6 23 9 , , , cord-267229-hdnzs9o6 23 10 with with IN cord-267229-hdnzs9o6 23 11 a a DT cord-267229-hdnzs9o6 23 12 study study NN cord-267229-hdnzs9o6 23 13 from from IN cord-267229-hdnzs9o6 23 14 Mayo Mayo NNP cord-267229-hdnzs9o6 23 15 Clinic Clinic NNP cord-267229-hdnzs9o6 23 16 recommending recommend VBG cord-267229-hdnzs9o6 23 17 more more JJR cord-267229-hdnzs9o6 23 18 than than IN cord-267229-hdnzs9o6 23 19 350 350 CD cord-267229-hdnzs9o6 23 20 ERCPs ercp NNS cord-267229-hdnzs9o6 23 21 as as IN cord-267229-hdnzs9o6 23 22 the the DT cord-267229-hdnzs9o6 23 23 minimal minimal JJ cord-267229-hdnzs9o6 23 24 procedural procedural JJ cord-267229-hdnzs9o6 23 25 number number NN cord-267229-hdnzs9o6 23 26 for for IN cord-267229-hdnzs9o6 23 27 competency competency NN cord-267229-hdnzs9o6 23 28 in in IN cord-267229-hdnzs9o6 23 29 patients patient NNS cord-267229-hdnzs9o6 23 30 with with IN cord-267229-hdnzs9o6 23 31 native native JJ cord-267229-hdnzs9o6 23 32 papilla papilla NN cord-267229-hdnzs9o6 23 33 [ [ -LRB- cord-267229-hdnzs9o6 23 34 7 7 CD cord-267229-hdnzs9o6 23 35 ] ] -RRB- cord-267229-hdnzs9o6 23 36 . . . cord-267229-hdnzs9o6 24 1 More more RBR cord-267229-hdnzs9o6 24 2 recently recently RB cord-267229-hdnzs9o6 24 3 , , , cord-267229-hdnzs9o6 24 4 a a DT cord-267229-hdnzs9o6 24 5 systematic systematic JJ cord-267229-hdnzs9o6 24 6 review review NN cord-267229-hdnzs9o6 24 7 published publish VBN cord-267229-hdnzs9o6 24 8 in in IN cord-267229-hdnzs9o6 24 9 2015 2015 CD cord-267229-hdnzs9o6 24 10 reported report VBD cord-267229-hdnzs9o6 24 11 that that IN cord-267229-hdnzs9o6 24 12 the the DT cord-267229-hdnzs9o6 24 13 threshold threshold NN cord-267229-hdnzs9o6 24 14 for for IN cord-267229-hdnzs9o6 24 15 competency competency NN cord-267229-hdnzs9o6 24 16 , , , cord-267229-hdnzs9o6 24 17 defined define VBN cord-267229-hdnzs9o6 24 18 by by IN cord-267229-hdnzs9o6 24 19 high high JJ cord-267229-hdnzs9o6 24 20 rate rate NN cord-267229-hdnzs9o6 24 21 of of IN cord-267229-hdnzs9o6 24 22 successful successful JJ cord-267229-hdnzs9o6 24 23 selective selective JJ cord-267229-hdnzs9o6 24 24 duct duct NN cord-267229-hdnzs9o6 24 25 cannulation cannulation NN cord-267229-hdnzs9o6 24 26 , , , cord-267229-hdnzs9o6 24 27 ranged range VBD cord-267229-hdnzs9o6 24 28 from from IN cord-267229-hdnzs9o6 24 29 79 79 CD cord-267229-hdnzs9o6 24 30 to to TO cord-267229-hdnzs9o6 24 31 300 300 CD cord-267229-hdnzs9o6 24 32 ERCPs ercp NNS cord-267229-hdnzs9o6 24 33 [ [ -LRB- cord-267229-hdnzs9o6 24 34 8 8 CD cord-267229-hdnzs9o6 24 35 ] ] -RRB- cord-267229-hdnzs9o6 24 36 . . . cord-267229-hdnzs9o6 25 1 In in IN cord-267229-hdnzs9o6 25 2 aggregate aggregate NN cord-267229-hdnzs9o6 25 3 , , , cord-267229-hdnzs9o6 25 4 these these DT cord-267229-hdnzs9o6 25 5 findings finding NNS cord-267229-hdnzs9o6 25 6 illustrate illustrate VBP cord-267229-hdnzs9o6 25 7 how how WRB cord-267229-hdnzs9o6 25 8 identifying identify VBG cord-267229-hdnzs9o6 25 9 a a DT cord-267229-hdnzs9o6 25 10 minimal minimal JJ cord-267229-hdnzs9o6 25 11 procedural procedural JJ cord-267229-hdnzs9o6 25 12 number number NN cord-267229-hdnzs9o6 25 13 can can MD cord-267229-hdnzs9o6 25 14 be be VB cord-267229-hdnzs9o6 25 15 rather rather RB cord-267229-hdnzs9o6 25 16 elusive elusive JJ cord-267229-hdnzs9o6 25 17 , , , cord-267229-hdnzs9o6 25 18 and and CC cord-267229-hdnzs9o6 25 19 further further JJ cord-267229-hdnzs9o6 25 20 highlights highlight NNS cord-267229-hdnzs9o6 25 21 how how WRB cord-267229-hdnzs9o6 25 22 using use VBG cord-267229-hdnzs9o6 25 23 thresholds threshold NNS cord-267229-hdnzs9o6 25 24 as as IN cord-267229-hdnzs9o6 25 25 the the DT cord-267229-hdnzs9o6 25 26 only only JJ cord-267229-hdnzs9o6 25 27 endpoint endpoint NN cord-267229-hdnzs9o6 25 28 in in IN cord-267229-hdnzs9o6 25 29 competence competence NN cord-267229-hdnzs9o6 25 30 assessment assessment NN cord-267229-hdnzs9o6 25 31 is be VBZ cord-267229-hdnzs9o6 25 32 flawed flawed JJ cord-267229-hdnzs9o6 25 33 . . . cord-267229-hdnzs9o6 26 1 For for IN cord-267229-hdnzs9o6 26 2 one one CD cord-267229-hdnzs9o6 26 3 , , , cord-267229-hdnzs9o6 26 4 most most JJS cord-267229-hdnzs9o6 26 5 of of IN cord-267229-hdnzs9o6 26 6 these these DT cord-267229-hdnzs9o6 26 7 studies study NNS cord-267229-hdnzs9o6 26 8 defined define VBD cord-267229-hdnzs9o6 26 9 performance performance NN cord-267229-hdnzs9o6 26 10 of of IN cord-267229-hdnzs9o6 26 11 a a DT cord-267229-hdnzs9o6 26 12 particular particular JJ cord-267229-hdnzs9o6 26 13 intervention intervention NN cord-267229-hdnzs9o6 26 14 ( ( -LRB- cord-267229-hdnzs9o6 26 15 ie ie FW cord-267229-hdnzs9o6 26 16 , , , cord-267229-hdnzs9o6 26 17 biliary biliary JJ cord-267229-hdnzs9o6 26 18 cannulation cannulation NN cord-267229-hdnzs9o6 26 19 ) ) -RRB- cord-267229-hdnzs9o6 26 20 as as IN cord-267229-hdnzs9o6 26 21 a a DT cord-267229-hdnzs9o6 26 22 maker maker NN cord-267229-hdnzs9o6 26 23 for for IN cord-267229-hdnzs9o6 26 24 procedural procedural JJ cord-267229-hdnzs9o6 26 25 competency competency NN cord-267229-hdnzs9o6 26 26 . . . cord-267229-hdnzs9o6 27 1 Yet yet RB cord-267229-hdnzs9o6 27 2 , , , cord-267229-hdnzs9o6 27 3 interventions intervention NNS cord-267229-hdnzs9o6 27 4 such such JJ cord-267229-hdnzs9o6 27 5 as as IN cord-267229-hdnzs9o6 27 6 biliary biliary JJ cord-267229-hdnzs9o6 27 7 cannulation cannulation NN cord-267229-hdnzs9o6 27 8 , , , cord-267229-hdnzs9o6 27 9 albeit albeit IN cord-267229-hdnzs9o6 27 10 a a DT cord-267229-hdnzs9o6 27 11 crucial crucial JJ cord-267229-hdnzs9o6 27 12 step step NN cord-267229-hdnzs9o6 27 13 , , , cord-267229-hdnzs9o6 27 14 only only RB cord-267229-hdnzs9o6 27 15 represents represent VBZ cord-267229-hdnzs9o6 27 16 one one CD cord-267229-hdnzs9o6 27 17 of of IN cord-267229-hdnzs9o6 27 18 the the DT cord-267229-hdnzs9o6 27 19 many many JJ cord-267229-hdnzs9o6 27 20 maneuvers maneuver NNS cord-267229-hdnzs9o6 27 21 that that WDT cord-267229-hdnzs9o6 27 22 are be VBP cord-267229-hdnzs9o6 27 23 commonly commonly RB cord-267229-hdnzs9o6 27 24 performed perform VBN cord-267229-hdnzs9o6 27 25 during during IN cord-267229-hdnzs9o6 27 26 ERCP ERCP NNP cord-267229-hdnzs9o6 27 27 and and CC cord-267229-hdnzs9o6 27 28 may may MD cord-267229-hdnzs9o6 27 29 not not RB cord-267229-hdnzs9o6 27 30 be be VB cord-267229-hdnzs9o6 27 31 a a DT cord-267229-hdnzs9o6 27 32 good good JJ cord-267229-hdnzs9o6 27 33 indicator indicator NN cord-267229-hdnzs9o6 27 34 of of IN cord-267229-hdnzs9o6 27 35 a a DT cord-267229-hdnzs9o6 27 36 trainee trainee NN cord-267229-hdnzs9o6 27 37 's 's POS cord-267229-hdnzs9o6 27 38 global global JJ cord-267229-hdnzs9o6 27 39 competence competence NN cord-267229-hdnzs9o6 27 40 . . . cord-267229-hdnzs9o6 28 1 Secondly secondly RB cord-267229-hdnzs9o6 28 2 , , , cord-267229-hdnzs9o6 28 3 we -PRON- PRP cord-267229-hdnzs9o6 28 4 need need VBP cord-267229-hdnzs9o6 28 5 to to TO cord-267229-hdnzs9o6 28 6 recognize recognize VB cord-267229-hdnzs9o6 28 7 that that IN cord-267229-hdnzs9o6 28 8 trainees trainee NNS cord-267229-hdnzs9o6 28 9 have have VBP cord-267229-hdnzs9o6 28 10 different different JJ cord-267229-hdnzs9o6 28 11 educational educational JJ cord-267229-hdnzs9o6 28 12 background background NN cord-267229-hdnzs9o6 28 13 and and CC cord-267229-hdnzs9o6 28 14 learn learn VB cord-267229-hdnzs9o6 28 15 skills skill NNS cord-267229-hdnzs9o6 28 16 at at IN cord-267229-hdnzs9o6 28 17 variable variable JJ cord-267229-hdnzs9o6 28 18 rates rate NNS cord-267229-hdnzs9o6 28 19 , , , cord-267229-hdnzs9o6 28 20 thereby thereby RB cord-267229-hdnzs9o6 28 21 absolute absolute JJ cord-267229-hdnzs9o6 28 22 thresholds threshold NNS cord-267229-hdnzs9o6 28 23 have have VBP cord-267229-hdnzs9o6 28 24 limited limit VBN cord-267229-hdnzs9o6 28 25 value value NN cord-267229-hdnzs9o6 28 26 in in IN cord-267229-hdnzs9o6 28 27 this this DT cord-267229-hdnzs9o6 28 28 regard regard NN cord-267229-hdnzs9o6 28 29 . . . cord-267229-hdnzs9o6 29 1 This this DT cord-267229-hdnzs9o6 29 2 is be VBZ cord-267229-hdnzs9o6 29 3 particularly particularly RB cord-267229-hdnzs9o6 29 4 evident evident JJ cord-267229-hdnzs9o6 29 5 nowadays nowadays RB cord-267229-hdnzs9o6 29 6 when when WRB cord-267229-hdnzs9o6 29 7 more more JJR cord-267229-hdnzs9o6 29 8 and and CC cord-267229-hdnzs9o6 29 9 more more JJR cord-267229-hdnzs9o6 29 10 physicians physician NNS cord-267229-hdnzs9o6 29 11 seeking seek VBG cord-267229-hdnzs9o6 29 12 additional additional JJ cord-267229-hdnzs9o6 29 13 training training NN cord-267229-hdnzs9o6 29 14 have have VBP cord-267229-hdnzs9o6 29 15 been be VBN cord-267229-hdnzs9o6 29 16 in in IN cord-267229-hdnzs9o6 29 17 practice practice NN cord-267229-hdnzs9o6 29 18 for for IN cord-267229-hdnzs9o6 29 19 several several JJ cord-267229-hdnzs9o6 29 20 years year NNS cord-267229-hdnzs9o6 29 21 , , , cord-267229-hdnzs9o6 29 22 many many DT cord-267229-hdnzs9o6 29 23 of of IN cord-267229-hdnzs9o6 29 24 whom whom WP cord-267229-hdnzs9o6 29 25 already already RB cord-267229-hdnzs9o6 29 26 possess possess VBP cord-267229-hdnzs9o6 29 27 a a DT cord-267229-hdnzs9o6 29 28 background background NN cord-267229-hdnzs9o6 29 29 in in IN cord-267229-hdnzs9o6 29 30 advanced advanced JJ cord-267229-hdnzs9o6 29 31 endoscopy endoscopy NN cord-267229-hdnzs9o6 29 32 . . . cord-267229-hdnzs9o6 30 1 In in IN cord-267229-hdnzs9o6 30 2 addition addition NN cord-267229-hdnzs9o6 30 3 , , , cord-267229-hdnzs9o6 30 4 as as IN cord-267229-hdnzs9o6 30 5 we -PRON- PRP cord-267229-hdnzs9o6 30 6 previously previously RB cord-267229-hdnzs9o6 30 7 alluded allude VBD cord-267229-hdnzs9o6 30 8 , , , cord-267229-hdnzs9o6 30 9 in in IN cord-267229-hdnzs9o6 30 10 the the DT cord-267229-hdnzs9o6 30 11 absence absence NN cord-267229-hdnzs9o6 30 12 of of IN cord-267229-hdnzs9o6 30 13 any any DT cord-267229-hdnzs9o6 30 14 regulatory regulatory JJ cord-267229-hdnzs9o6 30 15 oversight oversight NN cord-267229-hdnzs9o6 30 16 , , , cord-267229-hdnzs9o6 30 17 training training NN cord-267229-hdnzs9o6 30 18 programs program NNS cord-267229-hdnzs9o6 30 19 vary vary VBP cord-267229-hdnzs9o6 30 20 significantly significantly RB cord-267229-hdnzs9o6 30 21 in in IN cord-267229-hdnzs9o6 30 22 terms term NNS cord-267229-hdnzs9o6 30 23 of of IN cord-267229-hdnzs9o6 30 24 the the DT cord-267229-hdnzs9o6 30 25 educational educational JJ cord-267229-hdnzs9o6 30 26 experience experience NN cord-267229-hdnzs9o6 30 27 provided provide VBN cord-267229-hdnzs9o6 30 28 . . . cord-267229-hdnzs9o6 31 1 Noteworthy noteworthy JJ cord-267229-hdnzs9o6 31 2 , , , cord-267229-hdnzs9o6 31 3 most most JJS cord-267229-hdnzs9o6 31 4 faculty faculty NN cord-267229-hdnzs9o6 31 5 in in IN cord-267229-hdnzs9o6 31 6 these these DT cord-267229-hdnzs9o6 31 7 programs program NNS cord-267229-hdnzs9o6 31 8 are be VBP cord-267229-hdnzs9o6 31 9 deemed deem VBN cord-267229-hdnzs9o6 31 10 qualified qualified JJ cord-267229-hdnzs9o6 31 11 to to TO cord-267229-hdnzs9o6 31 12 teach teach VB cord-267229-hdnzs9o6 31 13 given give VBN cord-267229-hdnzs9o6 31 14 their -PRON- PRP$ cord-267229-hdnzs9o6 31 15 own own JJ cord-267229-hdnzs9o6 31 16 expertise expertise NN cord-267229-hdnzs9o6 31 17 in in IN cord-267229-hdnzs9o6 31 18 the the DT cord-267229-hdnzs9o6 31 19 field field NN cord-267229-hdnzs9o6 31 20 ( ( -LRB- cord-267229-hdnzs9o6 31 21 master master NN cord-267229-hdnzs9o6 31 22 - - HYPH cord-267229-hdnzs9o6 31 23 apprenticeship apprenticeship NN cord-267229-hdnzs9o6 31 24 model model NN cord-267229-hdnzs9o6 31 25 ) ) -RRB- cord-267229-hdnzs9o6 31 26 ; ; : cord-267229-hdnzs9o6 31 27 yet yet CC cord-267229-hdnzs9o6 31 28 most most JJS cord-267229-hdnzs9o6 31 29 of of IN cord-267229-hdnzs9o6 31 30 them -PRON- PRP cord-267229-hdnzs9o6 31 31 lack lack VBP cord-267229-hdnzs9o6 31 32 any any DT cord-267229-hdnzs9o6 31 33 formal formal JJ cord-267229-hdnzs9o6 31 34 training training NN cord-267229-hdnzs9o6 31 35 in in IN cord-267229-hdnzs9o6 31 36 teaching teach VBG cord-267229-hdnzs9o6 31 37 endoscopy endoscopy NN cord-267229-hdnzs9o6 31 38 . . . cord-267229-hdnzs9o6 32 1 The the DT cord-267229-hdnzs9o6 32 2 ASGE ASGE NNP cord-267229-hdnzs9o6 32 3 has have VBZ cord-267229-hdnzs9o6 32 4 published publish VBN cord-267229-hdnzs9o6 32 5 curricula curriculum NNS cord-267229-hdnzs9o6 32 6 for for IN cord-267229-hdnzs9o6 32 7 training training NN cord-267229-hdnzs9o6 32 8 in in IN cord-267229-hdnzs9o6 32 9 various various JJ cord-267229-hdnzs9o6 32 10 advanced advanced JJ cord-267229-hdnzs9o6 32 11 endoscopic endoscopic JJ cord-267229-hdnzs9o6 32 12 procedures procedure NNS cord-267229-hdnzs9o6 32 13 [ [ -LRB- cord-267229-hdnzs9o6 32 14 9 9 CD cord-267229-hdnzs9o6 32 15 , , , cord-267229-hdnzs9o6 32 16 10 10 CD cord-267229-hdnzs9o6 32 17 ] ] -RRB- cord-267229-hdnzs9o6 32 18 , , , cord-267229-hdnzs9o6 32 19 but but CC cord-267229-hdnzs9o6 32 20 training training NN cord-267229-hdnzs9o6 32 21 and and CC cord-267229-hdnzs9o6 32 22 skills skill NNS cord-267229-hdnzs9o6 32 23 assessment assessment NN cord-267229-hdnzs9o6 32 24 remains remain VBZ cord-267229-hdnzs9o6 32 25 variable variable JJ cord-267229-hdnzs9o6 32 26 across across IN cord-267229-hdnzs9o6 32 27 the the DT cord-267229-hdnzs9o6 32 28 country country NN cord-267229-hdnzs9o6 32 29 . . . cord-267229-hdnzs9o6 33 1 Furthermore furthermore RB cord-267229-hdnzs9o6 33 2 , , , cord-267229-hdnzs9o6 33 3 trainees trainee NNS cord-267229-hdnzs9o6 33 4 with with IN cord-267229-hdnzs9o6 33 5 similar similar JJ cord-267229-hdnzs9o6 33 6 number number NN cord-267229-hdnzs9o6 33 7 of of IN cord-267229-hdnzs9o6 33 8 cases case NNS cord-267229-hdnzs9o6 33 9 under under IN cord-267229-hdnzs9o6 33 10 their -PRON- PRP$ cord-267229-hdnzs9o6 33 11 belt belt NN cord-267229-hdnzs9o6 33 12 may may MD cord-267229-hdnzs9o6 33 13 not not RB cord-267229-hdnzs9o6 33 14 have have VB cord-267229-hdnzs9o6 33 15 the the DT cord-267229-hdnzs9o6 33 16 same same JJ cord-267229-hdnzs9o6 33 17 level level NN cord-267229-hdnzs9o6 33 18 of of IN cord-267229-hdnzs9o6 33 19 readiness readiness NN cord-267229-hdnzs9o6 33 20 for for IN cord-267229-hdnzs9o6 33 21 independent independent JJ cord-267229-hdnzs9o6 33 22 practice practice NN cord-267229-hdnzs9o6 33 23 due due IN cord-267229-hdnzs9o6 33 24 to to IN cord-267229-hdnzs9o6 33 25 factors factor NNS cord-267229-hdnzs9o6 33 26 beyond beyond IN cord-267229-hdnzs9o6 33 27 numbers number NNS cord-267229-hdnzs9o6 33 28 . . . cord-267229-hdnzs9o6 34 1 These these DT cord-267229-hdnzs9o6 34 2 may may MD cord-267229-hdnzs9o6 34 3 include include VB cord-267229-hdnzs9o6 34 4 trainee trainee NN cord-267229-hdnzs9o6 34 5 's 's POS cord-267229-hdnzs9o6 34 6 degree degree NN cord-267229-hdnzs9o6 34 7 of of IN cord-267229-hdnzs9o6 34 8 involvement involvement NN cord-267229-hdnzs9o6 34 9 during during IN cord-267229-hdnzs9o6 34 10 training training NN cord-267229-hdnzs9o6 34 11 ( ( -LRB- cord-267229-hdnzs9o6 34 12 ie ie FW cord-267229-hdnzs9o6 34 13 , , , cord-267229-hdnzs9o6 34 14 extent extent NN cord-267229-hdnzs9o6 34 15 of of IN cord-267229-hdnzs9o6 34 16 passive passive JJ cord-267229-hdnzs9o6 34 17 observation observation NN cord-267229-hdnzs9o6 34 18 vs vs IN cord-267229-hdnzs9o6 34 19 hands hand NNS cord-267229-hdnzs9o6 34 20 - - HYPH cord-267229-hdnzs9o6 34 21 on on RP cord-267229-hdnzs9o6 34 22 activity activity NN cord-267229-hdnzs9o6 34 23 ) ) -RRB- cord-267229-hdnzs9o6 34 24 , , , cord-267229-hdnzs9o6 34 25 diversity diversity NN cord-267229-hdnzs9o6 34 26 of of IN cord-267229-hdnzs9o6 34 27 case case NN cord-267229-hdnzs9o6 34 28 exposure exposure NN cord-267229-hdnzs9o6 34 29 , , , cord-267229-hdnzs9o6 34 30 and and CC cord-267229-hdnzs9o6 34 31 level level NN cord-267229-hdnzs9o6 34 32 of of IN cord-267229-hdnzs9o6 34 33 difficulty difficulty NN cord-267229-hdnzs9o6 34 34 associated associate VBN cord-267229-hdnzs9o6 34 35 with with IN cord-267229-hdnzs9o6 34 36 the the DT cord-267229-hdnzs9o6 34 37 training training NN cord-267229-hdnzs9o6 34 38 procedures procedure NNS cord-267229-hdnzs9o6 34 39 . . . cord-267229-hdnzs9o6 35 1 With with IN cord-267229-hdnzs9o6 35 2 these these DT cord-267229-hdnzs9o6 35 3 issues issue NNS cord-267229-hdnzs9o6 35 4 in in IN cord-267229-hdnzs9o6 35 5 mind mind NN cord-267229-hdnzs9o6 35 6 , , , cord-267229-hdnzs9o6 35 7 there there EX cord-267229-hdnzs9o6 35 8 has have VBZ cord-267229-hdnzs9o6 35 9 been be VBN cord-267229-hdnzs9o6 35 10 an an DT cord-267229-hdnzs9o6 35 11 increasing increase VBG cord-267229-hdnzs9o6 35 12 effort effort NN cord-267229-hdnzs9o6 35 13 in in IN cord-267229-hdnzs9o6 35 14 endoscopy endoscopy NN cord-267229-hdnzs9o6 35 15 training training NN cord-267229-hdnzs9o6 35 16 , , , cord-267229-hdnzs9o6 35 17 and and CC cord-267229-hdnzs9o6 35 18 in in IN cord-267229-hdnzs9o6 35 19 medical medical JJ cord-267229-hdnzs9o6 35 20 education education NN cord-267229-hdnzs9o6 35 21 in in IN cord-267229-hdnzs9o6 35 22 general general JJ cord-267229-hdnzs9o6 35 23 , , , cord-267229-hdnzs9o6 35 24 to to TO cord-267229-hdnzs9o6 35 25 shift shift VB cord-267229-hdnzs9o6 35 26 away away RB cord-267229-hdnzs9o6 35 27 from from IN cord-267229-hdnzs9o6 35 28 time time NN cord-267229-hdnzs9o6 35 29 - - HYPH cord-267229-hdnzs9o6 35 30 based base VBN cord-267229-hdnzs9o6 35 31 training training NN cord-267229-hdnzs9o6 35 32 toward toward IN cord-267229-hdnzs9o6 35 33 competencybased competencybased JJ cord-267229-hdnzs9o6 35 34 education education NN cord-267229-hdnzs9o6 35 35 [ [ -LRB- cord-267229-hdnzs9o6 35 36 11 11 CD cord-267229-hdnzs9o6 35 37 ] ] -RRB- cord-267229-hdnzs9o6 35 38 _SP cord-267229-hdnzs9o6 35 39 A a DT cord-267229-hdnzs9o6 35 40 primary primary JJ cord-267229-hdnzs9o6 35 41 mission mission NN cord-267229-hdnzs9o6 35 42 of of IN cord-267229-hdnzs9o6 35 43 the the DT cord-267229-hdnzs9o6 35 44 American American NNP cord-267229-hdnzs9o6 35 45 Society Society NNP cord-267229-hdnzs9o6 35 46 for for IN cord-267229-hdnzs9o6 35 47 Gastrointestinal gastrointestinal JJ cord-267229-hdnzs9o6 35 48 Endoscopy Endoscopy NNP cord-267229-hdnzs9o6 35 49 ( ( -LRB- cord-267229-hdnzs9o6 35 50 ASGE ASGE NNP cord-267229-hdnzs9o6 35 51 ) ) -RRB- cord-267229-hdnzs9o6 35 52 is be VBZ cord-267229-hdnzs9o6 35 53 to to TO cord-267229-hdnzs9o6 35 54 promote promote VB cord-267229-hdnzs9o6 35 55 high high JJ cord-267229-hdnzs9o6 35 56 - - HYPH cord-267229-hdnzs9o6 35 57 quality quality NN cord-267229-hdnzs9o6 35 58 patient patient NN cord-267229-hdnzs9o6 35 59 care care NN cord-267229-hdnzs9o6 35 60 by by IN cord-267229-hdnzs9o6 35 61 ensuring ensure VBG cord-267229-hdnzs9o6 35 62 competence competence NN cord-267229-hdnzs9o6 35 63 in in IN cord-267229-hdnzs9o6 35 64 GI GI NNP cord-267229-hdnzs9o6 35 65 endoscopy endoscopy NN cord-267229-hdnzs9o6 35 66 . . . cord-267229-hdnzs9o6 36 1 The the DT cord-267229-hdnzs9o6 36 2 ASGE ASGE NNP cord-267229-hdnzs9o6 36 3 defines define VBZ cord-267229-hdnzs9o6 36 4 competence competence NN cord-267229-hdnzs9o6 36 5 in in IN cord-267229-hdnzs9o6 36 6 endoscopy endoscopy NN cord-267229-hdnzs9o6 36 7 as as IN cord-267229-hdnzs9o6 36 8 " " `` cord-267229-hdnzs9o6 36 9 the the DT cord-267229-hdnzs9o6 36 10 minimum minimum JJ cord-267229-hdnzs9o6 36 11 level level NN cord-267229-hdnzs9o6 36 12 of of IN cord-267229-hdnzs9o6 36 13 skill skill NN cord-267229-hdnzs9o6 36 14 , , , cord-267229-hdnzs9o6 36 15 knowledge knowledge NN cord-267229-hdnzs9o6 36 16 , , , cord-267229-hdnzs9o6 36 17 and/or and/or CC cord-267229-hdnzs9o6 36 18 expertise expertise NN cord-267229-hdnzs9o6 36 19 derived derive VBN cord-267229-hdnzs9o6 36 20 through through IN cord-267229-hdnzs9o6 36 21 training training NN cord-267229-hdnzs9o6 36 22 and and CC cord-267229-hdnzs9o6 36 23 experience experience NN cord-267229-hdnzs9o6 36 24 that that WDT cord-267229-hdnzs9o6 36 25 is be VBZ cord-267229-hdnzs9o6 36 26 required require VBN cord-267229-hdnzs9o6 36 27 to to TO cord-267229-hdnzs9o6 36 28 safely safely RB cord-267229-hdnzs9o6 36 29 and and CC cord-267229-hdnzs9o6 36 30 proficiently proficiently RB cord-267229-hdnzs9o6 36 31 perform perform VB cord-267229-hdnzs9o6 36 32 a a DT cord-267229-hdnzs9o6 36 33 task task NN cord-267229-hdnzs9o6 36 34 or or CC cord-267229-hdnzs9o6 36 35 procedure procedure NN cord-267229-hdnzs9o6 36 36 " " '' cord-267229-hdnzs9o6 37 1 [ [ -LRB- cord-267229-hdnzs9o6 37 2 12 12 CD cord-267229-hdnzs9o6 37 3 ] ] -RRB- cord-267229-hdnzs9o6 37 4 . . . cord-267229-hdnzs9o6 38 1 This this DT cord-267229-hdnzs9o6 38 2 definition definition NN cord-267229-hdnzs9o6 38 3 implies imply VBZ cord-267229-hdnzs9o6 38 4 that that IN cord-267229-hdnzs9o6 38 5 competency competency NN cord-267229-hdnzs9o6 38 6 involves involve VBZ cord-267229-hdnzs9o6 38 7 a a DT cord-267229-hdnzs9o6 38 8 combination combination NN cord-267229-hdnzs9o6 38 9 of of IN cord-267229-hdnzs9o6 38 10 both both DT cord-267229-hdnzs9o6 38 11 technical technical JJ cord-267229-hdnzs9o6 38 12 and and CC cord-267229-hdnzs9o6 38 13 cognitive cognitive JJ cord-267229-hdnzs9o6 38 14 skills skill NNS cord-267229-hdnzs9o6 38 15 . . . cord-267229-hdnzs9o6 39 1 Equally equally RB cord-267229-hdnzs9o6 39 2 as as IN cord-267229-hdnzs9o6 39 3 important important JJ cord-267229-hdnzs9o6 39 4 are be VBP cord-267229-hdnzs9o6 39 5 the the DT cord-267229-hdnzs9o6 39 6 integrative integrative JJ cord-267229-hdnzs9o6 39 7 skills skill NNS cord-267229-hdnzs9o6 39 8 needed need VBN cord-267229-hdnzs9o6 39 9 to to TO cord-267229-hdnzs9o6 39 10 extract extract VB cord-267229-hdnzs9o6 39 11 and and CC cord-267229-hdnzs9o6 39 12 interpret interpret VB cord-267229-hdnzs9o6 39 13 the the DT cord-267229-hdnzs9o6 39 14 information information NN cord-267229-hdnzs9o6 39 15 obtained obtain VBN cord-267229-hdnzs9o6 39 16 from from IN cord-267229-hdnzs9o6 39 17 the the DT cord-267229-hdnzs9o6 39 18 procedure procedure NN cord-267229-hdnzs9o6 39 19 to to TO cord-267229-hdnzs9o6 39 20 guide guide VB cord-267229-hdnzs9o6 39 21 patient patient JJ cord-267229-hdnzs9o6 39 22 management management NN cord-267229-hdnzs9o6 39 23 . . . cord-267229-hdnzs9o6 40 1 Noteworthy noteworthy JJ cord-267229-hdnzs9o6 40 2 , , , cord-267229-hdnzs9o6 40 3 although although IN cord-267229-hdnzs9o6 40 4 not not RB cord-267229-hdnzs9o6 40 5 clearly clearly RB cord-267229-hdnzs9o6 40 6 stated state VBN cord-267229-hdnzs9o6 40 7 in in IN cord-267229-hdnzs9o6 40 8 the the DT cord-267229-hdnzs9o6 40 9 ASGE asge JJ cord-267229-hdnzs9o6 40 10 definition definition NN cord-267229-hdnzs9o6 40 11 , , , cord-267229-hdnzs9o6 40 12 competence competence NN cord-267229-hdnzs9o6 40 13 in in IN cord-267229-hdnzs9o6 40 14 endoscopy endoscopy NN cord-267229-hdnzs9o6 40 15 implies imply VBZ cord-267229-hdnzs9o6 40 16 that that IN cord-267229-hdnzs9o6 40 17 the the DT cord-267229-hdnzs9o6 40 18 trainee trainee NN cord-267229-hdnzs9o6 40 19 should should MD cord-267229-hdnzs9o6 40 20 be be VB cord-267229-hdnzs9o6 40 21 able able JJ cord-267229-hdnzs9o6 40 22 to to TO cord-267229-hdnzs9o6 40 23 independently independently RB cord-267229-hdnzs9o6 40 24 perform perform VB cord-267229-hdnzs9o6 40 25 the the DT cord-267229-hdnzs9o6 40 26 procedure procedure NN cord-267229-hdnzs9o6 40 27 upon upon IN cord-267229-hdnzs9o6 40 28 completion completion NN cord-267229-hdnzs9o6 40 29 of of IN cord-267229-hdnzs9o6 40 30 training training NN cord-267229-hdnzs9o6 40 31 . . . cord-267229-hdnzs9o6 41 1 Although although IN cord-267229-hdnzs9o6 41 2 these these DT cord-267229-hdnzs9o6 41 3 concepts concept NNS cord-267229-hdnzs9o6 41 4 may may MD cord-267229-hdnzs9o6 41 5 appear appear VB cord-267229-hdnzs9o6 41 6 self self NN cord-267229-hdnzs9o6 41 7 - - HYPH cord-267229-hdnzs9o6 41 8 explanatory explanatory JJ cord-267229-hdnzs9o6 41 9 , , , cord-267229-hdnzs9o6 41 10 how how WRB cord-267229-hdnzs9o6 41 11 to to TO cord-267229-hdnzs9o6 41 12 objectively objectively RB cord-267229-hdnzs9o6 41 13 measure measure VB cord-267229-hdnzs9o6 41 14 competence competence NN cord-267229-hdnzs9o6 41 15 during during IN cord-267229-hdnzs9o6 41 16 advanced advanced JJ cord-267229-hdnzs9o6 41 17 endoscopy endoscopy NN cord-267229-hdnzs9o6 41 18 training training NN cord-267229-hdnzs9o6 41 19 remains remain VBZ cord-267229-hdnzs9o6 41 20 controversial controversial JJ cord-267229-hdnzs9o6 41 21 and and CC cord-267229-hdnzs9o6 41 22 challenging challenging JJ cord-267229-hdnzs9o6 41 23 . . . cord-267229-hdnzs9o6 42 1 The the DT cord-267229-hdnzs9o6 42 2 landscape landscape NN cord-267229-hdnzs9o6 42 3 of of IN cord-267229-hdnzs9o6 42 4 advanced advanced JJ cord-267229-hdnzs9o6 42 5 endoscopy endoscopy NN cord-267229-hdnzs9o6 42 6 training training NN cord-267229-hdnzs9o6 42 7 continues continue VBZ cord-267229-hdnzs9o6 42 8 to to TO cord-267229-hdnzs9o6 42 9 evolve evolve VB cord-267229-hdnzs9o6 42 10 as as IN cord-267229-hdnzs9o6 42 11 new new JJ cord-267229-hdnzs9o6 42 12 technologies technology NNS cord-267229-hdnzs9o6 42 13 and and CC cord-267229-hdnzs9o6 42 14 techniques technique NNS cord-267229-hdnzs9o6 42 15 become become VBN cord-267229-hdnzs9o6 42 16 available available JJ cord-267229-hdnzs9o6 42 17 . . . cord-267229-hdnzs9o6 43 1 The the DT cord-267229-hdnzs9o6 43 2 skill skill NN cord-267229-hdnzs9o6 43 3 set set NN cord-267229-hdnzs9o6 43 4 and and CC cord-267229-hdnzs9o6 43 5 degree degree NN cord-267229-hdnzs9o6 43 6 of of IN cord-267229-hdnzs9o6 43 7 training training NN cord-267229-hdnzs9o6 43 8 required require VBN cord-267229-hdnzs9o6 43 9 for for IN cord-267229-hdnzs9o6 43 10 these these DT cord-267229-hdnzs9o6 43 11 novel novel JJ cord-267229-hdnzs9o6 43 12 endoscopic endoscopic JJ cord-267229-hdnzs9o6 43 13 procedures procedure NNS cord-267229-hdnzs9o6 43 14 will will MD cord-267229-hdnzs9o6 43 15 vary vary VB cord-267229-hdnzs9o6 43 16 based base VBN cord-267229-hdnzs9o6 43 17 on on IN cord-267229-hdnzs9o6 43 18 multiple multiple JJ cord-267229-hdnzs9o6 43 19 factors factor NNS cord-267229-hdnzs9o6 43 20 , , , cord-267229-hdnzs9o6 43 21 including include VBG cord-267229-hdnzs9o6 43 22 but but CC cord-267229-hdnzs9o6 43 23 not not RB cord-267229-hdnzs9o6 43 24 limited limited JJ cord-267229-hdnzs9o6 43 25 to to IN cord-267229-hdnzs9o6 43 26 the the DT cord-267229-hdnzs9o6 43 27 complexity complexity NN cord-267229-hdnzs9o6 43 28 of of IN cord-267229-hdnzs9o6 43 29 the the DT cord-267229-hdnzs9o6 43 30 technique technique NN cord-267229-hdnzs9o6 43 31 . . . cord-267229-hdnzs9o6 44 1 In in IN cord-267229-hdnzs9o6 44 2 light light NN cord-267229-hdnzs9o6 44 3 of of IN cord-267229-hdnzs9o6 44 4 this this DT cord-267229-hdnzs9o6 44 5 fact fact NN cord-267229-hdnzs9o6 44 6 , , , cord-267229-hdnzs9o6 44 7 the the DT cord-267229-hdnzs9o6 44 8 ASGE ASGE NNP cord-267229-hdnzs9o6 44 9 has have VBZ cord-267229-hdnzs9o6 44 10 previously previously RB cord-267229-hdnzs9o6 44 11 set set VBN cord-267229-hdnzs9o6 44 12 forth forth RP cord-267229-hdnzs9o6 44 13 guidelines guideline NNS cord-267229-hdnzs9o6 44 14 to to TO cord-267229-hdnzs9o6 44 15 provide provide VB cord-267229-hdnzs9o6 44 16 a a DT cord-267229-hdnzs9o6 44 17 framework framework NN cord-267229-hdnzs9o6 44 18 on on IN cord-267229-hdnzs9o6 44 19 how how WRB cord-267229-hdnzs9o6 44 20 to to TO cord-267229-hdnzs9o6 44 21 evaluate evaluate VB cord-267229-hdnzs9o6 44 22 competence competence NN cord-267229-hdnzs9o6 44 23 involving involve VBG cord-267229-hdnzs9o6 44 24 new new JJ cord-267229-hdnzs9o6 44 25 and and CC cord-267229-hdnzs9o6 44 26 emerging emerge VBG cord-267229-hdnzs9o6 44 27 technologies technology NNS cord-267229-hdnzs9o6 44 28 in in IN cord-267229-hdnzs9o6 44 29 GI GI NNP cord-267229-hdnzs9o6 44 30 endoscopy endoscopy NN cord-267229-hdnzs9o6 44 31 [ [ -LRB- cord-267229-hdnzs9o6 44 32 12 12 CD cord-267229-hdnzs9o6 44 33 ] ] -RRB- cord-267229-hdnzs9o6 44 34 . . . cord-267229-hdnzs9o6 45 1 According accord VBG cord-267229-hdnzs9o6 45 2 to to IN cord-267229-hdnzs9o6 45 3 the the DT cord-267229-hdnzs9o6 45 4 ASGE ASGE NNP cord-267229-hdnzs9o6 45 5 , , , cord-267229-hdnzs9o6 45 6 a a DT cord-267229-hdnzs9o6 45 7 " " `` cord-267229-hdnzs9o6 45 8 major major JJ cord-267229-hdnzs9o6 45 9 skill skill NN cord-267229-hdnzs9o6 45 10 " " '' cord-267229-hdnzs9o6 45 11 describes describe VBZ cord-267229-hdnzs9o6 45 12 a a DT cord-267229-hdnzs9o6 45 13 new new JJ cord-267229-hdnzs9o6 45 14 technique technique NN cord-267229-hdnzs9o6 45 15 or or CC cord-267229-hdnzs9o6 45 16 procedure procedure NN cord-267229-hdnzs9o6 45 17 that that WDT cord-267229-hdnzs9o6 45 18 involves involve VBZ cord-267229-hdnzs9o6 45 19 a a DT cord-267229-hdnzs9o6 45 20 high high JJ cord-267229-hdnzs9o6 45 21 level level NN cord-267229-hdnzs9o6 45 22 of of IN cord-267229-hdnzs9o6 45 23 complexity complexity NN cord-267229-hdnzs9o6 45 24 , , , cord-267229-hdnzs9o6 45 25 interpretative interpretative JJ cord-267229-hdnzs9o6 45 26 ability ability NN cord-267229-hdnzs9o6 45 27 , , , cord-267229-hdnzs9o6 45 28 and/or and/or CC cord-267229-hdnzs9o6 45 29 new new JJ cord-267229-hdnzs9o6 45 30 type type NN cord-267229-hdnzs9o6 45 31 of of IN cord-267229-hdnzs9o6 45 32 technology technology NN cord-267229-hdnzs9o6 45 33 . . . cord-267229-hdnzs9o6 46 1 As as IN cord-267229-hdnzs9o6 46 2 such such JJ cord-267229-hdnzs9o6 46 3 , , , cord-267229-hdnzs9o6 46 4 the the DT cord-267229-hdnzs9o6 46 5 development development NN cord-267229-hdnzs9o6 46 6 of of IN cord-267229-hdnzs9o6 46 7 major major JJ cord-267229-hdnzs9o6 46 8 skills skill NNS cord-267229-hdnzs9o6 46 9 requires require VBZ cord-267229-hdnzs9o6 46 10 formal formal JJ cord-267229-hdnzs9o6 46 11 training training NN cord-267229-hdnzs9o6 46 12 under under IN cord-267229-hdnzs9o6 46 13 the the DT cord-267229-hdnzs9o6 46 14 supervision supervision NN cord-267229-hdnzs9o6 46 15 of of IN cord-267229-hdnzs9o6 46 16 a a DT cord-267229-hdnzs9o6 46 17 preceptor(s preceptor(s NNP cord-267229-hdnzs9o6 46 18 ) ) -RRB- cord-267229-hdnzs9o6 46 19 . . . cord-267229-hdnzs9o6 47 1 Competence competence NN cord-267229-hdnzs9o6 47 2 in in IN cord-267229-hdnzs9o6 47 3 a a DT cord-267229-hdnzs9o6 47 4 major major JJ cord-267229-hdnzs9o6 47 5 skill skill NN cord-267229-hdnzs9o6 47 6 , , , cord-267229-hdnzs9o6 47 7 as as IN cord-267229-hdnzs9o6 47 8 detailed detail VBN cord-267229-hdnzs9o6 47 9 by by IN cord-267229-hdnzs9o6 47 10 the the DT cord-267229-hdnzs9o6 47 11 ASGE ASGE NNP cord-267229-hdnzs9o6 47 12 , , , cord-267229-hdnzs9o6 47 13 involves involve VBZ cord-267229-hdnzs9o6 47 14 the the DT cord-267229-hdnzs9o6 47 15 following follow VBG cord-267229-hdnzs9o6 47 16 components component NNS cord-267229-hdnzs9o6 47 17 : : : cord-267229-hdnzs9o6 47 18 ( ( -LRB- cord-267229-hdnzs9o6 47 19 1 1 LS cord-267229-hdnzs9o6 47 20 ) ) -RRB- cord-267229-hdnzs9o6 47 21 understanding understanding NN cord-267229-hdnzs9o6 47 22 of of IN cord-267229-hdnzs9o6 47 23 the the DT cord-267229-hdnzs9o6 47 24 indications indication NNS cord-267229-hdnzs9o6 47 25 , , , cord-267229-hdnzs9o6 47 26 benefits benefit NNS cord-267229-hdnzs9o6 47 27 , , , cord-267229-hdnzs9o6 47 28 risk risk NN cord-267229-hdnzs9o6 47 29 and and CC cord-267229-hdnzs9o6 47 30 alternatives alternative NNS cord-267229-hdnzs9o6 47 31 to to IN cord-267229-hdnzs9o6 47 32 the the DT cord-267229-hdnzs9o6 47 33 procedure procedure NN cord-267229-hdnzs9o6 47 34 ; ; : cord-267229-hdnzs9o6 47 35 ( ( -LRB- cord-267229-hdnzs9o6 47 36 2 2 LS cord-267229-hdnzs9o6 47 37 ) ) -RRB- cord-267229-hdnzs9o6 47 38 ability ability NN cord-267229-hdnzs9o6 47 39 to to TO cord-267229-hdnzs9o6 47 40 perform perform VB cord-267229-hdnzs9o6 47 41 the the DT cord-267229-hdnzs9o6 47 42 procedure procedure NN cord-267229-hdnzs9o6 47 43 proficiently proficiently RB cord-267229-hdnzs9o6 47 44 and and CC cord-267229-hdnzs9o6 47 45 safely safely RB cord-267229-hdnzs9o6 47 46 ; ; : cord-267229-hdnzs9o6 47 47 ( ( -LRB- cord-267229-hdnzs9o6 47 48 3 3 LS cord-267229-hdnzs9o6 47 49 ) ) -RRB- cord-267229-hdnzs9o6 47 50 identify identify VB cord-267229-hdnzs9o6 47 51 and and CC cord-267229-hdnzs9o6 47 52 manage manage VB cord-267229-hdnzs9o6 47 53 adverse adverse JJ cord-267229-hdnzs9o6 47 54 events event NNS cord-267229-hdnzs9o6 47 55 that that WDT cord-267229-hdnzs9o6 47 56 may may MD cord-267229-hdnzs9o6 47 57 arise arise VB cord-267229-hdnzs9o6 47 58 ; ; : cord-267229-hdnzs9o6 47 59 ( ( -LRB- cord-267229-hdnzs9o6 47 60 4 4 LS cord-267229-hdnzs9o6 47 61 ) ) -RRB- cord-267229-hdnzs9o6 47 62 interpret interpret VB cord-267229-hdnzs9o6 47 63 endoscopic endoscopic JJ cord-267229-hdnzs9o6 47 64 findings finding NNS cord-267229-hdnzs9o6 47 65 accurately accurately RB cord-267229-hdnzs9o6 47 66 ; ; : cord-267229-hdnzs9o6 47 67 ( ( -LRB- cord-267229-hdnzs9o6 47 68 5 5 LS cord-267229-hdnzs9o6 47 69 ) ) -RRB- cord-267229-hdnzs9o6 47 70 incorporate incorporate VB cord-267229-hdnzs9o6 47 71 these these DT cord-267229-hdnzs9o6 47 72 into into IN cord-267229-hdnzs9o6 47 73 the the DT cord-267229-hdnzs9o6 47 74 overall overall JJ cord-267229-hdnzs9o6 47 75 clinical clinical JJ cord-267229-hdnzs9o6 47 76 evaluation evaluation NN cord-267229-hdnzs9o6 47 77 of of IN cord-267229-hdnzs9o6 47 78 the the DT cord-267229-hdnzs9o6 47 79 patient patient NN cord-267229-hdnzs9o6 47 80 ; ; : cord-267229-hdnzs9o6 47 81 and and CC cord-267229-hdnzs9o6 47 82 ( ( -LRB- cord-267229-hdnzs9o6 47 83 6 6 LS cord-267229-hdnzs9o6 47 84 ) ) -RRB- cord-267229-hdnzs9o6 47 85 provide provide VB cord-267229-hdnzs9o6 47 86 a a DT cord-267229-hdnzs9o6 47 87 comprehensive comprehensive JJ cord-267229-hdnzs9o6 47 88 pre pre JJ cord-267229-hdnzs9o6 47 89 - - JJ cord-267229-hdnzs9o6 47 90 and and CC cord-267229-hdnzs9o6 47 91 postprocedural postprocedural JJ cord-267229-hdnzs9o6 47 92 plan plan NN cord-267229-hdnzs9o6 47 93 [ [ -LRB- cord-267229-hdnzs9o6 47 94 12 12 CD cord-267229-hdnzs9o6 47 95 , , , cord-267229-hdnzs9o6 47 96 13 13 CD cord-267229-hdnzs9o6 47 97 ] ] -RRB- cord-267229-hdnzs9o6 47 98 . . . cord-267229-hdnzs9o6 48 1 By by IN cord-267229-hdnzs9o6 48 2 the the DT cord-267229-hdnzs9o6 48 3 completion completion NN cord-267229-hdnzs9o6 48 4 of of IN cord-267229-hdnzs9o6 48 5 training training NN cord-267229-hdnzs9o6 48 6 , , , cord-267229-hdnzs9o6 48 7 the the DT cord-267229-hdnzs9o6 48 8 trainee trainee NN cord-267229-hdnzs9o6 48 9 is be VBZ cord-267229-hdnzs9o6 48 10 expected expect VBN cord-267229-hdnzs9o6 48 11 to to TO cord-267229-hdnzs9o6 48 12 have have VB cord-267229-hdnzs9o6 48 13 a a DT cord-267229-hdnzs9o6 48 14 degree degree NN cord-267229-hdnzs9o6 48 15 of of IN cord-267229-hdnzs9o6 48 16 competence competence NN cord-267229-hdnzs9o6 48 17 that that WDT cord-267229-hdnzs9o6 48 18 allows allow VBZ cord-267229-hdnzs9o6 48 19 them -PRON- PRP cord-267229-hdnzs9o6 48 20 to to TO cord-267229-hdnzs9o6 48 21 perform perform VB cord-267229-hdnzs9o6 48 22 the the DT cord-267229-hdnzs9o6 48 23 major major JJ cord-267229-hdnzs9o6 48 24 skill skill NN cord-267229-hdnzs9o6 48 25 at at IN cord-267229-hdnzs9o6 48 26 hand hand NN cord-267229-hdnzs9o6 48 27 . . . cord-267229-hdnzs9o6 49 1 Based base VBN cord-267229-hdnzs9o6 49 2 on on IN cord-267229-hdnzs9o6 49 3 these these DT cord-267229-hdnzs9o6 49 4 criteria criterion NNS cord-267229-hdnzs9o6 49 5 , , , cord-267229-hdnzs9o6 49 6 most most RBS cord-267229-hdnzs9o6 49 7 advanced advanced JJ cord-267229-hdnzs9o6 49 8 endoscopic endoscopic JJ cord-267229-hdnzs9o6 49 9 procedures procedure NNS cord-267229-hdnzs9o6 49 10 , , , cord-267229-hdnzs9o6 49 11 such such JJ cord-267229-hdnzs9o6 49 12 as as IN cord-267229-hdnzs9o6 49 13 EUS EUS NNP cord-267229-hdnzs9o6 49 14 , , , cord-267229-hdnzs9o6 49 15 ERCP ERCP NNP cord-267229-hdnzs9o6 49 16 , , , cord-267229-hdnzs9o6 49 17 ESD ESD NNP cord-267229-hdnzs9o6 49 18 , , , cord-267229-hdnzs9o6 49 19 and and CC cord-267229-hdnzs9o6 49 20 POEM POEM NNP cord-267229-hdnzs9o6 49 21 would would MD cord-267229-hdnzs9o6 49 22 constitute constitute VB cord-267229-hdnzs9o6 49 23 " " `` cord-267229-hdnzs9o6 49 24 major major JJ cord-267229-hdnzs9o6 49 25 " " '' cord-267229-hdnzs9o6 49 26 skills skill NNS cord-267229-hdnzs9o6 49 27 requiring require VBG cord-267229-hdnzs9o6 49 28 dedicated dedicated JJ cord-267229-hdnzs9o6 49 29 training training NN cord-267229-hdnzs9o6 49 30 ( ( -LRB- cord-267229-hdnzs9o6 49 31 Table table NN cord-267229-hdnzs9o6 49 32 1 1 CD cord-267229-hdnzs9o6 49 33 ) ) -RRB- cord-267229-hdnzs9o6 49 34 . . . cord-267229-hdnzs9o6 50 1 Conversely conversely RB cord-267229-hdnzs9o6 50 2 , , , cord-267229-hdnzs9o6 50 3 the the DT cord-267229-hdnzs9o6 50 4 ASGE ASGE NNP cord-267229-hdnzs9o6 50 5 also also RB cord-267229-hdnzs9o6 50 6 recognizes recognize VBZ cord-267229-hdnzs9o6 50 7 that that IN cord-267229-hdnzs9o6 50 8 in in IN cord-267229-hdnzs9o6 50 9 some some DT cord-267229-hdnzs9o6 50 10 instances instance NNS cord-267229-hdnzs9o6 50 11 , , , cord-267229-hdnzs9o6 50 12 endoscopic endoscopic JJ cord-267229-hdnzs9o6 50 13 advances advance NNS cord-267229-hdnzs9o6 50 14 may may MD cord-267229-hdnzs9o6 50 15 represent represent VB cord-267229-hdnzs9o6 50 16 minor minor JJ cord-267229-hdnzs9o6 50 17 extensions extension NNS cord-267229-hdnzs9o6 50 18 or or CC cord-267229-hdnzs9o6 50 19 minor minor JJ cord-267229-hdnzs9o6 50 20 refinements refinement NNS cord-267229-hdnzs9o6 50 21 of of IN cord-267229-hdnzs9o6 50 22 established establish VBN cord-267229-hdnzs9o6 50 23 endoscopic endoscopic JJ cord-267229-hdnzs9o6 50 24 procedures procedure NNS cord-267229-hdnzs9o6 50 25 . . . cord-267229-hdnzs9o6 51 1 This this DT cord-267229-hdnzs9o6 51 2 may may MD cord-267229-hdnzs9o6 51 3 include include VB cord-267229-hdnzs9o6 51 4 improvements improvement NNS cord-267229-hdnzs9o6 51 5 or or CC cord-267229-hdnzs9o6 51 6 modifications modification NNS cord-267229-hdnzs9o6 51 7 of of IN cord-267229-hdnzs9o6 51 8 existing exist VBG cord-267229-hdnzs9o6 51 9 techniques technique NNS cord-267229-hdnzs9o6 51 10 familiar familiar JJ cord-267229-hdnzs9o6 51 11 to to IN cord-267229-hdnzs9o6 51 12 the the DT cord-267229-hdnzs9o6 51 13 endoscopist endoscopist NN cord-267229-hdnzs9o6 51 14 ( ( -LRB- cord-267229-hdnzs9o6 51 15 Table Table NNP cord-267229-hdnzs9o6 51 16 1 1 CD cord-267229-hdnzs9o6 51 17 ) ) -RRB- cord-267229-hdnzs9o6 51 18 . . . cord-267229-hdnzs9o6 52 1 As as IN cord-267229-hdnzs9o6 52 2 per per IN cord-267229-hdnzs9o6 52 3 the the DT cord-267229-hdnzs9o6 52 4 guidelines guideline NNS cord-267229-hdnzs9o6 52 5 , , , cord-267229-hdnzs9o6 52 6 acquisition acquisition NN cord-267229-hdnzs9o6 52 7 of of IN cord-267229-hdnzs9o6 52 8 a a DT cord-267229-hdnzs9o6 52 9 " " `` cord-267229-hdnzs9o6 52 10 minor minor JJ cord-267229-hdnzs9o6 52 11 skill skill NN cord-267229-hdnzs9o6 52 12 " " '' cord-267229-hdnzs9o6 52 13 can can MD cord-267229-hdnzs9o6 52 14 thereby thereby RB cord-267229-hdnzs9o6 52 15 be be VB cord-267229-hdnzs9o6 52 16 accomplished accomplish VBN cord-267229-hdnzs9o6 52 17 through through IN cord-267229-hdnzs9o6 52 18 limited limited JJ cord-267229-hdnzs9o6 52 19 education education NN cord-267229-hdnzs9o6 52 20 and and CC cord-267229-hdnzs9o6 52 21 practical practical JJ cord-267229-hdnzs9o6 52 22 exposure exposure NN cord-267229-hdnzs9o6 52 23 , , , cord-267229-hdnzs9o6 52 24 which which WDT cord-267229-hdnzs9o6 52 25 may may MD cord-267229-hdnzs9o6 52 26 involve involve VB cord-267229-hdnzs9o6 52 27 didactic didactic JJ cord-267229-hdnzs9o6 52 28 resources resource NNS cord-267229-hdnzs9o6 52 29 ( ( -LRB- cord-267229-hdnzs9o6 52 30 ie ie FW cord-267229-hdnzs9o6 52 31 , , , cord-267229-hdnzs9o6 52 32 instructive instructive JJ cord-267229-hdnzs9o6 52 33 videos video NNS cord-267229-hdnzs9o6 52 34 , , , cord-267229-hdnzs9o6 52 35 interactive interactive JJ cord-267229-hdnzs9o6 52 36 tutorials tutorial NNS cord-267229-hdnzs9o6 52 37 ) ) -RRB- cord-267229-hdnzs9o6 52 38 and and CC cord-267229-hdnzs9o6 52 39 short short JJ cord-267229-hdnzs9o6 52 40 dedicated dedicated JJ cord-267229-hdnzs9o6 52 41 courses course NNS cord-267229-hdnzs9o6 52 42 [ [ -LRB- cord-267229-hdnzs9o6 52 43 12 12 CD cord-267229-hdnzs9o6 52 44 , , , cord-267229-hdnzs9o6 52 45 13 13 CD cord-267229-hdnzs9o6 52 46 ] ] -RRB- cord-267229-hdnzs9o6 52 47 . . . cord-267229-hdnzs9o6 53 1 We -PRON- PRP cord-267229-hdnzs9o6 53 2 should should MD cord-267229-hdnzs9o6 53 3 emphasize emphasize VB cord-267229-hdnzs9o6 53 4 that that IN cord-267229-hdnzs9o6 53 5 these these DT cord-267229-hdnzs9o6 53 6 definitions definition NNS cord-267229-hdnzs9o6 53 7 by by IN cord-267229-hdnzs9o6 53 8 the the DT cord-267229-hdnzs9o6 53 9 ASGE ASGE NNP cord-267229-hdnzs9o6 53 10 should should MD cord-267229-hdnzs9o6 53 11 only only RB cord-267229-hdnzs9o6 53 12 be be VB cord-267229-hdnzs9o6 53 13 used use VBN cord-267229-hdnzs9o6 53 14 as as IN cord-267229-hdnzs9o6 53 15 a a DT cord-267229-hdnzs9o6 53 16 framework framework NN cord-267229-hdnzs9o6 53 17 because because IN cord-267229-hdnzs9o6 53 18 ultimately ultimately RB cord-267229-hdnzs9o6 53 19 , , , cord-267229-hdnzs9o6 53 20 the the DT cord-267229-hdnzs9o6 53 21 extent extent NN cord-267229-hdnzs9o6 53 22 of of IN cord-267229-hdnzs9o6 53 23 training training NN cord-267229-hdnzs9o6 53 24 necessary necessary JJ cord-267229-hdnzs9o6 53 25 to to TO cord-267229-hdnzs9o6 53 26 achieve achieve VB cord-267229-hdnzs9o6 53 27 competence competence NN cord-267229-hdnzs9o6 53 28 will will MD cord-267229-hdnzs9o6 53 29 largely largely RB cord-267229-hdnzs9o6 53 30 fluctuate fluctuate VB cord-267229-hdnzs9o6 53 31 based base VBN cord-267229-hdnzs9o6 53 32 on on IN cord-267229-hdnzs9o6 53 33 the the DT cord-267229-hdnzs9o6 53 34 endoscopist endoscopist NN cord-267229-hdnzs9o6 53 35 's 's POS cord-267229-hdnzs9o6 53 36 background background NN cord-267229-hdnzs9o6 53 37 . . . cord-267229-hdnzs9o6 54 1 For for IN cord-267229-hdnzs9o6 54 2 instance instance NN cord-267229-hdnzs9o6 54 3 , , , cord-267229-hdnzs9o6 54 4 although although IN cord-267229-hdnzs9o6 54 5 radiofrequency radiofrequency NN cord-267229-hdnzs9o6 54 6 ablation ablation NN cord-267229-hdnzs9o6 54 7 ( ( -LRB- cord-267229-hdnzs9o6 54 8 RFA RFA NNP cord-267229-hdnzs9o6 54 9 ) ) -RRB- cord-267229-hdnzs9o6 54 10 may may MD cord-267229-hdnzs9o6 54 11 represent represent VB cord-267229-hdnzs9o6 54 12 a a DT cord-267229-hdnzs9o6 54 13 " " `` cord-267229-hdnzs9o6 54 14 minor minor JJ cord-267229-hdnzs9o6 54 15 " " '' cord-267229-hdnzs9o6 54 16 skill skill NN cord-267229-hdnzs9o6 54 17 for for IN cord-267229-hdnzs9o6 54 18 an an DT cord-267229-hdnzs9o6 54 19 endoscopist endoscopist NN cord-267229-hdnzs9o6 54 20 with with IN cord-267229-hdnzs9o6 54 21 experience experience NN cord-267229-hdnzs9o6 54 22 in in IN cord-267229-hdnzs9o6 54 23 the the DT cord-267229-hdnzs9o6 54 24 treatment treatment NN cord-267229-hdnzs9o6 54 25 of of IN cord-267229-hdnzs9o6 54 26 Barrett Barrett NNP cord-267229-hdnzs9o6 54 27 's 's POS cord-267229-hdnzs9o6 54 28 esophagus esophagu NNS cord-267229-hdnzs9o6 54 29 ( ( -LRB- cord-267229-hdnzs9o6 54 30 BE be VB cord-267229-hdnzs9o6 54 31 ) ) -RRB- cord-267229-hdnzs9o6 54 32 , , , cord-267229-hdnzs9o6 54 33 this this DT cord-267229-hdnzs9o6 54 34 technique technique NN cord-267229-hdnzs9o6 54 35 may may MD cord-267229-hdnzs9o6 54 36 constitute constitute VB cord-267229-hdnzs9o6 54 37 a a DT cord-267229-hdnzs9o6 54 38 " " `` cord-267229-hdnzs9o6 54 39 major major JJ cord-267229-hdnzs9o6 54 40 " " '' cord-267229-hdnzs9o6 54 41 skill skill NN cord-267229-hdnzs9o6 54 42 for for IN cord-267229-hdnzs9o6 54 43 a a DT cord-267229-hdnzs9o6 54 44 trainee trainee NN cord-267229-hdnzs9o6 54 45 with with IN cord-267229-hdnzs9o6 54 46 little little JJ cord-267229-hdnzs9o6 54 47 to to TO cord-267229-hdnzs9o6 54 48 no no DT cord-267229-hdnzs9o6 54 49 background background NN cord-267229-hdnzs9o6 54 50 in in IN cord-267229-hdnzs9o6 54 51 ablative ablative JJ cord-267229-hdnzs9o6 54 52 techniques technique NNS cord-267229-hdnzs9o6 54 53 and/or and/or CC cord-267229-hdnzs9o6 54 54 familiarity familiarity NN cord-267229-hdnzs9o6 54 55 in in IN cord-267229-hdnzs9o6 54 56 the the DT cord-267229-hdnzs9o6 54 57 diagnostic diagnostic JJ cord-267229-hdnzs9o6 54 58 evaluation evaluation NN cord-267229-hdnzs9o6 54 59 of of IN cord-267229-hdnzs9o6 54 60 BE BE NNP cord-267229-hdnzs9o6 54 61 . . . cord-267229-hdnzs9o6 55 1 Similarly similarly RB cord-267229-hdnzs9o6 55 2 , , , cord-267229-hdnzs9o6 55 3 as as IN cord-267229-hdnzs9o6 55 4 discussed discuss VBN cord-267229-hdnzs9o6 55 5 later later RB cord-267229-hdnzs9o6 55 6 , , , cord-267229-hdnzs9o6 55 7 although although IN cord-267229-hdnzs9o6 55 8 some some DT cord-267229-hdnzs9o6 55 9 EBTs ebt NNS cord-267229-hdnzs9o6 55 10 may may MD cord-267229-hdnzs9o6 55 11 be be VB cord-267229-hdnzs9o6 55 12 considered consider VBN cord-267229-hdnzs9o6 55 13 " " `` cord-267229-hdnzs9o6 55 14 minor minor JJ cord-267229-hdnzs9o6 55 15 " " '' cord-267229-hdnzs9o6 55 16 skills skill NNS cord-267229-hdnzs9o6 55 17 ( ( -LRB- cord-267229-hdnzs9o6 55 18 Table table NN cord-267229-hdnzs9o6 55 19 1 1 CD cord-267229-hdnzs9o6 55 20 ) ) -RRB- cord-267229-hdnzs9o6 55 21 , , , cord-267229-hdnzs9o6 55 22 these these DT cord-267229-hdnzs9o6 55 23 procedures procedure NNS cord-267229-hdnzs9o6 55 24 should should MD cord-267229-hdnzs9o6 55 25 not not RB cord-267229-hdnzs9o6 55 26 be be VB cord-267229-hdnzs9o6 55 27 performed perform VBN cord-267229-hdnzs9o6 55 28 in in IN cord-267229-hdnzs9o6 55 29 - - HYPH cord-267229-hdnzs9o6 55 30 silo silo NN cord-267229-hdnzs9o6 55 31 and and CC cord-267229-hdnzs9o6 55 32 most most JJS cord-267229-hdnzs9o6 55 33 endoscopists endoscopist NNS cord-267229-hdnzs9o6 55 34 may may MD cord-267229-hdnzs9o6 55 35 still still RB cord-267229-hdnzs9o6 55 36 require require VB cord-267229-hdnzs9o6 55 37 dedicated dedicated JJ cord-267229-hdnzs9o6 55 38 training training NN cord-267229-hdnzs9o6 55 39 to to TO cord-267229-hdnzs9o6 55 40 fully fully RB cord-267229-hdnzs9o6 55 41 understand understand VB cord-267229-hdnzs9o6 55 42 the the DT cord-267229-hdnzs9o6 55 43 role role NN cord-267229-hdnzs9o6 55 44 of of IN cord-267229-hdnzs9o6 55 45 these these DT cord-267229-hdnzs9o6 55 46 procedures procedure NNS cord-267229-hdnzs9o6 55 47 within within IN cord-267229-hdnzs9o6 55 48 the the DT cord-267229-hdnzs9o6 55 49 multifaceted multifaceted JJ cord-267229-hdnzs9o6 55 50 treatment treatment NN cord-267229-hdnzs9o6 55 51 of of IN cord-267229-hdnzs9o6 55 52 obesity obesity NN cord-267229-hdnzs9o6 55 53 . . . cord-267229-hdnzs9o6 56 1 The the DT cord-267229-hdnzs9o6 56 2 practice practice NN cord-267229-hdnzs9o6 56 3 of of IN cord-267229-hdnzs9o6 56 4 GI GI NNP cord-267229-hdnzs9o6 56 5 endoscopy endoscopy NN cord-267229-hdnzs9o6 56 6 is be VBZ cord-267229-hdnzs9o6 56 7 dynamic dynamic JJ cord-267229-hdnzs9o6 56 8 , , , cord-267229-hdnzs9o6 56 9 and and CC cord-267229-hdnzs9o6 56 10 the the DT cord-267229-hdnzs9o6 56 11 breadth breadth NN cord-267229-hdnzs9o6 56 12 of of IN cord-267229-hdnzs9o6 56 13 procedures procedure NNS cord-267229-hdnzs9o6 56 14 continues continue VBZ cord-267229-hdnzs9o6 56 15 to to TO cord-267229-hdnzs9o6 56 16 increase increase VB cord-267229-hdnzs9o6 56 17 . . . cord-267229-hdnzs9o6 57 1 Consequently consequently RB cord-267229-hdnzs9o6 57 2 , , , cord-267229-hdnzs9o6 57 3 endoscopists endoscopist NNS cord-267229-hdnzs9o6 57 4 are be VBP cord-267229-hdnzs9o6 57 5 faced face VBN cord-267229-hdnzs9o6 57 6 with with IN cord-267229-hdnzs9o6 57 7 the the DT cord-267229-hdnzs9o6 57 8 challenge challenge NN cord-267229-hdnzs9o6 57 9 of of IN cord-267229-hdnzs9o6 57 10 seeking seek VBG cord-267229-hdnzs9o6 57 11 and and CC cord-267229-hdnzs9o6 57 12 attaining attain VBG cord-267229-hdnzs9o6 57 13 proper proper JJ cord-267229-hdnzs9o6 57 14 training training NN cord-267229-hdnzs9o6 57 15 in in IN cord-267229-hdnzs9o6 57 16 these these DT cord-267229-hdnzs9o6 57 17 new new JJ cord-267229-hdnzs9o6 57 18 technologies technology NNS cord-267229-hdnzs9o6 57 19 over over IN cord-267229-hdnzs9o6 57 20 the the DT cord-267229-hdnzs9o6 57 21 course course NN cord-267229-hdnzs9o6 57 22 of of IN cord-267229-hdnzs9o6 57 23 their -PRON- PRP$ cord-267229-hdnzs9o6 57 24 career career NN cord-267229-hdnzs9o6 57 25 . . . cord-267229-hdnzs9o6 58 1 In in IN cord-267229-hdnzs9o6 58 2 recent recent JJ cord-267229-hdnzs9o6 58 3 years year NNS cord-267229-hdnzs9o6 58 4 , , , cord-267229-hdnzs9o6 58 5 with with IN cord-267229-hdnzs9o6 58 6 the the DT cord-267229-hdnzs9o6 58 7 transition transition NN cord-267229-hdnzs9o6 58 8 toward toward IN cord-267229-hdnzs9o6 58 9 a a DT cord-267229-hdnzs9o6 58 10 competency competency NN cord-267229-hdnzs9o6 58 11 - - HYPH cord-267229-hdnzs9o6 58 12 based base VBN cord-267229-hdnzs9o6 58 13 training training NN cord-267229-hdnzs9o6 58 14 curriculum curriculum NN cord-267229-hdnzs9o6 58 15 , , , cord-267229-hdnzs9o6 58 16 we -PRON- PRP cord-267229-hdnzs9o6 58 17 have have VBP cord-267229-hdnzs9o6 58 18 witnessed witness VBN cord-267229-hdnzs9o6 58 19 the the DT cord-267229-hdnzs9o6 58 20 development development NN cord-267229-hdnzs9o6 58 21 and and CC cord-267229-hdnzs9o6 58 22 integration integration NN cord-267229-hdnzs9o6 58 23 of of IN cord-267229-hdnzs9o6 58 24 standardized standardized JJ cord-267229-hdnzs9o6 58 25 measurement measurement NN cord-267229-hdnzs9o6 58 26 tools tool NNS cord-267229-hdnzs9o6 58 27 that that WDT cord-267229-hdnzs9o6 58 28 aim aim VBP cord-267229-hdnzs9o6 58 29 at at IN cord-267229-hdnzs9o6 58 30 providing provide VBG cord-267229-hdnzs9o6 58 31 both both DT cord-267229-hdnzs9o6 58 32 quantitative quantitative JJ cord-267229-hdnzs9o6 58 33 and and CC cord-267229-hdnzs9o6 58 34 qualitative qualitative JJ cord-267229-hdnzs9o6 58 35 assessment assessment NN cord-267229-hdnzs9o6 58 36 in in IN cord-267229-hdnzs9o6 58 37 endoscopic endoscopic NNS cord-267229-hdnzs9o6 58 38 training training NN cord-267229-hdnzs9o6 58 39 [ [ -LRB- cord-267229-hdnzs9o6 58 40 14 14 CD cord-267229-hdnzs9o6 58 41 ] ] -RRB- cord-267229-hdnzs9o6 58 42 [ [ -LRB- cord-267229-hdnzs9o6 58 43 15 15 CD cord-267229-hdnzs9o6 58 44 ] ] -RRB- cord-267229-hdnzs9o6 58 45 [ [ -LRB- cord-267229-hdnzs9o6 58 46 16 16 CD cord-267229-hdnzs9o6 58 47 ] ] -RRB- cord-267229-hdnzs9o6 58 48 , , . cord-267229-hdnzs9o6 59 1 However however RB cord-267229-hdnzs9o6 59 2 , , , cord-267229-hdnzs9o6 59 3 with with IN cord-267229-hdnzs9o6 59 4 the the DT cord-267229-hdnzs9o6 59 5 expanding expand VBG cord-267229-hdnzs9o6 59 6 array array NN cord-267229-hdnzs9o6 59 7 of of IN cord-267229-hdnzs9o6 59 8 endoscopic endoscopic JJ cord-267229-hdnzs9o6 59 9 techniques technique NNS cord-267229-hdnzs9o6 59 10 , , , cord-267229-hdnzs9o6 59 11 both both CC cord-267229-hdnzs9o6 59 12 the the DT cord-267229-hdnzs9o6 59 13 challenge challenge NN cord-267229-hdnzs9o6 59 14 and and CC cord-267229-hdnzs9o6 59 15 focus focus NN cord-267229-hdnzs9o6 59 16 is be VBZ cord-267229-hdnzs9o6 59 17 now now RB cord-267229-hdnzs9o6 59 18 shifting shift VBG cord-267229-hdnzs9o6 59 19 on on RP cord-267229-hdnzs9o6 59 20 how how WRB cord-267229-hdnzs9o6 59 21 do do VBP cord-267229-hdnzs9o6 59 22 we -PRON- PRP cord-267229-hdnzs9o6 59 23 adequately adequately RB cord-267229-hdnzs9o6 59 24 measure measure VB cord-267229-hdnzs9o6 59 25 competence competence NN cord-267229-hdnzs9o6 59 26 among among IN cord-267229-hdnzs9o6 59 27 trainees trainee NNS cord-267229-hdnzs9o6 59 28 in in IN cord-267229-hdnzs9o6 59 29 novel novel JJ cord-267229-hdnzs9o6 59 30 technologies technology NNS cord-267229-hdnzs9o6 59 31 . . . cord-267229-hdnzs9o6 60 1 Among among IN cord-267229-hdnzs9o6 60 2 these these DT cord-267229-hdnzs9o6 60 3 , , , cord-267229-hdnzs9o6 60 4 " " `` cord-267229-hdnzs9o6 60 5 third third JJ cord-267229-hdnzs9o6 60 6 space space NN cord-267229-hdnzs9o6 60 7 " " '' cord-267229-hdnzs9o6 60 8 and and CC cord-267229-hdnzs9o6 60 9 bariatric bariatric JJ cord-267229-hdnzs9o6 60 10 endoscopy endoscopy NN cord-267229-hdnzs9o6 60 11 have have VBP cord-267229-hdnzs9o6 60 12 gained gain VBN cord-267229-hdnzs9o6 60 13 traction traction NN cord-267229-hdnzs9o6 60 14 over over IN cord-267229-hdnzs9o6 60 15 recent recent JJ cord-267229-hdnzs9o6 60 16 years year NNS cord-267229-hdnzs9o6 60 17 as as IN cord-267229-hdnzs9o6 60 18 budding bud VBG cord-267229-hdnzs9o6 60 19 subspecialties subspecialtie NNS cord-267229-hdnzs9o6 60 20 within within IN cord-267229-hdnzs9o6 60 21 the the DT cord-267229-hdnzs9o6 60 22 field field NN cord-267229-hdnzs9o6 60 23 of of IN cord-267229-hdnzs9o6 60 24 advanced advanced JJ cord-267229-hdnzs9o6 60 25 endoscopy endoscopy NN cord-267229-hdnzs9o6 60 26 . . . cord-267229-hdnzs9o6 60 27 " " '' cord-267229-hdnzs9o6 61 1 Third third JJ cord-267229-hdnzs9o6 61 2 space space NN cord-267229-hdnzs9o6 61 3 " " `` cord-267229-hdnzs9o6 61 4 endoscopy endoscopy NN cord-267229-hdnzs9o6 61 5 , , , cord-267229-hdnzs9o6 61 6 also also RB cord-267229-hdnzs9o6 61 7 referred refer VBD cord-267229-hdnzs9o6 61 8 as as IN cord-267229-hdnzs9o6 61 9 submucosal submucosal NNP cord-267229-hdnzs9o6 61 10 endoscopy endoscopy NNP cord-267229-hdnzs9o6 61 11 , , , cord-267229-hdnzs9o6 61 12 is be VBZ cord-267229-hdnzs9o6 61 13 based base VBN cord-267229-hdnzs9o6 61 14 on on IN cord-267229-hdnzs9o6 61 15 the the DT cord-267229-hdnzs9o6 61 16 concept concept NN cord-267229-hdnzs9o6 61 17 that that IN cord-267229-hdnzs9o6 61 18 the the DT cord-267229-hdnzs9o6 61 19 deeper deep JJR cord-267229-hdnzs9o6 61 20 layers layer NNS cord-267229-hdnzs9o6 61 21 of of IN cord-267229-hdnzs9o6 61 22 the the DT cord-267229-hdnzs9o6 61 23 GI GI NNP cord-267229-hdnzs9o6 61 24 tract tract NN cord-267229-hdnzs9o6 61 25 can can MD cord-267229-hdnzs9o6 61 26 be be VB cord-267229-hdnzs9o6 61 27 accessed access VBN cord-267229-hdnzs9o6 61 28 via via IN cord-267229-hdnzs9o6 61 29 the the DT cord-267229-hdnzs9o6 61 30 submucosal submucosal NNP cord-267229-hdnzs9o6 61 31 space space NN cord-267229-hdnzs9o6 61 32 . . . cord-267229-hdnzs9o6 62 1 With with IN cord-267229-hdnzs9o6 62 2 advances advance NNS cord-267229-hdnzs9o6 62 3 in in IN cord-267229-hdnzs9o6 62 4 endoscopic endoscopic JJ cord-267229-hdnzs9o6 62 5 devices device NNS cord-267229-hdnzs9o6 62 6 and and CC cord-267229-hdnzs9o6 62 7 refinement refinement NN cord-267229-hdnzs9o6 62 8 in in IN cord-267229-hdnzs9o6 62 9 techniques technique NNS cord-267229-hdnzs9o6 62 10 , , , cord-267229-hdnzs9o6 62 11 we -PRON- PRP cord-267229-hdnzs9o6 62 12 have have VBP cord-267229-hdnzs9o6 62 13 witnessed witness VBN cord-267229-hdnzs9o6 62 14 the the DT cord-267229-hdnzs9o6 62 15 evolution evolution NN cord-267229-hdnzs9o6 62 16 of of IN cord-267229-hdnzs9o6 62 17 third third JJ cord-267229-hdnzs9o6 62 18 space space NN cord-267229-hdnzs9o6 62 19 endoscopy endoscopy NN cord-267229-hdnzs9o6 62 20 from from IN cord-267229-hdnzs9o6 62 21 a a DT cord-267229-hdnzs9o6 62 22 vanguard vanguard NN cord-267229-hdnzs9o6 62 23 concept concept NN cord-267229-hdnzs9o6 62 24 to to IN cord-267229-hdnzs9o6 62 25 techniques technique NNS cord-267229-hdnzs9o6 62 26 in in IN cord-267229-hdnzs9o6 62 27 routine routine JJ cord-267229-hdnzs9o6 62 28 clinical clinical JJ cord-267229-hdnzs9o6 62 29 use use NN cord-267229-hdnzs9o6 62 30 , , , cord-267229-hdnzs9o6 62 31 including include VBG cord-267229-hdnzs9o6 62 32 the the DT cord-267229-hdnzs9o6 62 33 widespread widespread JJ cord-267229-hdnzs9o6 62 34 adoption adoption NN cord-267229-hdnzs9o6 62 35 and and CC cord-267229-hdnzs9o6 62 36 dissemination dissemination NN cord-267229-hdnzs9o6 62 37 of of IN cord-267229-hdnzs9o6 62 38 procedures procedure NNS cord-267229-hdnzs9o6 62 39 such such JJ cord-267229-hdnzs9o6 62 40 as as IN cord-267229-hdnzs9o6 62 41 endoscopic endoscopic JJ cord-267229-hdnzs9o6 62 42 submucosal submucosal NNP cord-267229-hdnzs9o6 62 43 dissection dissection NN cord-267229-hdnzs9o6 62 44 ( ( -LRB- cord-267229-hdnzs9o6 62 45 ESD ESD NNP cord-267229-hdnzs9o6 62 46 ) ) -RRB- cord-267229-hdnzs9o6 62 47 and and CC cord-267229-hdnzs9o6 62 48 peroral peroral JJ cord-267229-hdnzs9o6 62 49 endoscopic endoscopic JJ cord-267229-hdnzs9o6 62 50 myotomy myotomy NN cord-267229-hdnzs9o6 62 51 ( ( -LRB- cord-267229-hdnzs9o6 62 52 POEM poem NN cord-267229-hdnzs9o6 62 53 ) ) -RRB- cord-267229-hdnzs9o6 62 54 . . . cord-267229-hdnzs9o6 63 1 introduced introduce VBN cord-267229-hdnzs9o6 63 2 in in IN cord-267229-hdnzs9o6 63 3 Japan Japan NNP cord-267229-hdnzs9o6 63 4 as as IN cord-267229-hdnzs9o6 63 5 a a DT cord-267229-hdnzs9o6 63 6 minimally minimally RB cord-267229-hdnzs9o6 63 7 invasive invasive JJ cord-267229-hdnzs9o6 63 8 alternative alternative NN cord-267229-hdnzs9o6 63 9 to to IN cord-267229-hdnzs9o6 63 10 surgery surgery NN cord-267229-hdnzs9o6 63 11 for for IN cord-267229-hdnzs9o6 63 12 the the DT cord-267229-hdnzs9o6 63 13 management management NN cord-267229-hdnzs9o6 63 14 of of IN cord-267229-hdnzs9o6 63 15 early early JJ cord-267229-hdnzs9o6 63 16 gastric gastric JJ cord-267229-hdnzs9o6 63 17 cancer cancer NN cord-267229-hdnzs9o6 63 18 . . . cord-267229-hdnzs9o6 64 1 Given give VBN cord-267229-hdnzs9o6 64 2 its -PRON- PRP$ cord-267229-hdnzs9o6 64 3 efficacy efficacy NN cord-267229-hdnzs9o6 64 4 and and CC cord-267229-hdnzs9o6 64 5 safety safety NN cord-267229-hdnzs9o6 64 6 in in IN cord-267229-hdnzs9o6 64 7 the the DT cord-267229-hdnzs9o6 64 8 hands hand NNS cord-267229-hdnzs9o6 64 9 of of IN cord-267229-hdnzs9o6 64 10 Japanese japanese JJ cord-267229-hdnzs9o6 64 11 experts expert NNS cord-267229-hdnzs9o6 64 12 , , , cord-267229-hdnzs9o6 64 13 this this DT cord-267229-hdnzs9o6 64 14 technique technique NN cord-267229-hdnzs9o6 64 15 has have VBZ cord-267229-hdnzs9o6 64 16 evolved evolve VBN cord-267229-hdnzs9o6 64 17 and and CC cord-267229-hdnzs9o6 64 18 shifted shift VBN cord-267229-hdnzs9o6 64 19 to to TO cord-267229-hdnzs9o6 64 20 include include VB cord-267229-hdnzs9o6 64 21 lesions lesion NNS cord-267229-hdnzs9o6 64 22 in in IN cord-267229-hdnzs9o6 64 23 the the DT cord-267229-hdnzs9o6 64 24 lower low JJR cord-267229-hdnzs9o6 64 25 GI GI NNP cord-267229-hdnzs9o6 64 26 tract tract NN cord-267229-hdnzs9o6 64 27 . . . cord-267229-hdnzs9o6 65 1 The the DT cord-267229-hdnzs9o6 65 2 main main JJ cord-267229-hdnzs9o6 65 3 advantage advantage NN cord-267229-hdnzs9o6 65 4 of of IN cord-267229-hdnzs9o6 65 5 ESD ESD NNP cord-267229-hdnzs9o6 65 6 over over IN cord-267229-hdnzs9o6 65 7 endoscopic endoscopic JJ cord-267229-hdnzs9o6 65 8 mucosal mucosal JJ cord-267229-hdnzs9o6 65 9 resection resection NN cord-267229-hdnzs9o6 65 10 ( ( -LRB- cord-267229-hdnzs9o6 65 11 EMR EMR NNP cord-267229-hdnzs9o6 65 12 ) ) -RRB- cord-267229-hdnzs9o6 65 13 is be VBZ cord-267229-hdnzs9o6 65 14 the the DT cord-267229-hdnzs9o6 65 15 ability ability NN cord-267229-hdnzs9o6 65 16 to to TO cord-267229-hdnzs9o6 65 17 achieve achieve VB cord-267229-hdnzs9o6 65 18 en en NNP cord-267229-hdnzs9o6 65 19 - - HYPH cord-267229-hdnzs9o6 65 20 bloc bloc JJ cord-267229-hdnzs9o6 65 21 resection resection NN cord-267229-hdnzs9o6 65 22 of of IN cord-267229-hdnzs9o6 65 23 lesions lesion NNS cord-267229-hdnzs9o6 65 24 irrespective irrespective RB cord-267229-hdnzs9o6 65 25 of of IN cord-267229-hdnzs9o6 65 26 size size NN cord-267229-hdnzs9o6 65 27 and and CC cord-267229-hdnzs9o6 65 28 thereby thereby RB cord-267229-hdnzs9o6 65 29 lower low JJR cord-267229-hdnzs9o6 65 30 risk risk NN cord-267229-hdnzs9o6 65 31 for for IN cord-267229-hdnzs9o6 65 32 local local JJ cord-267229-hdnzs9o6 65 33 recurrence recurrence NN cord-267229-hdnzs9o6 65 34 [ [ -LRB- cord-267229-hdnzs9o6 65 35 17 17 CD cord-267229-hdnzs9o6 65 36 ] ] -RRB- cord-267229-hdnzs9o6 65 37 . . . cord-267229-hdnzs9o6 66 1 However however RB cord-267229-hdnzs9o6 66 2 , , , cord-267229-hdnzs9o6 66 3 this this DT cord-267229-hdnzs9o6 66 4 procedure procedure NN cord-267229-hdnzs9o6 66 5 is be VBZ cord-267229-hdnzs9o6 66 6 associated associate VBN cord-267229-hdnzs9o6 66 7 with with IN cord-267229-hdnzs9o6 66 8 a a DT cord-267229-hdnzs9o6 66 9 steep steep JJ cord-267229-hdnzs9o6 66 10 learning learning NN cord-267229-hdnzs9o6 66 11 curve curve NN cord-267229-hdnzs9o6 66 12 and and CC cord-267229-hdnzs9o6 66 13 potential potential JJ cord-267229-hdnzs9o6 66 14 risk risk NN cord-267229-hdnzs9o6 66 15 for for IN cord-267229-hdnzs9o6 66 16 serious serious JJ cord-267229-hdnzs9o6 66 17 adverse adverse JJ cord-267229-hdnzs9o6 66 18 events event NNS cord-267229-hdnzs9o6 66 19 . . . cord-267229-hdnzs9o6 67 1 ESD ESD NNP cord-267229-hdnzs9o6 67 2 training training NN cord-267229-hdnzs9o6 67 3 in in IN cord-267229-hdnzs9o6 67 4 Japan Japan NNP cord-267229-hdnzs9o6 67 5 follows follow VBZ cord-267229-hdnzs9o6 67 6 the the DT cord-267229-hdnzs9o6 67 7 traditional traditional JJ cord-267229-hdnzs9o6 67 8 master master NN cord-267229-hdnzs9o6 67 9 - - HYPH cord-267229-hdnzs9o6 67 10 apprentice apprentice NN cord-267229-hdnzs9o6 67 11 model model NN cord-267229-hdnzs9o6 67 12 . . . cord-267229-hdnzs9o6 68 1 This this DT cord-267229-hdnzs9o6 68 2 template template NN cord-267229-hdnzs9o6 68 3 for for IN cord-267229-hdnzs9o6 68 4 therapeutic therapeutic JJ cord-267229-hdnzs9o6 68 5 training training NN cord-267229-hdnzs9o6 68 6 has have VBZ cord-267229-hdnzs9o6 68 7 been be VBN cord-267229-hdnzs9o6 68 8 very very RB cord-267229-hdnzs9o6 68 9 successful successful JJ cord-267229-hdnzs9o6 68 10 in in IN cord-267229-hdnzs9o6 68 11 Japan Japan NNP cord-267229-hdnzs9o6 68 12 , , , cord-267229-hdnzs9o6 68 13 where where WRB cord-267229-hdnzs9o6 68 14 trainees trainee NNS cord-267229-hdnzs9o6 68 15 are be VBP cord-267229-hdnzs9o6 68 16 highly highly RB cord-267229-hdnzs9o6 68 17 subspecialized subspecialize VBN cord-267229-hdnzs9o6 68 18 and and CC cord-267229-hdnzs9o6 68 19 undergo undergo VB cord-267229-hdnzs9o6 68 20 extensive extensive JJ cord-267229-hdnzs9o6 68 21 cognitive cognitive JJ cord-267229-hdnzs9o6 68 22 and and CC cord-267229-hdnzs9o6 68 23 technical technical JJ cord-267229-hdnzs9o6 68 24 training training NN cord-267229-hdnzs9o6 68 25 under under IN cord-267229-hdnzs9o6 68 26 direct direct JJ cord-267229-hdnzs9o6 68 27 supervision supervision NN cord-267229-hdnzs9o6 68 28 . . . cord-267229-hdnzs9o6 69 1 However however RB cord-267229-hdnzs9o6 69 2 , , , cord-267229-hdnzs9o6 69 3 due due IN cord-267229-hdnzs9o6 69 4 to to IN cord-267229-hdnzs9o6 69 5 multiple multiple JJ cord-267229-hdnzs9o6 69 6 factors factor NNS cord-267229-hdnzs9o6 69 7 , , , cord-267229-hdnzs9o6 69 8 including include VBG cord-267229-hdnzs9o6 69 9 the the DT cord-267229-hdnzs9o6 69 10 limited limited JJ cord-267229-hdnzs9o6 69 11 number number NN cord-267229-hdnzs9o6 69 12 of of IN cord-267229-hdnzs9o6 69 13 local local JJ cord-267229-hdnzs9o6 69 14 ESD ESD NNP cord-267229-hdnzs9o6 69 15 experts expert NNS cord-267229-hdnzs9o6 69 16 and and CC cord-267229-hdnzs9o6 69 17 training training NN cord-267229-hdnzs9o6 69 18 opportunities opportunity NNS cord-267229-hdnzs9o6 69 19 , , , cord-267229-hdnzs9o6 69 20 this this DT cord-267229-hdnzs9o6 69 21 model model NN cord-267229-hdnzs9o6 69 22 is be VBZ cord-267229-hdnzs9o6 69 23 not not RB cord-267229-hdnzs9o6 69 24 translatable translatable JJ cord-267229-hdnzs9o6 69 25 to to IN cord-267229-hdnzs9o6 69 26 Western western JJ cord-267229-hdnzs9o6 69 27 countries country NNS cord-267229-hdnzs9o6 69 28 . . . cord-267229-hdnzs9o6 70 1 Consequently consequently RB cord-267229-hdnzs9o6 70 2 , , , cord-267229-hdnzs9o6 70 3 the the DT cord-267229-hdnzs9o6 70 4 transition transition NN cord-267229-hdnzs9o6 70 5 of of IN cord-267229-hdnzs9o6 70 6 ESD ESD NNP cord-267229-hdnzs9o6 70 7 to to IN cord-267229-hdnzs9o6 70 8 the the DT cord-267229-hdnzs9o6 70 9 West West NNP cord-267229-hdnzs9o6 70 10 has have VBZ cord-267229-hdnzs9o6 70 11 been be VBN cord-267229-hdnzs9o6 70 12 slower slow JJR cord-267229-hdnzs9o6 70 13 than than IN cord-267229-hdnzs9o6 70 14 its -PRON- PRP$ cord-267229-hdnzs9o6 70 15 uptake uptake NN cord-267229-hdnzs9o6 70 16 in in IN cord-267229-hdnzs9o6 70 17 Asia Asia NNP cord-267229-hdnzs9o6 70 18 [ [ -LRB- cord-267229-hdnzs9o6 70 19 18 18 CD cord-267229-hdnzs9o6 70 20 ] ] -RRB- cord-267229-hdnzs9o6 70 21 . . . cord-267229-hdnzs9o6 71 1 In in IN cord-267229-hdnzs9o6 71 2 light light NN cord-267229-hdnzs9o6 71 3 of of IN cord-267229-hdnzs9o6 71 4 these these DT cord-267229-hdnzs9o6 71 5 issues issue NNS cord-267229-hdnzs9o6 71 6 , , , cord-267229-hdnzs9o6 71 7 the the DT cord-267229-hdnzs9o6 71 8 European European NNP cord-267229-hdnzs9o6 71 9 Society Society NNP cord-267229-hdnzs9o6 71 10 of of IN cord-267229-hdnzs9o6 71 11 Gastrointestinal Gastrointestinal NNP cord-267229-hdnzs9o6 71 12 Endoscopy Endoscopy NNP cord-267229-hdnzs9o6 71 13 ( ( -LRB- cord-267229-hdnzs9o6 71 14 ESGE ESGE NNP cord-267229-hdnzs9o6 71 15 ) ) -RRB- cord-267229-hdnzs9o6 71 16 recently recently RB cord-267229-hdnzs9o6 71 17 issued issue VBD cord-267229-hdnzs9o6 71 18 a a DT cord-267229-hdnzs9o6 71 19 position position NN cord-267229-hdnzs9o6 71 20 statement statement NN cord-267229-hdnzs9o6 71 21 with with IN cord-267229-hdnzs9o6 71 22 recommendations recommendation NNS cord-267229-hdnzs9o6 71 23 for for IN cord-267229-hdnzs9o6 71 24 a a DT cord-267229-hdnzs9o6 71 25 core core JJ cord-267229-hdnzs9o6 71 26 curriculum curriculum NN cord-267229-hdnzs9o6 71 27 to to TO cord-267229-hdnzs9o6 71 28 achieve achieve VB cord-267229-hdnzs9o6 71 29 high high JJ cord-267229-hdnzs9o6 71 30 quality quality NN cord-267229-hdnzs9o6 71 31 training training NN cord-267229-hdnzs9o6 71 32 in in IN cord-267229-hdnzs9o6 71 33 ESD ESD NNP cord-267229-hdnzs9o6 71 34 [ [ -LRB- cord-267229-hdnzs9o6 71 35 19 19 CD cord-267229-hdnzs9o6 71 36 ] ] -RRB- cord-267229-hdnzs9o6 71 37 , , , cord-267229-hdnzs9o6 71 38 clearly clearly RB cord-267229-hdnzs9o6 71 39 outlining outline VBG cord-267229-hdnzs9o6 71 40 that that IN cord-267229-hdnzs9o6 71 41 trainees trainee NNS cord-267229-hdnzs9o6 71 42 should should MD cord-267229-hdnzs9o6 71 43 not not RB cord-267229-hdnzs9o6 71 44 perform perform VB cord-267229-hdnzs9o6 71 45 complex complex JJ cord-267229-hdnzs9o6 71 46 endoscopic endoscopic JJ cord-267229-hdnzs9o6 71 47 procedures procedure NNS cord-267229-hdnzs9o6 71 48 in in IN cord-267229-hdnzs9o6 71 49 humans human NNS cord-267229-hdnzs9o6 71 50 independently independently RB cord-267229-hdnzs9o6 71 51 without without IN cord-267229-hdnzs9o6 71 52 having have VBG cord-267229-hdnzs9o6 71 53 undergone undergo VBN cord-267229-hdnzs9o6 71 54 sufficient sufficient JJ cord-267229-hdnzs9o6 71 55 training training NN cord-267229-hdnzs9o6 71 56 ( ( -LRB- cord-267229-hdnzs9o6 71 57 ie ie FW cord-267229-hdnzs9o6 71 58 , , , cord-267229-hdnzs9o6 71 59 supervised supervise VBN cord-267229-hdnzs9o6 71 60 cases case NNS cord-267229-hdnzs9o6 71 61 by by IN cord-267229-hdnzs9o6 71 62 experts expert NNS cord-267229-hdnzs9o6 71 63 , , , cord-267229-hdnzs9o6 71 64 structured structure VBN cord-267229-hdnzs9o6 71 65 focused focused JJ cord-267229-hdnzs9o6 71 66 fellowships fellowship NNS cord-267229-hdnzs9o6 71 67 ) ) -RRB- cord-267229-hdnzs9o6 71 68 . . . cord-267229-hdnzs9o6 72 1 The the DT cord-267229-hdnzs9o6 72 2 primary primary JJ cord-267229-hdnzs9o6 72 3 aims aim NNS cord-267229-hdnzs9o6 72 4 of of IN cord-267229-hdnzs9o6 72 5 this this DT cord-267229-hdnzs9o6 72 6 curriculum curriculum NN cord-267229-hdnzs9o6 72 7 included include VBD cord-267229-hdnzs9o6 72 8 ( ( -LRB- cord-267229-hdnzs9o6 72 9 1 1 LS cord-267229-hdnzs9o6 72 10 ) ) -RRB- cord-267229-hdnzs9o6 72 11 the the DT cord-267229-hdnzs9o6 72 12 definition definition NN cord-267229-hdnzs9o6 72 13 of of IN cord-267229-hdnzs9o6 72 14 skills skill NNS cord-267229-hdnzs9o6 72 15 and and CC cord-267229-hdnzs9o6 72 16 competence competence NN cord-267229-hdnzs9o6 72 17 needed need VBN cord-267229-hdnzs9o6 72 18 before before IN cord-267229-hdnzs9o6 72 19 ESD ESD NNP cord-267229-hdnzs9o6 72 20 training training NN cord-267229-hdnzs9o6 72 21 ; ; , cord-267229-hdnzs9o6 72 22 ( ( -LRB- cord-267229-hdnzs9o6 72 23 2 2 LS cord-267229-hdnzs9o6 72 24 ) ) -RRB- cord-267229-hdnzs9o6 72 25 to to TO cord-267229-hdnzs9o6 72 26 develop develop VB cord-267229-hdnzs9o6 72 27 a a DT cord-267229-hdnzs9o6 72 28 standardized standardized JJ cord-267229-hdnzs9o6 72 29 core core NN cord-267229-hdnzs9o6 72 30 curriculum curriculum NN cord-267229-hdnzs9o6 72 31 for for IN cord-267229-hdnzs9o6 72 32 ESD ESD NNP cord-267229-hdnzs9o6 72 33 practice practice NN cord-267229-hdnzs9o6 72 34 through through IN cord-267229-hdnzs9o6 72 35 the the DT cord-267229-hdnzs9o6 72 36 establishment establishment NN cord-267229-hdnzs9o6 72 37 of of IN cord-267229-hdnzs9o6 72 38 minimum minimum JJ cord-267229-hdnzs9o6 72 39 standards standard NNS cord-267229-hdnzs9o6 72 40 ; ; , cord-267229-hdnzs9o6 72 41 ( ( -LRB- cord-267229-hdnzs9o6 72 42 3 3 LS cord-267229-hdnzs9o6 72 43 ) ) -RRB- cord-267229-hdnzs9o6 72 44 and and CC cord-267229-hdnzs9o6 72 45 to to TO cord-267229-hdnzs9o6 72 46 define define VB cord-267229-hdnzs9o6 72 47 a a DT cord-267229-hdnzs9o6 72 48 training training NN cord-267229-hdnzs9o6 72 49 program program NN cord-267229-hdnzs9o6 72 50 for for IN cord-267229-hdnzs9o6 72 51 endoscopists endoscopist NNS cord-267229-hdnzs9o6 72 52 who who WP cord-267229-hdnzs9o6 72 53 want want VBP cord-267229-hdnzs9o6 72 54 to to TO cord-267229-hdnzs9o6 72 55 start start VB cord-267229-hdnzs9o6 72 56 ESD ESD NNP cord-267229-hdnzs9o6 72 57 practice practice NN cord-267229-hdnzs9o6 72 58 in in IN cord-267229-hdnzs9o6 72 59 their -PRON- PRP$ cord-267229-hdnzs9o6 72 60 center center NN cord-267229-hdnzs9o6 72 61 . . . cord-267229-hdnzs9o6 73 1 The the DT cord-267229-hdnzs9o6 73 2 ESGE ESGE NNP cord-267229-hdnzs9o6 73 3 recognizes recognize VBZ cord-267229-hdnzs9o6 73 4 that that IN cord-267229-hdnzs9o6 73 5 competence competence NN cord-267229-hdnzs9o6 73 6 in in IN cord-267229-hdnzs9o6 73 7 ESD ESD NNP cord-267229-hdnzs9o6 73 8 requires require VBZ cord-267229-hdnzs9o6 73 9 an an DT cord-267229-hdnzs9o6 73 10 in in IN cord-267229-hdnzs9o6 73 11 - - HYPH cord-267229-hdnzs9o6 73 12 depth depth NN cord-267229-hdnzs9o6 73 13 understanding understanding NN cord-267229-hdnzs9o6 73 14 of of IN cord-267229-hdnzs9o6 73 15 all all PDT cord-267229-hdnzs9o6 73 16 the the DT cord-267229-hdnzs9o6 73 17 available available JJ cord-267229-hdnzs9o6 73 18 modalities modality NNS cord-267229-hdnzs9o6 73 19 for for IN cord-267229-hdnzs9o6 73 20 appropriate appropriate JJ cord-267229-hdnzs9o6 73 21 lesion lesion NN cord-267229-hdnzs9o6 73 22 characterization characterization NN cord-267229-hdnzs9o6 73 23 and and CC cord-267229-hdnzs9o6 73 24 selection selection NN cord-267229-hdnzs9o6 73 25 . . . cord-267229-hdnzs9o6 74 1 Hence hence RB cord-267229-hdnzs9o6 74 2 , , , cord-267229-hdnzs9o6 74 3 proficiency proficiency NN cord-267229-hdnzs9o6 74 4 in in IN cord-267229-hdnzs9o6 74 5 advanced advanced JJ cord-267229-hdnzs9o6 74 6 diagnostic diagnostic JJ cord-267229-hdnzs9o6 74 7 techniques technique NNS cord-267229-hdnzs9o6 74 8 , , , cord-267229-hdnzs9o6 74 9 including include VBG cord-267229-hdnzs9o6 74 10 knowledge knowledge NN cord-267229-hdnzs9o6 74 11 of of IN cord-267229-hdnzs9o6 74 12 endoscopic endoscopic JJ cord-267229-hdnzs9o6 74 13 classification classification NN cord-267229-hdnzs9o6 74 14 systems system NNS cord-267229-hdnzs9o6 74 15 , , , cord-267229-hdnzs9o6 74 16 are be VBP cord-267229-hdnzs9o6 74 17 considered consider VBN cord-267229-hdnzs9o6 74 18 a a DT cord-267229-hdnzs9o6 74 19 requisite requisite JJ cord-267229-hdnzs9o6 74 20 before before IN cord-267229-hdnzs9o6 74 21 ESD ESD NNP cord-267229-hdnzs9o6 74 22 training training NN cord-267229-hdnzs9o6 74 23 . . . cord-267229-hdnzs9o6 75 1 Given give VBN cord-267229-hdnzs9o6 75 2 that that IN cord-267229-hdnzs9o6 75 3 ESD ESD NNP cord-267229-hdnzs9o6 75 4 is be VBZ cord-267229-hdnzs9o6 75 5 a a DT cord-267229-hdnzs9o6 75 6 technically technically RB cord-267229-hdnzs9o6 75 7 complex complex JJ cord-267229-hdnzs9o6 75 8 procedure procedure NN cord-267229-hdnzs9o6 75 9 that that WDT cord-267229-hdnzs9o6 75 10 requires require VBZ cord-267229-hdnzs9o6 75 11 precise precise JJ cord-267229-hdnzs9o6 75 12 endoscope endoscope NN cord-267229-hdnzs9o6 75 13 control control NN cord-267229-hdnzs9o6 75 14 , , , cord-267229-hdnzs9o6 75 15 prior prior JJ cord-267229-hdnzs9o6 75 16 EMR EMR NNP cord-267229-hdnzs9o6 75 17 skills skill NNS cord-267229-hdnzs9o6 75 18 are be VBP cord-267229-hdnzs9o6 75 19 necessary necessary JJ cord-267229-hdnzs9o6 75 20 to to TO cord-267229-hdnzs9o6 75 21 serve serve VB cord-267229-hdnzs9o6 75 22 as as IN cord-267229-hdnzs9o6 75 23 a a DT cord-267229-hdnzs9o6 75 24 foundation foundation NN cord-267229-hdnzs9o6 75 25 for for IN cord-267229-hdnzs9o6 75 26 needed needed JJ cord-267229-hdnzs9o6 75 27 skills skill NNS cord-267229-hdnzs9o6 75 28 in in IN cord-267229-hdnzs9o6 75 29 advanced advanced JJ cord-267229-hdnzs9o6 75 30 resection resection NN cord-267229-hdnzs9o6 75 31 , , , cord-267229-hdnzs9o6 75 32 including include VBG cord-267229-hdnzs9o6 75 33 injection injection NN cord-267229-hdnzs9o6 75 34 , , , cord-267229-hdnzs9o6 75 35 hemostasis hemostasis NN cord-267229-hdnzs9o6 75 36 and and CC cord-267229-hdnzs9o6 75 37 management management NN cord-267229-hdnzs9o6 75 38 of of IN cord-267229-hdnzs9o6 75 39 adverse adverse JJ cord-267229-hdnzs9o6 75 40 events event NNS cord-267229-hdnzs9o6 75 41 . . . cord-267229-hdnzs9o6 76 1 The the DT cord-267229-hdnzs9o6 76 2 core core NN cord-267229-hdnzs9o6 76 3 curriculum curriculum NN cord-267229-hdnzs9o6 76 4 proposed propose VBN cord-267229-hdnzs9o6 76 5 by by IN cord-267229-hdnzs9o6 76 6 the the DT cord-267229-hdnzs9o6 76 7 ESGE ESGE NNP cord-267229-hdnzs9o6 76 8 guidelines guideline NNS cord-267229-hdnzs9o6 76 9 parallels parallel VBZ cord-267229-hdnzs9o6 76 10 training training NN cord-267229-hdnzs9o6 76 11 pathways pathway NNS cord-267229-hdnzs9o6 76 12 that that WDT cord-267229-hdnzs9o6 76 13 have have VBP cord-267229-hdnzs9o6 76 14 been be VBN cord-267229-hdnzs9o6 76 15 previously previously RB cord-267229-hdnzs9o6 76 16 suggested suggest VBN cord-267229-hdnzs9o6 76 17 for for IN cord-267229-hdnzs9o6 76 18 ESD ESD NNP cord-267229-hdnzs9o6 76 19 training training NN cord-267229-hdnzs9o6 76 20 in in IN cord-267229-hdnzs9o6 76 21 the the DT cord-267229-hdnzs9o6 76 22 West West NNP cord-267229-hdnzs9o6 76 23 [ [ -LRB- cord-267229-hdnzs9o6 76 24 18 18 CD cord-267229-hdnzs9o6 76 25 , , , cord-267229-hdnzs9o6 76 26 20 20 CD cord-267229-hdnzs9o6 76 27 , , , cord-267229-hdnzs9o6 76 28 21 21 CD cord-267229-hdnzs9o6 76 29 ] ] -RRB- cord-267229-hdnzs9o6 76 30 . . . cord-267229-hdnzs9o6 77 1 As as IN cord-267229-hdnzs9o6 77 2 we -PRON- PRP cord-267229-hdnzs9o6 77 3 have have VBP cord-267229-hdnzs9o6 77 4 previously previously RB cord-267229-hdnzs9o6 77 5 suggested suggest VBN cord-267229-hdnzs9o6 77 6 [ [ -LRB- cord-267229-hdnzs9o6 77 7 18 18 CD cord-267229-hdnzs9o6 77 8 , , , cord-267229-hdnzs9o6 77 9 20 20 CD cord-267229-hdnzs9o6 77 10 , , , cord-267229-hdnzs9o6 77 11 21 21 CD cord-267229-hdnzs9o6 77 12 ] ] -RRB- cord-267229-hdnzs9o6 77 13 , , , cord-267229-hdnzs9o6 77 14 live live VBP cord-267229-hdnzs9o6 77 15 ESD ESD NNP cord-267229-hdnzs9o6 77 16 courses course NNS cord-267229-hdnzs9o6 77 17 and and CC cord-267229-hdnzs9o6 77 18 meetings meeting NNS cord-267229-hdnzs9o6 77 19 can can MD cord-267229-hdnzs9o6 77 20 serve serve VB cord-267229-hdnzs9o6 77 21 as as IN cord-267229-hdnzs9o6 77 22 an an DT cord-267229-hdnzs9o6 77 23 initial initial JJ cord-267229-hdnzs9o6 77 24 venue venue NN cord-267229-hdnzs9o6 77 25 for for IN cord-267229-hdnzs9o6 77 26 trainees trainee NNS cord-267229-hdnzs9o6 77 27 to to TO cord-267229-hdnzs9o6 77 28 learn learn VB cord-267229-hdnzs9o6 77 29 the the DT cord-267229-hdnzs9o6 77 30 basics basic NNS cord-267229-hdnzs9o6 77 31 on on IN cord-267229-hdnzs9o6 77 32 theoretical theoretical JJ cord-267229-hdnzs9o6 77 33 knowledge knowledge NN cord-267229-hdnzs9o6 77 34 , , , cord-267229-hdnzs9o6 77 35 techniques technique NNS cord-267229-hdnzs9o6 77 36 and and CC cord-267229-hdnzs9o6 77 37 ESD ESD NNP cord-267229-hdnzs9o6 77 38 devices device NNS cord-267229-hdnzs9o6 77 39 . . . cord-267229-hdnzs9o6 78 1 Hands hand NNS cord-267229-hdnzs9o6 78 2 - - HYPH cord-267229-hdnzs9o6 78 3 on on RP cord-267229-hdnzs9o6 78 4 training training NN cord-267229-hdnzs9o6 78 5 on on IN cord-267229-hdnzs9o6 78 6 animal animal NN cord-267229-hdnzs9o6 78 7 models model NNS cord-267229-hdnzs9o6 78 8 is be VBZ cord-267229-hdnzs9o6 78 9 strongly strongly RB cord-267229-hdnzs9o6 78 10 recommended recommend VBN cord-267229-hdnzs9o6 78 11 as as IN cord-267229-hdnzs9o6 78 12 this this DT cord-267229-hdnzs9o6 78 13 has have VBZ cord-267229-hdnzs9o6 78 14 been be VBN cord-267229-hdnzs9o6 78 15 shown show VBN cord-267229-hdnzs9o6 78 16 to to TO cord-267229-hdnzs9o6 78 17 improve improve VB cord-267229-hdnzs9o6 78 18 ESD ESD NNP cord-267229-hdnzs9o6 78 19 outcomes outcome NNS cord-267229-hdnzs9o6 78 20 and and CC cord-267229-hdnzs9o6 78 21 the the DT cord-267229-hdnzs9o6 78 22 skills skill NNS cord-267229-hdnzs9o6 78 23 needed need VBN cord-267229-hdnzs9o6 78 24 for for IN cord-267229-hdnzs9o6 78 25 the the DT cord-267229-hdnzs9o6 78 26 management management NN cord-267229-hdnzs9o6 78 27 of of IN cord-267229-hdnzs9o6 78 28 adverse adverse JJ cord-267229-hdnzs9o6 78 29 events event NNS cord-267229-hdnzs9o6 78 30 [ [ -LRB- cord-267229-hdnzs9o6 78 31 22 22 CD cord-267229-hdnzs9o6 78 32 , , , cord-267229-hdnzs9o6 78 33 23 23 CD cord-267229-hdnzs9o6 78 34 ] ] -RRB- cord-267229-hdnzs9o6 78 35 . . . cord-267229-hdnzs9o6 79 1 The the DT cord-267229-hdnzs9o6 79 2 ESGE ESGE NNP cord-267229-hdnzs9o6 79 3 recommends recommend VBZ cord-267229-hdnzs9o6 79 4 that that IN cord-267229-hdnzs9o6 79 5 trainees trainee NNS cord-267229-hdnzs9o6 79 6 should should MD cord-267229-hdnzs9o6 79 7 perform perform VB cord-267229-hdnzs9o6 79 8 at at RB cord-267229-hdnzs9o6 79 9 least least RBS cord-267229-hdnzs9o6 79 10 20 20 CD cord-267229-hdnzs9o6 79 11 ESD ESD NNP cord-267229-hdnzs9o6 79 12 procedures procedure NNS cord-267229-hdnzs9o6 79 13 in in IN cord-267229-hdnzs9o6 79 14 animal animal NN cord-267229-hdnzs9o6 79 15 models model NNS cord-267229-hdnzs9o6 79 16 before before IN cord-267229-hdnzs9o6 79 17 undertaking undertake VBG cord-267229-hdnzs9o6 79 18 any any DT cord-267229-hdnzs9o6 79 19 human human JJ cord-267229-hdnzs9o6 79 20 cases case NNS cord-267229-hdnzs9o6 79 21 . . . cord-267229-hdnzs9o6 80 1 After after IN cord-267229-hdnzs9o6 80 2 this this DT cord-267229-hdnzs9o6 80 3 , , , cord-267229-hdnzs9o6 80 4 trainees trainee NNS cord-267229-hdnzs9o6 80 5 should should MD cord-267229-hdnzs9o6 80 6 observe observe VB cord-267229-hdnzs9o6 80 7 ( ( -LRB- cord-267229-hdnzs9o6 80 8 20 20 CD cord-267229-hdnzs9o6 80 9 cases case NNS cord-267229-hdnzs9o6 80 10 ) ) -RRB- cord-267229-hdnzs9o6 80 11 and and CC cord-267229-hdnzs9o6 80 12 assist assist VB cord-267229-hdnzs9o6 80 13 ( ( -LRB- cord-267229-hdnzs9o6 80 14 5 5 CD cord-267229-hdnzs9o6 80 15 cases case NNS cord-267229-hdnzs9o6 80 16 ) ) -RRB- cord-267229-hdnzs9o6 80 17 experts expert NNS cord-267229-hdnzs9o6 80 18 on on IN cord-267229-hdnzs9o6 80 19 live live JJ cord-267229-hdnzs9o6 80 20 human human JJ cord-267229-hdnzs9o6 80 21 ESD ESD NNP cord-267229-hdnzs9o6 80 22 procedures procedure NNS cord-267229-hdnzs9o6 80 23 before before IN cord-267229-hdnzs9o6 80 24 performing perform VBG cord-267229-hdnzs9o6 80 25 cases case NNS cord-267229-hdnzs9o6 80 26 on on IN cord-267229-hdnzs9o6 80 27 carefully carefully RB cord-267229-hdnzs9o6 80 28 selected select VBN cord-267229-hdnzs9o6 80 29 lesions lesion NNS cord-267229-hdnzs9o6 80 30 under under IN cord-267229-hdnzs9o6 80 31 direct direct JJ cord-267229-hdnzs9o6 80 32 supervision supervision NN cord-267229-hdnzs9o6 80 33 ( ( -LRB- cord-267229-hdnzs9o6 80 34 10 10 CD cord-267229-hdnzs9o6 80 35 cases case NNS cord-267229-hdnzs9o6 80 36 ) ) -RRB- cord-267229-hdnzs9o6 80 37 . . . cord-267229-hdnzs9o6 81 1 According accord VBG cord-267229-hdnzs9o6 81 2 to to IN cord-267229-hdnzs9o6 81 3 this this DT cord-267229-hdnzs9o6 81 4 ESGE ESGE NNP cord-267229-hdnzs9o6 81 5 curriculum curriculum NN cord-267229-hdnzs9o6 81 6 , , , cord-267229-hdnzs9o6 81 7 trainees trainee NNS cord-267229-hdnzs9o6 81 8 can can MD cord-267229-hdnzs9o6 81 9 then then RB cord-267229-hdnzs9o6 81 10 start start VB cord-267229-hdnzs9o6 81 11 ESD ESD NNP cord-267229-hdnzs9o6 81 12 in in IN cord-267229-hdnzs9o6 81 13 their -PRON- PRP$ cord-267229-hdnzs9o6 81 14 own own JJ cord-267229-hdnzs9o6 81 15 centers center NNS cord-267229-hdnzs9o6 81 16 once once IN cord-267229-hdnzs9o6 81 17 they -PRON- PRP cord-267229-hdnzs9o6 81 18 have have VBP cord-267229-hdnzs9o6 81 19 fulfilled fulfil VBN cord-267229-hdnzs9o6 81 20 these these DT cord-267229-hdnzs9o6 81 21 requirements requirement NNS cord-267229-hdnzs9o6 81 22 as as IN cord-267229-hdnzs9o6 81 23 confirmed confirm VBN cord-267229-hdnzs9o6 81 24 by by IN cord-267229-hdnzs9o6 81 25 an an DT cord-267229-hdnzs9o6 81 26 " " `` cord-267229-hdnzs9o6 81 27 expert expert NN cord-267229-hdnzs9o6 81 28 in in IN cord-267229-hdnzs9o6 81 29 ESD ESD NNP cord-267229-hdnzs9o6 81 30 " " '' cord-267229-hdnzs9o6 81 31 [ [ -LRB- cord-267229-hdnzs9o6 81 32 19 19 CD cord-267229-hdnzs9o6 81 33 ] ] -RRB- cord-267229-hdnzs9o6 81 34 . . . cord-267229-hdnzs9o6 82 1 Although although IN cord-267229-hdnzs9o6 82 2 these these DT cord-267229-hdnzs9o6 82 3 guidelines guideline NNS cord-267229-hdnzs9o6 82 4 provide provide VBP cord-267229-hdnzs9o6 82 5 a a DT cord-267229-hdnzs9o6 82 6 potential potential JJ cord-267229-hdnzs9o6 82 7 framework framework NN cord-267229-hdnzs9o6 82 8 for for IN cord-267229-hdnzs9o6 82 9 ESD ESD NNP cord-267229-hdnzs9o6 82 10 training training NN cord-267229-hdnzs9o6 82 11 , , , cord-267229-hdnzs9o6 82 12 several several JJ cord-267229-hdnzs9o6 82 13 logistical logistical JJ cord-267229-hdnzs9o6 82 14 issues issue NNS cord-267229-hdnzs9o6 82 15 should should MD cord-267229-hdnzs9o6 82 16 be be VB cord-267229-hdnzs9o6 82 17 highlighted highlight VBN cord-267229-hdnzs9o6 82 18 . . . cord-267229-hdnzs9o6 83 1 For for IN cord-267229-hdnzs9o6 83 2 one one CD cord-267229-hdnzs9o6 83 3 , , , cord-267229-hdnzs9o6 83 4 this this DT cord-267229-hdnzs9o6 83 5 model model NN cord-267229-hdnzs9o6 83 6 is be VBZ cord-267229-hdnzs9o6 83 7 difficult difficult JJ cord-267229-hdnzs9o6 83 8 to to TO cord-267229-hdnzs9o6 83 9 adopt adopt VB cord-267229-hdnzs9o6 83 10 in in IN cord-267229-hdnzs9o6 83 11 the the DT cord-267229-hdnzs9o6 83 12 United United NNP cord-267229-hdnzs9o6 83 13 States States NNP cord-267229-hdnzs9o6 83 14 where where WRB cord-267229-hdnzs9o6 83 15 cases case NNS cord-267229-hdnzs9o6 83 16 are be VBP cord-267229-hdnzs9o6 83 17 sporadic sporadic JJ cord-267229-hdnzs9o6 83 18 and and CC cord-267229-hdnzs9o6 83 19 may may MD cord-267229-hdnzs9o6 83 20 be be VB cord-267229-hdnzs9o6 83 21 far far RB cord-267229-hdnzs9o6 83 22 in in IN cord-267229-hdnzs9o6 83 23 between between IN cord-267229-hdnzs9o6 83 24 even even RB cord-267229-hdnzs9o6 83 25 in in IN cord-267229-hdnzs9o6 83 26 specialized specialized JJ cord-267229-hdnzs9o6 83 27 centers center NNS cord-267229-hdnzs9o6 83 28 . . . cord-267229-hdnzs9o6 84 1 ESD ESD NNP cord-267229-hdnzs9o6 84 2 trainees trainee NNS cord-267229-hdnzs9o6 84 3 are be VBP cord-267229-hdnzs9o6 84 4 often often RB cord-267229-hdnzs9o6 84 5 full full JJ cord-267229-hdnzs9o6 84 6 - - HYPH cord-267229-hdnzs9o6 84 7 time time NN cord-267229-hdnzs9o6 84 8 interventional interventional JJ cord-267229-hdnzs9o6 84 9 endoscopists endoscopist NNS cord-267229-hdnzs9o6 84 10 at at IN cord-267229-hdnzs9o6 84 11 their -PRON- PRP$ cord-267229-hdnzs9o6 84 12 own own JJ cord-267229-hdnzs9o6 84 13 institutions institution NNS cord-267229-hdnzs9o6 84 14 and and CC cord-267229-hdnzs9o6 84 15 may may MD cord-267229-hdnzs9o6 84 16 not not RB cord-267229-hdnzs9o6 84 17 be be VB cord-267229-hdnzs9o6 84 18 able able JJ cord-267229-hdnzs9o6 84 19 to to TO cord-267229-hdnzs9o6 84 20 arrange arrange VB cord-267229-hdnzs9o6 84 21 travel travel NN cord-267229-hdnzs9o6 84 22 arrangements arrangement NNS cord-267229-hdnzs9o6 84 23 in in IN cord-267229-hdnzs9o6 84 24 short short JJ cord-267229-hdnzs9o6 84 25 notice notice NN cord-267229-hdnzs9o6 84 26 . . . cord-267229-hdnzs9o6 85 1 Noteworthy noteworthy JJ cord-267229-hdnzs9o6 85 2 , , , cord-267229-hdnzs9o6 85 3 due due IN cord-267229-hdnzs9o6 85 4 to to IN cord-267229-hdnzs9o6 85 5 hospital hospital NN cord-267229-hdnzs9o6 85 6 policies policy NNS cord-267229-hdnzs9o6 85 7 , , , cord-267229-hdnzs9o6 85 8 visiting visit VBG cord-267229-hdnzs9o6 85 9 trainees trainee NNS cord-267229-hdnzs9o6 85 10 are be VBP cord-267229-hdnzs9o6 85 11 often often RB cord-267229-hdnzs9o6 85 12 restricted restrict VBN cord-267229-hdnzs9o6 85 13 to to IN cord-267229-hdnzs9o6 85 14 observing observe VBG cord-267229-hdnzs9o6 85 15 cases case NNS cord-267229-hdnzs9o6 85 16 only only RB cord-267229-hdnzs9o6 85 17 , , , cord-267229-hdnzs9o6 85 18 as as IN cord-267229-hdnzs9o6 85 19 they -PRON- PRP cord-267229-hdnzs9o6 85 20 are be VBP cord-267229-hdnzs9o6 85 21 not not RB cord-267229-hdnzs9o6 85 22 credentialed credentialed JJ cord-267229-hdnzs9o6 85 23 to to IN cord-267229-hdnzs9o6 85 24 actively actively RB cord-267229-hdnzs9o6 85 25 " " `` cord-267229-hdnzs9o6 85 26 assist assist VB cord-267229-hdnzs9o6 85 27 " " '' cord-267229-hdnzs9o6 85 28 in in IN cord-267229-hdnzs9o6 85 29 the the DT cord-267229-hdnzs9o6 85 30 care care NN cord-267229-hdnzs9o6 85 31 of of IN cord-267229-hdnzs9o6 85 32 patients patient NNS cord-267229-hdnzs9o6 85 33 . . . cord-267229-hdnzs9o6 86 1 Last last RB cord-267229-hdnzs9o6 86 2 , , , cord-267229-hdnzs9o6 86 3 we -PRON- PRP cord-267229-hdnzs9o6 86 4 need need VBP cord-267229-hdnzs9o6 86 5 to to TO cord-267229-hdnzs9o6 86 6 recognize recognize VB cord-267229-hdnzs9o6 86 7 that that IN cord-267229-hdnzs9o6 86 8 these these DT cord-267229-hdnzs9o6 86 9 suggested suggest VBN cord-267229-hdnzs9o6 86 10 guidelines guideline NNS cord-267229-hdnzs9o6 86 11 are be VBP cord-267229-hdnzs9o6 86 12 mainly mainly RB cord-267229-hdnzs9o6 86 13 based base VBN cord-267229-hdnzs9o6 86 14 on on IN cord-267229-hdnzs9o6 86 15 expert expert JJ cord-267229-hdnzs9o6 86 16 opinion opinion NN cord-267229-hdnzs9o6 86 17 and and CC cord-267229-hdnzs9o6 86 18 that that IN cord-267229-hdnzs9o6 86 19 robust robust JJ cord-267229-hdnzs9o6 86 20 data datum NNS cord-267229-hdnzs9o6 86 21 substantiating substantiate VBG cord-267229-hdnzs9o6 86 22 these these DT cord-267229-hdnzs9o6 86 23 training training NN cord-267229-hdnzs9o6 86 24 recommendations recommendation NNS cord-267229-hdnzs9o6 86 25 are be VBP cord-267229-hdnzs9o6 86 26 lacking lack VBG cord-267229-hdnzs9o6 86 27 . . . cord-267229-hdnzs9o6 87 1 Peroral Peroral NNP cord-267229-hdnzs9o6 87 2 Endoscopic Endoscopic NNP cord-267229-hdnzs9o6 87 3 Myotomy Myotomy NNP cord-267229-hdnzs9o6 87 4 . . . cord-267229-hdnzs9o6 88 1 Peroral peroral JJ cord-267229-hdnzs9o6 88 2 endoscopic endoscopic NNS cord-267229-hdnzs9o6 88 3 myotomy myotomy NN cord-267229-hdnzs9o6 88 4 ( ( -LRB- cord-267229-hdnzs9o6 88 5 POEM poem NN cord-267229-hdnzs9o6 88 6 ) ) -RRB- cord-267229-hdnzs9o6 88 7 is be VBZ cord-267229-hdnzs9o6 88 8 a a DT cord-267229-hdnzs9o6 88 9 minimally minimally RB cord-267229-hdnzs9o6 88 10 invasive invasive JJ cord-267229-hdnzs9o6 88 11 endoscopic endoscopic NNS cord-267229-hdnzs9o6 88 12 technique technique NN cord-267229-hdnzs9o6 88 13 for for IN cord-267229-hdnzs9o6 88 14 the the DT cord-267229-hdnzs9o6 88 15 management management NN cord-267229-hdnzs9o6 88 16 of of IN cord-267229-hdnzs9o6 88 17 esophageal esophageal JJ cord-267229-hdnzs9o6 88 18 motility motility NN cord-267229-hdnzs9o6 88 19 disorders disorder NNS cord-267229-hdnzs9o6 88 20 initially initially RB cord-267229-hdnzs9o6 88 21 developed develop VBD cord-267229-hdnzs9o6 88 22 approximately approximately RB cord-267229-hdnzs9o6 88 23 a a DT cord-267229-hdnzs9o6 88 24 decade decade NN cord-267229-hdnzs9o6 88 25 ago ago RB cord-267229-hdnzs9o6 88 26 [ [ -LRB- cord-267229-hdnzs9o6 88 27 24 24 CD cord-267229-hdnzs9o6 88 28 ] ] -RRB- cord-267229-hdnzs9o6 88 29 . . . cord-267229-hdnzs9o6 89 1 Since since IN cord-267229-hdnzs9o6 89 2 its -PRON- PRP$ cord-267229-hdnzs9o6 89 3 introduction introduction NN cord-267229-hdnzs9o6 89 4 into into IN cord-267229-hdnzs9o6 89 5 clinical clinical JJ cord-267229-hdnzs9o6 89 6 practice practice NN cord-267229-hdnzs9o6 89 7 , , , cord-267229-hdnzs9o6 89 8 POEM POEM NNP cord-267229-hdnzs9o6 89 9 has have VBZ cord-267229-hdnzs9o6 89 10 become become VBN cord-267229-hdnzs9o6 89 11 widely widely RB cord-267229-hdnzs9o6 89 12 accepted accept VBN cord-267229-hdnzs9o6 89 13 given give VBN cord-267229-hdnzs9o6 89 14 its -PRON- PRP$ cord-267229-hdnzs9o6 89 15 excellent excellent JJ cord-267229-hdnzs9o6 89 16 short short JJ cord-267229-hdnzs9o6 89 17 and and CC cord-267229-hdnzs9o6 89 18 mid mid JJ cord-267229-hdnzs9o6 89 19 - - JJ cord-267229-hdnzs9o6 89 20 term term JJ cord-267229-hdnzs9o6 89 21 outcomes outcome NNS cord-267229-hdnzs9o6 89 22 and and CC cord-267229-hdnzs9o6 89 23 safety safety NN cord-267229-hdnzs9o6 89 24 profile profile NN cord-267229-hdnzs9o6 89 25 [ [ -LRB- cord-267229-hdnzs9o6 89 26 25 25 CD cord-267229-hdnzs9o6 89 27 , , , cord-267229-hdnzs9o6 89 28 26 26 CD cord-267229-hdnzs9o6 89 29 ] ] -RRB- cord-267229-hdnzs9o6 89 30 . . . cord-267229-hdnzs9o6 90 1 However however RB cord-267229-hdnzs9o6 90 2 , , , cord-267229-hdnzs9o6 90 3 as as IN cord-267229-hdnzs9o6 90 4 a a DT cord-267229-hdnzs9o6 90 5 modified modified JJ cord-267229-hdnzs9o6 90 6 natural natural JJ cord-267229-hdnzs9o6 90 7 orifice orifice NN cord-267229-hdnzs9o6 90 8 transluminal transluminal JJ cord-267229-hdnzs9o6 90 9 surgical surgical JJ cord-267229-hdnzs9o6 90 10 procedure procedure NN cord-267229-hdnzs9o6 90 11 , , , cord-267229-hdnzs9o6 90 12 training training NN cord-267229-hdnzs9o6 90 13 in in IN cord-267229-hdnzs9o6 90 14 POEM POEM NNP cord-267229-hdnzs9o6 90 15 presents present VBZ cord-267229-hdnzs9o6 90 16 several several JJ cord-267229-hdnzs9o6 90 17 challenges challenge NNS cord-267229-hdnzs9o6 90 18 . . . cord-267229-hdnzs9o6 91 1 The the DT cord-267229-hdnzs9o6 91 2 procedure procedure NN cord-267229-hdnzs9o6 91 3 is be VBZ cord-267229-hdnzs9o6 91 4 technically technically RB cord-267229-hdnzs9o6 91 5 complex complex JJ cord-267229-hdnzs9o6 91 6 and and CC cord-267229-hdnzs9o6 91 7 demands demand NNS cord-267229-hdnzs9o6 91 8 advanced advanced JJ cord-267229-hdnzs9o6 91 9 endoscopic endoscopic JJ cord-267229-hdnzs9o6 91 10 skills skill NNS cord-267229-hdnzs9o6 91 11 , , , cord-267229-hdnzs9o6 91 12 knowledge knowledge NN cord-267229-hdnzs9o6 91 13 of of IN cord-267229-hdnzs9o6 91 14 both both DT cord-267229-hdnzs9o6 91 15 intra intra JJ cord-267229-hdnzs9o6 91 16 - - JJ cord-267229-hdnzs9o6 91 17 and and CC cord-267229-hdnzs9o6 91 18 extraluminal extraluminal JJ cord-267229-hdnzs9o6 91 19 anatomy anatomy NN cord-267229-hdnzs9o6 91 20 of of IN cord-267229-hdnzs9o6 91 21 the the DT cord-267229-hdnzs9o6 91 22 GI GI NNP cord-267229-hdnzs9o6 91 23 tract tract NN cord-267229-hdnzs9o6 91 24 , , , cord-267229-hdnzs9o6 91 25 and and CC cord-267229-hdnzs9o6 91 26 the the DT cord-267229-hdnzs9o6 91 27 ability ability NN cord-267229-hdnzs9o6 91 28 to to TO cord-267229-hdnzs9o6 91 29 manage manage VB cord-267229-hdnzs9o6 91 30 adverse adverse JJ cord-267229-hdnzs9o6 91 31 events event NNS cord-267229-hdnzs9o6 91 32 that that WDT cord-267229-hdnzs9o6 91 33 may may MD cord-267229-hdnzs9o6 91 34 include include VB cord-267229-hdnzs9o6 91 35 pneumothorax pneumothorax NN cord-267229-hdnzs9o6 91 36 and and CC cord-267229-hdnzs9o6 91 37 pneumoperitoneum pneumoperitoneum NN cord-267229-hdnzs9o6 91 38 . . . cord-267229-hdnzs9o6 92 1 In in IN cord-267229-hdnzs9o6 92 2 spite spite NN cord-267229-hdnzs9o6 92 3 of of IN cord-267229-hdnzs9o6 92 4 the the DT cord-267229-hdnzs9o6 92 5 rapid rapid JJ cord-267229-hdnzs9o6 92 6 dissemination dissemination NN cord-267229-hdnzs9o6 92 7 of of IN cord-267229-hdnzs9o6 92 8 this this DT cord-267229-hdnzs9o6 92 9 technique technique NN cord-267229-hdnzs9o6 92 10 , , , cord-267229-hdnzs9o6 92 11 there there EX cord-267229-hdnzs9o6 92 12 is be VBZ cord-267229-hdnzs9o6 92 13 very very RB cord-267229-hdnzs9o6 92 14 little little JJ cord-267229-hdnzs9o6 92 15 published publish VBN cord-267229-hdnzs9o6 92 16 information information NN cord-267229-hdnzs9o6 92 17 regarding regard VBG cord-267229-hdnzs9o6 92 18 training training NN cord-267229-hdnzs9o6 92 19 in in IN cord-267229-hdnzs9o6 92 20 POEM POEM NNP cord-267229-hdnzs9o6 92 21 [ [ -LRB- cord-267229-hdnzs9o6 92 22 27 27 CD cord-267229-hdnzs9o6 92 23 , , , cord-267229-hdnzs9o6 92 24 28 28 CD cord-267229-hdnzs9o6 92 25 ] ] -RRB- cord-267229-hdnzs9o6 92 26 . . . cord-267229-hdnzs9o6 93 1 In in IN cord-267229-hdnzs9o6 93 2 2017 2017 CD cord-267229-hdnzs9o6 93 3 , , , cord-267229-hdnzs9o6 93 4 the the DT cord-267229-hdnzs9o6 93 5 Japan Japan NNP cord-267229-hdnzs9o6 93 6 Gastroenterological Gastroenterological NNP cord-267229-hdnzs9o6 93 7 Endoscopy Endoscopy NNP cord-267229-hdnzs9o6 93 8 Society Society NNP cord-267229-hdnzs9o6 93 9 ( ( -LRB- cord-267229-hdnzs9o6 93 10 JGES JGES NNP cord-267229-hdnzs9o6 93 11 ) ) -RRB- cord-267229-hdnzs9o6 93 12 launched launch VBD cord-267229-hdnzs9o6 93 13 a a DT cord-267229-hdnzs9o6 93 14 committee committee NN cord-267229-hdnzs9o6 93 15 for for IN cord-267229-hdnzs9o6 93 16 POEM POEM NNP cord-267229-hdnzs9o6 93 17 to to TO cord-267229-hdnzs9o6 93 18 establish establish VB cord-267229-hdnzs9o6 93 19 clinical clinical JJ cord-267229-hdnzs9o6 93 20 guidelines guideline NNS cord-267229-hdnzs9o6 93 21 to to TO cord-267229-hdnzs9o6 93 22 serve serve VB cord-267229-hdnzs9o6 93 23 as as IN cord-267229-hdnzs9o6 93 24 a a DT cord-267229-hdnzs9o6 93 25 decisionmaking decisionmaking NN cord-267229-hdnzs9o6 93 26 tool tool NN cord-267229-hdnzs9o6 93 27 and and CC cord-267229-hdnzs9o6 93 28 to to TO cord-267229-hdnzs9o6 93 29 ensure ensure VB cord-267229-hdnzs9o6 93 30 minimum minimum JJ cord-267229-hdnzs9o6 93 31 standards standard NNS cord-267229-hdnzs9o6 93 32 of of IN cord-267229-hdnzs9o6 93 33 practice practice NN cord-267229-hdnzs9o6 93 34 [ [ -LRB- cord-267229-hdnzs9o6 93 35 29 29 CD cord-267229-hdnzs9o6 93 36 ] ] -RRB- cord-267229-hdnzs9o6 93 37 . . . cord-267229-hdnzs9o6 94 1 The the DT cord-267229-hdnzs9o6 94 2 JGES JGES NNP cord-267229-hdnzs9o6 94 3 - - HYPH cord-267229-hdnzs9o6 94 4 sponsored sponsor VBN cord-267229-hdnzs9o6 94 5 clinical clinical JJ cord-267229-hdnzs9o6 94 6 guideline guideline NN cord-267229-hdnzs9o6 94 7 introduces introduce VBZ cord-267229-hdnzs9o6 94 8 several several JJ cord-267229-hdnzs9o6 94 9 recommendations recommendation NNS cord-267229-hdnzs9o6 94 10 regarding regard VBG cord-267229-hdnzs9o6 94 11 training training NN cord-267229-hdnzs9o6 94 12 and and CC cord-267229-hdnzs9o6 94 13 teaching teaching NN cord-267229-hdnzs9o6 94 14 programs program NNS cord-267229-hdnzs9o6 94 15 for for IN cord-267229-hdnzs9o6 94 16 POEM POEM NNP cord-267229-hdnzs9o6 94 17 . . . cord-267229-hdnzs9o6 95 1 Similar similar JJ cord-267229-hdnzs9o6 95 2 to to IN cord-267229-hdnzs9o6 95 3 the the DT cord-267229-hdnzs9o6 95 4 ESGE ESGE NNP cord-267229-hdnzs9o6 95 5 positional positional JJ cord-267229-hdnzs9o6 95 6 statement statement NN cord-267229-hdnzs9o6 95 7 on on IN cord-267229-hdnzs9o6 95 8 ESD ESD NNP cord-267229-hdnzs9o6 95 9 , , , cord-267229-hdnzs9o6 95 10 this this DT cord-267229-hdnzs9o6 95 11 clinical clinical JJ cord-267229-hdnzs9o6 95 12 guideline guideline NN cord-267229-hdnzs9o6 95 13 on on IN cord-267229-hdnzs9o6 95 14 POEM POEM NNP cord-267229-hdnzs9o6 95 15 recommends recommend VBZ cord-267229-hdnzs9o6 95 16 that that IN cord-267229-hdnzs9o6 95 17 initial initial JJ cord-267229-hdnzs9o6 95 18 skill skill NN cord-267229-hdnzs9o6 95 19 acquisition acquisition NN cord-267229-hdnzs9o6 95 20 should should MD cord-267229-hdnzs9o6 95 21 be be VB cord-267229-hdnzs9o6 95 22 met meet VBN cord-267229-hdnzs9o6 95 23 through through IN cord-267229-hdnzs9o6 95 24 training training NN cord-267229-hdnzs9o6 95 25 on on IN cord-267229-hdnzs9o6 95 26 animal animal NN cord-267229-hdnzs9o6 95 27 models model NNS cord-267229-hdnzs9o6 95 28 , , , cord-267229-hdnzs9o6 95 29 including include VBG cord-267229-hdnzs9o6 95 30 organ organ NN cord-267229-hdnzs9o6 95 31 and and CC cord-267229-hdnzs9o6 95 32 live live JJ cord-267229-hdnzs9o6 95 33 models model NNS cord-267229-hdnzs9o6 95 34 , , , cord-267229-hdnzs9o6 95 35 although although IN cord-267229-hdnzs9o6 95 36 a a DT cord-267229-hdnzs9o6 95 37 minimum minimum NN cord-267229-hdnzs9o6 95 38 threshold threshold NN cord-267229-hdnzs9o6 95 39 was be VBD cord-267229-hdnzs9o6 95 40 not not RB cord-267229-hdnzs9o6 95 41 provided provide VBN cord-267229-hdnzs9o6 95 42 [ [ -LRB- cord-267229-hdnzs9o6 95 43 29 29 CD cord-267229-hdnzs9o6 95 44 ] ] -RRB- cord-267229-hdnzs9o6 95 45 . . . cord-267229-hdnzs9o6 96 1 However however RB cord-267229-hdnzs9o6 96 2 , , , cord-267229-hdnzs9o6 96 3 in in IN cord-267229-hdnzs9o6 96 4 a a DT cord-267229-hdnzs9o6 96 5 single single JJ cord-267229-hdnzs9o6 96 6 center center NN cord-267229-hdnzs9o6 96 7 prospective prospective JJ cord-267229-hdnzs9o6 96 8 study study NN cord-267229-hdnzs9o6 96 9 using use VBG cord-267229-hdnzs9o6 96 10 both both CC cord-267229-hdnzs9o6 96 11 ex ex NN cord-267229-hdnzs9o6 96 12 - - NN cord-267229-hdnzs9o6 96 13 vivo vivo JJ cord-267229-hdnzs9o6 96 14 and and CC cord-267229-hdnzs9o6 96 15 live live JJ cord-267229-hdnzs9o6 96 16 swine swine NN cord-267229-hdnzs9o6 96 17 models model NNS cord-267229-hdnzs9o6 96 18 , , , cord-267229-hdnzs9o6 96 19 mastery mastery NN cord-267229-hdnzs9o6 96 20 , , , cord-267229-hdnzs9o6 96 21 defined define VBN cord-267229-hdnzs9o6 96 22 as as IN cord-267229-hdnzs9o6 96 23 the the DT cord-267229-hdnzs9o6 96 24 absence absence NN cord-267229-hdnzs9o6 96 25 of of IN cord-267229-hdnzs9o6 96 26 intraprocedural intraprocedural JJ cord-267229-hdnzs9o6 96 27 adverse adverse JJ cord-267229-hdnzs9o6 96 28 events event NNS cord-267229-hdnzs9o6 96 29 and and CC cord-267229-hdnzs9o6 96 30 plateau plateau NN cord-267229-hdnzs9o6 96 31 in in IN cord-267229-hdnzs9o6 96 32 procedural procedural JJ cord-267229-hdnzs9o6 96 33 time time NN cord-267229-hdnzs9o6 96 34 , , , cord-267229-hdnzs9o6 96 35 was be VBD cord-267229-hdnzs9o6 96 36 achieved achieve VBN cord-267229-hdnzs9o6 96 37 by by IN cord-267229-hdnzs9o6 96 38 trainees trainee NNS cord-267229-hdnzs9o6 96 39 after after IN cord-267229-hdnzs9o6 96 40 26 26 CD cord-267229-hdnzs9o6 96 41 cases case NNS cord-267229-hdnzs9o6 96 42 [ [ -LRB- cord-267229-hdnzs9o6 96 43 30 30 CD cord-267229-hdnzs9o6 96 44 ] ] -RRB- cord-267229-hdnzs9o6 96 45 . . . cord-267229-hdnzs9o6 97 1 Subsequently subsequently RB cord-267229-hdnzs9o6 97 2 , , , cord-267229-hdnzs9o6 97 3 training training NN cord-267229-hdnzs9o6 97 4 progresses progress NNS cord-267229-hdnzs9o6 97 5 by by IN cord-267229-hdnzs9o6 97 6 observation observation NN cord-267229-hdnzs9o6 97 7 of of IN cord-267229-hdnzs9o6 97 8 POEM poem NN cord-267229-hdnzs9o6 97 9 cases case NNS cord-267229-hdnzs9o6 97 10 followed follow VBN cord-267229-hdnzs9o6 97 11 by by IN cord-267229-hdnzs9o6 97 12 proctoring proctor VBG cord-267229-hdnzs9o6 97 13 of of IN cord-267229-hdnzs9o6 97 14 live live JJ cord-267229-hdnzs9o6 97 15 human human JJ cord-267229-hdnzs9o6 97 16 cases case NNS cord-267229-hdnzs9o6 97 17 by by IN cord-267229-hdnzs9o6 97 18 an an DT cord-267229-hdnzs9o6 97 19 experienced experienced JJ cord-267229-hdnzs9o6 97 20 operator operator NN cord-267229-hdnzs9o6 97 21 , , , cord-267229-hdnzs9o6 97 22 who who WP cord-267229-hdnzs9o6 97 23 can can MD cord-267229-hdnzs9o6 97 24 provide provide VB cord-267229-hdnzs9o6 97 25 step step NN cord-267229-hdnzs9o6 97 26 - - HYPH cord-267229-hdnzs9o6 97 27 by by IN cord-267229-hdnzs9o6 97 28 - - HYPH cord-267229-hdnzs9o6 97 29 step step NN cord-267229-hdnzs9o6 97 30 supervision supervision NN cord-267229-hdnzs9o6 97 31 and and CC cord-267229-hdnzs9o6 97 32 guidance guidance NN cord-267229-hdnzs9o6 97 33 through through IN cord-267229-hdnzs9o6 97 34 the the DT cord-267229-hdnzs9o6 97 35 initial initial JJ cord-267229-hdnzs9o6 97 36 cases case NNS cord-267229-hdnzs9o6 97 37 . . . cord-267229-hdnzs9o6 98 1 The the DT cord-267229-hdnzs9o6 98 2 literature literature NN cord-267229-hdnzs9o6 98 3 on on IN cord-267229-hdnzs9o6 98 4 the the DT cord-267229-hdnzs9o6 98 5 learning learning NN cord-267229-hdnzs9o6 98 6 curve curve NN cord-267229-hdnzs9o6 98 7 for for IN cord-267229-hdnzs9o6 98 8 POEM POEM NNP cord-267229-hdnzs9o6 98 9 is be VBZ cord-267229-hdnzs9o6 98 10 conflicting conflict VBG cord-267229-hdnzs9o6 98 11 due due IN cord-267229-hdnzs9o6 98 12 to to IN cord-267229-hdnzs9o6 98 13 differences difference NNS cord-267229-hdnzs9o6 98 14 in in IN cord-267229-hdnzs9o6 98 15 definitions definition NNS cord-267229-hdnzs9o6 98 16 and and CC cord-267229-hdnzs9o6 98 17 heterogeneous heterogeneous JJ cord-267229-hdnzs9o6 98 18 training training NN cord-267229-hdnzs9o6 98 19 backgrounds background NNS cord-267229-hdnzs9o6 98 20 . . . cord-267229-hdnzs9o6 99 1 Not not RB cord-267229-hdnzs9o6 99 2 surprisingly surprisingly RB cord-267229-hdnzs9o6 99 3 , , , cord-267229-hdnzs9o6 99 4 there there EX cord-267229-hdnzs9o6 99 5 is be VBZ cord-267229-hdnzs9o6 99 6 a a DT cord-267229-hdnzs9o6 99 7 wide wide JJ cord-267229-hdnzs9o6 99 8 discrepancy discrepancy NN cord-267229-hdnzs9o6 99 9 in in IN cord-267229-hdnzs9o6 99 10 the the DT cord-267229-hdnzs9o6 99 11 learning learning NN cord-267229-hdnzs9o6 99 12 curve curve NN cord-267229-hdnzs9o6 99 13 plateau plateau NN cord-267229-hdnzs9o6 99 14 reported report VBD cord-267229-hdnzs9o6 99 15 , , , cord-267229-hdnzs9o6 99 16 ranging range VBG cord-267229-hdnzs9o6 99 17 anywhere anywhere RB cord-267229-hdnzs9o6 99 18 from from IN cord-267229-hdnzs9o6 99 19 7 7 CD cord-267229-hdnzs9o6 99 20 to to TO cord-267229-hdnzs9o6 99 21 100 100 CD cord-267229-hdnzs9o6 99 22 cases case NNS cord-267229-hdnzs9o6 99 23 [ [ -LRB- cord-267229-hdnzs9o6 99 24 31 31 CD cord-267229-hdnzs9o6 99 25 ] ] -RRB- cord-267229-hdnzs9o6 99 26 [ [ -LRB- cord-267229-hdnzs9o6 99 27 32 32 CD cord-267229-hdnzs9o6 99 28 ] ] -RRB- cord-267229-hdnzs9o6 100 1 [ [ -LRB- cord-267229-hdnzs9o6 100 2 33 33 CD cord-267229-hdnzs9o6 100 3 ] ] -RRB- cord-267229-hdnzs9o6 101 1 [ [ -LRB- cord-267229-hdnzs9o6 101 2 34 34 CD cord-267229-hdnzs9o6 101 3 ] ] -RRB- cord-267229-hdnzs9o6 102 1 [ [ -LRB- cord-267229-hdnzs9o6 102 2 35 35 CD cord-267229-hdnzs9o6 102 3 ] ] -RRB- cord-267229-hdnzs9o6 102 4 , , , cord-267229-hdnzs9o6 102 5 with with IN cord-267229-hdnzs9o6 102 6 many many JJ cord-267229-hdnzs9o6 102 7 of of IN cord-267229-hdnzs9o6 102 8 these these DT cord-267229-hdnzs9o6 102 9 reporting reporting NN cord-267229-hdnzs9o6 102 10 data datum NNS cord-267229-hdnzs9o6 102 11 from from IN cord-267229-hdnzs9o6 102 12 animal animal NN cord-267229-hdnzs9o6 102 13 models model NNS cord-267229-hdnzs9o6 102 14 , , , cord-267229-hdnzs9o6 102 15 or or CC cord-267229-hdnzs9o6 102 16 highlighting highlight VBG cord-267229-hdnzs9o6 102 17 single single JJ cord-267229-hdnzs9o6 102 18 - - HYPH cord-267229-hdnzs9o6 102 19 center center NN cord-267229-hdnzs9o6 102 20 or or CC cord-267229-hdnzs9o6 102 21 single single JJ cord-267229-hdnzs9o6 102 22 - - HYPH cord-267229-hdnzs9o6 102 23 operator operator NN cord-267229-hdnzs9o6 102 24 experiences experience NNS cord-267229-hdnzs9o6 102 25 , , , cord-267229-hdnzs9o6 102 26 rather rather RB cord-267229-hdnzs9o6 102 27 than than IN cord-267229-hdnzs9o6 102 28 studies study NNS cord-267229-hdnzs9o6 102 29 designed design VBN cord-267229-hdnzs9o6 102 30 to to TO cord-267229-hdnzs9o6 102 31 assess assess VB cord-267229-hdnzs9o6 102 32 training training NN cord-267229-hdnzs9o6 102 33 and and CC cord-267229-hdnzs9o6 102 34 competency competency NN cord-267229-hdnzs9o6 102 35 in in IN cord-267229-hdnzs9o6 102 36 POEM POEM NNP cord-267229-hdnzs9o6 102 37 . . . cord-267229-hdnzs9o6 103 1 Hence hence RB cord-267229-hdnzs9o6 103 2 , , , cord-267229-hdnzs9o6 103 3 similar similar JJ cord-267229-hdnzs9o6 103 4 to to IN cord-267229-hdnzs9o6 103 5 training training NN cord-267229-hdnzs9o6 103 6 in in IN cord-267229-hdnzs9o6 103 7 ESD ESD NNP cord-267229-hdnzs9o6 103 8 , , , cord-267229-hdnzs9o6 103 9 these these DT cord-267229-hdnzs9o6 103 10 recommendations recommendation NNS cord-267229-hdnzs9o6 103 11 are be VBP cord-267229-hdnzs9o6 103 12 based base VBN cord-267229-hdnzs9o6 103 13 on on IN cord-267229-hdnzs9o6 103 14 expert expert JJ cord-267229-hdnzs9o6 103 15 opinion opinion NN cord-267229-hdnzs9o6 103 16 rather rather RB cord-267229-hdnzs9o6 103 17 than than IN cord-267229-hdnzs9o6 103 18 formal formal JJ cord-267229-hdnzs9o6 103 19 training training NN cord-267229-hdnzs9o6 103 20 data datum NNS cord-267229-hdnzs9o6 103 21 . . . cord-267229-hdnzs9o6 104 1 The the DT cord-267229-hdnzs9o6 104 2 obesity obesity NN cord-267229-hdnzs9o6 104 3 epidemic epidemic NN cord-267229-hdnzs9o6 104 4 continues continue VBZ cord-267229-hdnzs9o6 104 5 to to TO cord-267229-hdnzs9o6 104 6 rise rise VB cord-267229-hdnzs9o6 104 7 in in IN cord-267229-hdnzs9o6 104 8 the the DT cord-267229-hdnzs9o6 104 9 United United NNP cord-267229-hdnzs9o6 104 10 States States NNP cord-267229-hdnzs9o6 104 11 and and CC cord-267229-hdnzs9o6 104 12 globally globally RB cord-267229-hdnzs9o6 104 13 ; ; : cord-267229-hdnzs9o6 104 14 yet yet CC cord-267229-hdnzs9o6 104 15 , , , cord-267229-hdnzs9o6 104 16 only only RB cord-267229-hdnzs9o6 104 17 1 1 CD cord-267229-hdnzs9o6 104 18 % % NN cord-267229-hdnzs9o6 104 19 of of IN cord-267229-hdnzs9o6 104 20 eligible eligible JJ cord-267229-hdnzs9o6 104 21 patients patient NNS cord-267229-hdnzs9o6 104 22 undergo undergo VBP cord-267229-hdnzs9o6 104 23 conventional conventional JJ cord-267229-hdnzs9o6 104 24 bariatric bariatric JJ cord-267229-hdnzs9o6 104 25 surgery surgery NN cord-267229-hdnzs9o6 104 26 [ [ -LRB- cord-267229-hdnzs9o6 104 27 36 36 CD cord-267229-hdnzs9o6 104 28 ] ] -RRB- cord-267229-hdnzs9o6 104 29 . . . cord-267229-hdnzs9o6 105 1 More more RBR cord-267229-hdnzs9o6 105 2 recently recently RB cord-267229-hdnzs9o6 105 3 , , , cord-267229-hdnzs9o6 105 4 endoscopic endoscopic JJ cord-267229-hdnzs9o6 105 5 bariatric bariatric JJ cord-267229-hdnzs9o6 105 6 therapies therapy NNS cord-267229-hdnzs9o6 105 7 ( ( -LRB- cord-267229-hdnzs9o6 105 8 EBT EBT NNP cord-267229-hdnzs9o6 105 9 ) ) -RRB- cord-267229-hdnzs9o6 105 10 have have VBP cord-267229-hdnzs9o6 105 11 emerged emerge VBN cord-267229-hdnzs9o6 105 12 as as IN cord-267229-hdnzs9o6 105 13 an an DT cord-267229-hdnzs9o6 105 14 adjunctive adjunctive JJ cord-267229-hdnzs9o6 105 15 endoscopic endoscopic NN cord-267229-hdnzs9o6 105 16 option option NN cord-267229-hdnzs9o6 105 17 to to IN cord-267229-hdnzs9o6 105 18 traditional traditional JJ cord-267229-hdnzs9o6 105 19 surgical surgical JJ cord-267229-hdnzs9o6 105 20 treatments treatment NNS cord-267229-hdnzs9o6 105 21 for for IN cord-267229-hdnzs9o6 105 22 obesity obesity NN cord-267229-hdnzs9o6 105 23 , , , cord-267229-hdnzs9o6 105 24 with with IN cord-267229-hdnzs9o6 105 25 multiple multiple JJ cord-267229-hdnzs9o6 105 26 endoscopic endoscopic JJ cord-267229-hdnzs9o6 105 27 devices device NNS cord-267229-hdnzs9o6 105 28 and and CC cord-267229-hdnzs9o6 105 29 techniques technique NNS cord-267229-hdnzs9o6 105 30 demonstrating demonstrate VBG cord-267229-hdnzs9o6 105 31 safety safety NN cord-267229-hdnzs9o6 105 32 and and CC cord-267229-hdnzs9o6 105 33 efficacy efficacy NN cord-267229-hdnzs9o6 105 34 in in IN cord-267229-hdnzs9o6 105 35 prospective prospective JJ cord-267229-hdnzs9o6 105 36 randomized randomized JJ cord-267229-hdnzs9o6 105 37 studies study NNS cord-267229-hdnzs9o6 105 38 [ [ -LRB- cord-267229-hdnzs9o6 105 39 37 37 CD cord-267229-hdnzs9o6 105 40 ] ] -RRB- cord-267229-hdnzs9o6 105 41 . . . cord-267229-hdnzs9o6 106 1 EBT EBT NNP cord-267229-hdnzs9o6 106 2 encompasses encompass VBZ cord-267229-hdnzs9o6 106 3 a a DT cord-267229-hdnzs9o6 106 4 broad broad JJ cord-267229-hdnzs9o6 106 5 array array NN cord-267229-hdnzs9o6 106 6 of of IN cord-267229-hdnzs9o6 106 7 procedures procedure NNS cord-267229-hdnzs9o6 106 8 including include VBG cord-267229-hdnzs9o6 106 9 primary primary JJ cord-267229-hdnzs9o6 106 10 weight weight NN cord-267229-hdnzs9o6 106 11 loss loss NN cord-267229-hdnzs9o6 106 12 interventions intervention NNS cord-267229-hdnzs9o6 106 13 and and CC cord-267229-hdnzs9o6 106 14 treatment treatment NN cord-267229-hdnzs9o6 106 15 of of IN cord-267229-hdnzs9o6 106 16 adverse adverse JJ cord-267229-hdnzs9o6 106 17 events event NNS cord-267229-hdnzs9o6 106 18 from from IN cord-267229-hdnzs9o6 106 19 bariatric bariatric JJ cord-267229-hdnzs9o6 106 20 surgery surgery NN cord-267229-hdnzs9o6 106 21 . . . cord-267229-hdnzs9o6 107 1 Similar similar JJ cord-267229-hdnzs9o6 107 2 to to IN cord-267229-hdnzs9o6 107 3 other other JJ cord-267229-hdnzs9o6 107 4 emerging emerge VBG cord-267229-hdnzs9o6 107 5 technologies technology NNS cord-267229-hdnzs9o6 107 6 , , , cord-267229-hdnzs9o6 107 7 there there EX cord-267229-hdnzs9o6 107 8 is be VBZ cord-267229-hdnzs9o6 107 9 a a DT cord-267229-hdnzs9o6 107 10 paucity paucity NN cord-267229-hdnzs9o6 107 11 of of IN cord-267229-hdnzs9o6 107 12 data datum NNS cord-267229-hdnzs9o6 107 13 regarding regard VBG cord-267229-hdnzs9o6 107 14 training training NN cord-267229-hdnzs9o6 107 15 requirements requirement NNS cord-267229-hdnzs9o6 107 16 in in IN cord-267229-hdnzs9o6 107 17 EBT EBT NNP cord-267229-hdnzs9o6 107 18 . . . cord-267229-hdnzs9o6 108 1 In in IN cord-267229-hdnzs9o6 108 2 2015 2015 CD cord-267229-hdnzs9o6 108 3 , , , cord-267229-hdnzs9o6 108 4 the the DT cord-267229-hdnzs9o6 108 5 ASGE ASGE NNP cord-267229-hdnzs9o6 108 6 issued issue VBD cord-267229-hdnzs9o6 108 7 a a DT cord-267229-hdnzs9o6 108 8 position position NN cord-267229-hdnzs9o6 108 9 statement statement NN cord-267229-hdnzs9o6 108 10 on on IN cord-267229-hdnzs9o6 108 11 EBT EBT NNP cord-267229-hdnzs9o6 108 12 in in IN cord-267229-hdnzs9o6 108 13 clinical clinical JJ cord-267229-hdnzs9o6 108 14 practice practice NN cord-267229-hdnzs9o6 108 15 , , , cord-267229-hdnzs9o6 108 16 recommending recommend VBG cord-267229-hdnzs9o6 108 17 that that IN cord-267229-hdnzs9o6 108 18 endoscopists endoscopist NNS cord-267229-hdnzs9o6 108 19 partaking partake VBG cord-267229-hdnzs9o6 108 20 in in IN cord-267229-hdnzs9o6 108 21 EBT EBT NNP cord-267229-hdnzs9o6 108 22 should should MD cord-267229-hdnzs9o6 108 23 demonstrate demonstrate VB cord-267229-hdnzs9o6 108 24 competency competency NN cord-267229-hdnzs9o6 108 25 in in IN cord-267229-hdnzs9o6 108 26 upper upper JJ cord-267229-hdnzs9o6 108 27 endoscopy endoscopy NN cord-267229-hdnzs9o6 108 28 and and CC cord-267229-hdnzs9o6 108 29 endoscopic endoscopic JJ cord-267229-hdnzs9o6 108 30 hemostasis hemostasis NN cord-267229-hdnzs9o6 108 31 [ [ -LRB- cord-267229-hdnzs9o6 108 32 38 38 CD cord-267229-hdnzs9o6 108 33 ] ] -RRB- cord-267229-hdnzs9o6 108 34 . . . cord-267229-hdnzs9o6 109 1 Given give VBN cord-267229-hdnzs9o6 109 2 the the DT cord-267229-hdnzs9o6 109 3 diversity diversity NN cord-267229-hdnzs9o6 109 4 of of IN cord-267229-hdnzs9o6 109 5 EBT EBT NNP cord-267229-hdnzs9o6 109 6 procedures procedure NNS cord-267229-hdnzs9o6 109 7 , , , cord-267229-hdnzs9o6 109 8 the the DT cord-267229-hdnzs9o6 109 9 duration duration NN cord-267229-hdnzs9o6 109 10 and and CC cord-267229-hdnzs9o6 109 11 type type NN cord-267229-hdnzs9o6 109 12 of of IN cord-267229-hdnzs9o6 109 13 training training NN cord-267229-hdnzs9o6 109 14 will will MD cord-267229-hdnzs9o6 109 15 vary vary VB cord-267229-hdnzs9o6 109 16 , , , cord-267229-hdnzs9o6 109 17 depending depend VBG cord-267229-hdnzs9o6 109 18 on on IN cord-267229-hdnzs9o6 109 19 the the DT cord-267229-hdnzs9o6 109 20 complexity complexity NN cord-267229-hdnzs9o6 109 21 of of IN cord-267229-hdnzs9o6 109 22 the the DT cord-267229-hdnzs9o6 109 23 particular particular JJ cord-267229-hdnzs9o6 109 24 intervention intervention NN cord-267229-hdnzs9o6 109 25 . . . cord-267229-hdnzs9o6 110 1 The the DT cord-267229-hdnzs9o6 110 2 ASGE ASGE NNP cord-267229-hdnzs9o6 110 3 suggests suggest VBZ cord-267229-hdnzs9o6 110 4 that that IN cord-267229-hdnzs9o6 110 5 focused focus VBD cord-267229-hdnzs9o6 110 6 training training NN cord-267229-hdnzs9o6 110 7 via via IN cord-267229-hdnzs9o6 110 8 dedicated dedicated JJ cord-267229-hdnzs9o6 110 9 courses course NNS cord-267229-hdnzs9o6 110 10 are be VBP cord-267229-hdnzs9o6 110 11 potential potential JJ cord-267229-hdnzs9o6 110 12 settings setting NNS cord-267229-hdnzs9o6 110 13 to to TO cord-267229-hdnzs9o6 110 14 gain gain VB cord-267229-hdnzs9o6 110 15 further further JJ cord-267229-hdnzs9o6 110 16 expertise expertise NN cord-267229-hdnzs9o6 110 17 in in IN cord-267229-hdnzs9o6 110 18 certain certain JJ cord-267229-hdnzs9o6 110 19 aspects aspect NNS cord-267229-hdnzs9o6 110 20 of of IN cord-267229-hdnzs9o6 110 21 EBT EBT NNP cord-267229-hdnzs9o6 110 22 [ [ -LRB- cord-267229-hdnzs9o6 110 23 38 38 CD cord-267229-hdnzs9o6 110 24 , , , cord-267229-hdnzs9o6 110 25 39 39 CD cord-267229-hdnzs9o6 110 26 ] ] -RRB- cord-267229-hdnzs9o6 110 27 . . . cord-267229-hdnzs9o6 111 1 Many many JJ cord-267229-hdnzs9o6 111 2 of of IN cord-267229-hdnzs9o6 111 3 these these DT cord-267229-hdnzs9o6 111 4 courses course NNS cord-267229-hdnzs9o6 111 5 are be VBP cord-267229-hdnzs9o6 111 6 sponsored sponsor VBN cord-267229-hdnzs9o6 111 7 and and CC cord-267229-hdnzs9o6 111 8 organized organize VBN cord-267229-hdnzs9o6 111 9 by by IN cord-267229-hdnzs9o6 111 10 industry industry NN cord-267229-hdnzs9o6 111 11 , , , cord-267229-hdnzs9o6 111 12 which which WDT cord-267229-hdnzs9o6 111 13 plays play VBZ cord-267229-hdnzs9o6 111 14 a a DT cord-267229-hdnzs9o6 111 15 vital vital JJ cord-267229-hdnzs9o6 111 16 role role NN cord-267229-hdnzs9o6 111 17 in in IN cord-267229-hdnzs9o6 111 18 the the DT cord-267229-hdnzs9o6 111 19 training training NN cord-267229-hdnzs9o6 111 20 and and CC cord-267229-hdnzs9o6 111 21 education education NN cord-267229-hdnzs9o6 111 22 of of IN cord-267229-hdnzs9o6 111 23 these these DT cord-267229-hdnzs9o6 111 24 new new JJ cord-267229-hdnzs9o6 111 25 devices device NNS cord-267229-hdnzs9o6 111 26 . . . cord-267229-hdnzs9o6 112 1 Yet yet RB cord-267229-hdnzs9o6 112 2 , , , cord-267229-hdnzs9o6 112 3 moving move VBG cord-267229-hdnzs9o6 112 4 forward forward RB cord-267229-hdnzs9o6 112 5 , , , cord-267229-hdnzs9o6 112 6 there there EX cord-267229-hdnzs9o6 112 7 is be VBZ cord-267229-hdnzs9o6 112 8 a a DT cord-267229-hdnzs9o6 112 9 need need NN cord-267229-hdnzs9o6 112 10 to to TO cord-267229-hdnzs9o6 112 11 introduce introduce VB cord-267229-hdnzs9o6 112 12 standardized standardized JJ cord-267229-hdnzs9o6 112 13 criteria criterion NNS cord-267229-hdnzs9o6 112 14 for for IN cord-267229-hdnzs9o6 112 15 the the DT cord-267229-hdnzs9o6 112 16 teaching teaching NN cord-267229-hdnzs9o6 112 17 and and CC cord-267229-hdnzs9o6 112 18 evaluation evaluation NN cord-267229-hdnzs9o6 112 19 of of IN cord-267229-hdnzs9o6 112 20 these these DT cord-267229-hdnzs9o6 112 21 new new JJ cord-267229-hdnzs9o6 112 22 techniques technique NNS cord-267229-hdnzs9o6 112 23 among among IN cord-267229-hdnzs9o6 112 24 the the DT cord-267229-hdnzs9o6 112 25 various various JJ cord-267229-hdnzs9o6 112 26 courses course NNS cord-267229-hdnzs9o6 112 27 , , , cord-267229-hdnzs9o6 112 28 as as IN cord-267229-hdnzs9o6 112 29 to to TO cord-267229-hdnzs9o6 112 30 reduce reduce VB cord-267229-hdnzs9o6 112 31 variability variability NN cord-267229-hdnzs9o6 112 32 in in IN cord-267229-hdnzs9o6 112 33 learning learning NN cord-267229-hdnzs9o6 112 34 and and CC cord-267229-hdnzs9o6 112 35 potential potential NN cord-267229-hdnzs9o6 112 36 for for IN cord-267229-hdnzs9o6 112 37 conflict conflict NN cord-267229-hdnzs9o6 112 38 of of IN cord-267229-hdnzs9o6 112 39 interest interest NN cord-267229-hdnzs9o6 112 40 . . . cord-267229-hdnzs9o6 113 1 Conversely conversely RB cord-267229-hdnzs9o6 113 2 , , , cord-267229-hdnzs9o6 113 3 EBTs ebts FW cord-267229-hdnzs9o6 113 4 of of IN cord-267229-hdnzs9o6 113 5 greater great JJR cord-267229-hdnzs9o6 113 6 complexity complexity NN cord-267229-hdnzs9o6 113 7 may may MD cord-267229-hdnzs9o6 113 8 require require VB cord-267229-hdnzs9o6 113 9 proctoring proctoring NN cord-267229-hdnzs9o6 113 10 and and CC cord-267229-hdnzs9o6 113 11 a a DT cord-267229-hdnzs9o6 113 12 structured structured JJ cord-267229-hdnzs9o6 113 13 training training NN cord-267229-hdnzs9o6 113 14 program program NN cord-267229-hdnzs9o6 113 15 ; ; : cord-267229-hdnzs9o6 113 16 albeit albeit IN cord-267229-hdnzs9o6 113 17 no no DT cord-267229-hdnzs9o6 113 18 specific specific JJ cord-267229-hdnzs9o6 113 19 recommendation recommendation NN cord-267229-hdnzs9o6 113 20 regarding regard VBG cord-267229-hdnzs9o6 113 21 procedural procedural JJ cord-267229-hdnzs9o6 113 22 thresholds threshold NNS cord-267229-hdnzs9o6 113 23 are be VBP cord-267229-hdnzs9o6 113 24 provided provide VBN cord-267229-hdnzs9o6 113 25 by by IN cord-267229-hdnzs9o6 113 26 the the DT cord-267229-hdnzs9o6 113 27 ASGE ASGE NNP cord-267229-hdnzs9o6 113 28 given give VBN cord-267229-hdnzs9o6 113 29 the the DT cord-267229-hdnzs9o6 113 30 scarcity scarcity NN cord-267229-hdnzs9o6 113 31 of of IN cord-267229-hdnzs9o6 113 32 data datum NNS cord-267229-hdnzs9o6 113 33 in in IN cord-267229-hdnzs9o6 113 34 this this DT cord-267229-hdnzs9o6 113 35 area area NN cord-267229-hdnzs9o6 113 36 . . . cord-267229-hdnzs9o6 114 1 A a DT cord-267229-hdnzs9o6 114 2 few few JJ cord-267229-hdnzs9o6 114 3 studies study NNS cord-267229-hdnzs9o6 114 4 have have VBP cord-267229-hdnzs9o6 114 5 attempted attempt VBN cord-267229-hdnzs9o6 114 6 to to TO cord-267229-hdnzs9o6 114 7 define define VB cord-267229-hdnzs9o6 114 8 learning learn VBG cord-267229-hdnzs9o6 114 9 curves curve NNS cord-267229-hdnzs9o6 114 10 with with IN cord-267229-hdnzs9o6 114 11 endoscopic endoscopic JJ cord-267229-hdnzs9o6 114 12 sleeve sleeve NN cord-267229-hdnzs9o6 114 13 gastroplasty gastroplasty NNP cord-267229-hdnzs9o6 114 14 ( ( -LRB- cord-267229-hdnzs9o6 114 15 ESG ESG NNP cord-267229-hdnzs9o6 114 16 ) ) -RRB- cord-267229-hdnzs9o6 114 17 , , , cord-267229-hdnzs9o6 114 18 a a DT cord-267229-hdnzs9o6 114 19 gastric gastric JJ cord-267229-hdnzs9o6 114 20 restrictive restrictive JJ cord-267229-hdnzs9o6 114 21 procedure procedure NN cord-267229-hdnzs9o6 114 22 commonly commonly RB cord-267229-hdnzs9o6 114 23 performed perform VBN cord-267229-hdnzs9o6 114 24 with with IN cord-267229-hdnzs9o6 114 25 endoscopic endoscopic NNS cord-267229-hdnzs9o6 114 26 suturing suture VBG cord-267229-hdnzs9o6 114 27 [ [ -LRB- cord-267229-hdnzs9o6 114 28 40 40 CD cord-267229-hdnzs9o6 114 29 ] ] -RRB- cord-267229-hdnzs9o6 114 30 [ [ -LRB- cord-267229-hdnzs9o6 114 31 41 41 CD cord-267229-hdnzs9o6 114 32 ] ] -RRB- cord-267229-hdnzs9o6 114 33 [ [ -LRB- cord-267229-hdnzs9o6 114 34 42 42 CD cord-267229-hdnzs9o6 114 35 ] ] -RRB- cord-267229-hdnzs9o6 114 36 . . . cord-267229-hdnzs9o6 115 1 However however RB cord-267229-hdnzs9o6 115 2 , , , cord-267229-hdnzs9o6 115 3 threshold threshold NN cord-267229-hdnzs9o6 115 4 numbers number NNS cord-267229-hdnzs9o6 115 5 to to TO cord-267229-hdnzs9o6 115 6 achieve achieve VB cord-267229-hdnzs9o6 115 7 " " `` cord-267229-hdnzs9o6 115 8 efficiency efficiency NN cord-267229-hdnzs9o6 115 9 " " '' cord-267229-hdnzs9o6 115 10 varied vary VBN cord-267229-hdnzs9o6 115 11 greatly greatly RB cord-267229-hdnzs9o6 115 12 from from IN cord-267229-hdnzs9o6 115 13 7 7 CD cord-267229-hdnzs9o6 115 14 to to TO cord-267229-hdnzs9o6 115 15 38 38 CD cord-267229-hdnzs9o6 115 16 cases case NNS cord-267229-hdnzs9o6 115 17 , , , cord-267229-hdnzs9o6 115 18 due due IN cord-267229-hdnzs9o6 115 19 to to IN cord-267229-hdnzs9o6 115 20 the the DT cord-267229-hdnzs9o6 115 21 heterogeneous heterogeneous JJ cord-267229-hdnzs9o6 115 22 definitions definition NNS cord-267229-hdnzs9o6 115 23 and and CC cord-267229-hdnzs9o6 115 24 variable variable JJ cord-267229-hdnzs9o6 115 25 outcome outcome NN cord-267229-hdnzs9o6 115 26 measures measure NNS cord-267229-hdnzs9o6 115 27 across across IN cord-267229-hdnzs9o6 115 28 the the DT cord-267229-hdnzs9o6 115 29 studies study NNS cord-267229-hdnzs9o6 115 30 . . . cord-267229-hdnzs9o6 116 1 Noteworthy noteworthy JJ cord-267229-hdnzs9o6 116 2 , , , cord-267229-hdnzs9o6 116 3 these these DT cord-267229-hdnzs9o6 116 4 data datum NNS cord-267229-hdnzs9o6 116 5 were be VBD cord-267229-hdnzs9o6 116 6 based base VBN cord-267229-hdnzs9o6 116 7 on on IN cord-267229-hdnzs9o6 116 8 endoscopists endoscopist NNS cord-267229-hdnzs9o6 116 9 who who WP cord-267229-hdnzs9o6 116 10 had have VBD cord-267229-hdnzs9o6 116 11 extensive extensive JJ cord-267229-hdnzs9o6 116 12 prior prior JJ cord-267229-hdnzs9o6 116 13 experience experience NN cord-267229-hdnzs9o6 116 14 with with IN cord-267229-hdnzs9o6 116 15 the the DT cord-267229-hdnzs9o6 116 16 endoscopic endoscopic NN cord-267229-hdnzs9o6 116 17 suturing suturing NN cord-267229-hdnzs9o6 116 18 device device NN cord-267229-hdnzs9o6 116 19 . . . cord-267229-hdnzs9o6 117 1 Overall overall RB cord-267229-hdnzs9o6 117 2 , , , cord-267229-hdnzs9o6 117 3 both both CC cord-267229-hdnzs9o6 117 4 the the DT cord-267229-hdnzs9o6 117 5 ASGE ASGE NNP cord-267229-hdnzs9o6 117 6 and and CC cord-267229-hdnzs9o6 117 7 the the DT cord-267229-hdnzs9o6 117 8 American American NNP cord-267229-hdnzs9o6 117 9 Society Society NNP cord-267229-hdnzs9o6 117 10 for for IN cord-267229-hdnzs9o6 117 11 Metabolic Metabolic NNP cord-267229-hdnzs9o6 117 12 and and CC cord-267229-hdnzs9o6 117 13 Bariatric bariatric JJ cord-267229-hdnzs9o6 117 14 Surgery surgery NN cord-267229-hdnzs9o6 118 1 ( ( -LRB- cord-267229-hdnzs9o6 118 2 ASMBS ASMBS NNP cord-267229-hdnzs9o6 118 3 ) ) -RRB- cord-267229-hdnzs9o6 118 4 emphasize emphasize VBP cord-267229-hdnzs9o6 118 5 that that IN cord-267229-hdnzs9o6 118 6 EBT EBT NNP cord-267229-hdnzs9o6 118 7 should should MD cord-267229-hdnzs9o6 118 8 not not RB cord-267229-hdnzs9o6 118 9 be be VB cord-267229-hdnzs9o6 118 10 carried carry VBN cord-267229-hdnzs9o6 118 11 out out RP cord-267229-hdnzs9o6 118 12 in in IN cord-267229-hdnzs9o6 118 13 isolation isolation NN cord-267229-hdnzs9o6 118 14 and and CC cord-267229-hdnzs9o6 118 15 that that IN cord-267229-hdnzs9o6 118 16 endoscopists endoscopist VBZ cord-267229-hdnzs9o6 118 17 performing perform VBG cord-267229-hdnzs9o6 118 18 EBT EBT NNP cord-267229-hdnzs9o6 118 19 should should MD cord-267229-hdnzs9o6 118 20 be be VB cord-267229-hdnzs9o6 118 21 part part NN cord-267229-hdnzs9o6 118 22 of of IN cord-267229-hdnzs9o6 118 23 a a DT cord-267229-hdnzs9o6 118 24 multidisciplinary multidisciplinary JJ cord-267229-hdnzs9o6 118 25 comprehensive comprehensive JJ cord-267229-hdnzs9o6 118 26 obesity obesity NN cord-267229-hdnzs9o6 118 27 program program NN cord-267229-hdnzs9o6 118 28 [ [ -LRB- cord-267229-hdnzs9o6 118 29 38 38 CD cord-267229-hdnzs9o6 118 30 , , , cord-267229-hdnzs9o6 118 31 39 39 CD cord-267229-hdnzs9o6 118 32 ] ] -RRB- cord-267229-hdnzs9o6 118 33 . . . cord-267229-hdnzs9o6 119 1 As as IN cord-267229-hdnzs9o6 119 2 previously previously RB cord-267229-hdnzs9o6 119 3 discussed discuss VBN cord-267229-hdnzs9o6 119 4 , , , cord-267229-hdnzs9o6 119 5 with with IN cord-267229-hdnzs9o6 119 6 the the DT cord-267229-hdnzs9o6 119 7 shift shift NN cord-267229-hdnzs9o6 119 8 toward toward IN cord-267229-hdnzs9o6 119 9 competency competency NN cord-267229-hdnzs9o6 119 10 - - HYPH cord-267229-hdnzs9o6 119 11 based base VBN cord-267229-hdnzs9o6 119 12 medical medical JJ cord-267229-hdnzs9o6 119 13 education education NN cord-267229-hdnzs9o6 119 14 ( ( -LRB- cord-267229-hdnzs9o6 119 15 CBME CBME NNP cord-267229-hdnzs9o6 119 16 ) ) -RRB- cord-267229-hdnzs9o6 119 17 , , , cord-267229-hdnzs9o6 119 18 there there EX cord-267229-hdnzs9o6 119 19 is be VBZ cord-267229-hdnzs9o6 119 20 an an DT cord-267229-hdnzs9o6 119 21 increased increase VBN cord-267229-hdnzs9o6 119 22 emphasis emphasis NN cord-267229-hdnzs9o6 119 23 on on IN cord-267229-hdnzs9o6 119 24 establishing establish VBG cord-267229-hdnzs9o6 119 25 an an DT cord-267229-hdnzs9o6 119 26 outcomes outcome NNS cord-267229-hdnzs9o6 119 27 - - HYPH cord-267229-hdnzs9o6 119 28 based base VBN cord-267229-hdnzs9o6 119 29 training training NN cord-267229-hdnzs9o6 119 30 curriculum curriculum NN cord-267229-hdnzs9o6 119 31 ; ; : cord-267229-hdnzs9o6 119 32 with with IN cord-267229-hdnzs9o6 119 33 the the DT cord-267229-hdnzs9o6 119 34 goals goal NNS cord-267229-hdnzs9o6 119 35 of of IN cord-267229-hdnzs9o6 119 36 reducing reduce VBG cord-267229-hdnzs9o6 119 37 variation variation NN cord-267229-hdnzs9o6 119 38 in in IN cord-267229-hdnzs9o6 119 39 the the DT cord-267229-hdnzs9o6 119 40 quality quality NN cord-267229-hdnzs9o6 119 41 of of IN cord-267229-hdnzs9o6 119 42 endoscopy endoscopy NN cord-267229-hdnzs9o6 119 43 and and CC cord-267229-hdnzs9o6 119 44 to to TO cord-267229-hdnzs9o6 119 45 define define VB cord-267229-hdnzs9o6 119 46 standards standard NNS cord-267229-hdnzs9o6 119 47 within within IN cord-267229-hdnzs9o6 119 48 the the DT cord-267229-hdnzs9o6 119 49 field field NN cord-267229-hdnzs9o6 119 50 of of IN cord-267229-hdnzs9o6 119 51 advanced advanced JJ cord-267229-hdnzs9o6 119 52 endoscopy endoscopy NN cord-267229-hdnzs9o6 119 53 that that WDT cord-267229-hdnzs9o6 119 54 may may MD cord-267229-hdnzs9o6 119 55 help help VB cord-267229-hdnzs9o6 119 56 identify identify VB cord-267229-hdnzs9o6 119 57 areas area NNS cord-267229-hdnzs9o6 119 58 for for IN cord-267229-hdnzs9o6 119 59 quality quality NN cord-267229-hdnzs9o6 119 60 improvement improvement NN cord-267229-hdnzs9o6 119 61 . . . cord-267229-hdnzs9o6 120 1 Although although IN cord-267229-hdnzs9o6 120 2 major major JJ cord-267229-hdnzs9o6 120 3 strides stride NNS cord-267229-hdnzs9o6 120 4 have have VBP cord-267229-hdnzs9o6 120 5 been be VBN cord-267229-hdnzs9o6 120 6 made make VBN cord-267229-hdnzs9o6 120 7 in in IN cord-267229-hdnzs9o6 120 8 the the DT cord-267229-hdnzs9o6 120 9 standardized standardized JJ cord-267229-hdnzs9o6 120 10 assessment assessment NN cord-267229-hdnzs9o6 120 11 of of IN cord-267229-hdnzs9o6 120 12 ERCP ERCP NNP cord-267229-hdnzs9o6 120 13 and and CC cord-267229-hdnzs9o6 120 14 EUS EUS NNP cord-267229-hdnzs9o6 120 15 training training NN cord-267229-hdnzs9o6 120 16 [ [ -LRB- cord-267229-hdnzs9o6 120 17 43 43 CD cord-267229-hdnzs9o6 120 18 ] ] -RRB- cord-267229-hdnzs9o6 120 19 [ [ -LRB- cord-267229-hdnzs9o6 120 20 44 44 CD cord-267229-hdnzs9o6 120 21 ] ] -RRB- cord-267229-hdnzs9o6 120 22 [ [ -LRB- cord-267229-hdnzs9o6 120 23 45 45 CD cord-267229-hdnzs9o6 120 24 ] ] -RRB- cord-267229-hdnzs9o6 120 25 , , , cord-267229-hdnzs9o6 120 26 several several JJ cord-267229-hdnzs9o6 120 27 challenges challenge NNS cord-267229-hdnzs9o6 120 28 remain remain VBP cord-267229-hdnzs9o6 120 29 when when WRB cord-267229-hdnzs9o6 120 30 attempting attempt VBG cord-267229-hdnzs9o6 120 31 to to TO cord-267229-hdnzs9o6 120 32 implement implement VB cord-267229-hdnzs9o6 120 33 a a DT cord-267229-hdnzs9o6 120 34 structured structured JJ cord-267229-hdnzs9o6 120 35 training training NN cord-267229-hdnzs9o6 120 36 program program NN cord-267229-hdnzs9o6 120 37 for for IN cord-267229-hdnzs9o6 120 38 emerging emerge VBG cord-267229-hdnzs9o6 120 39 endoscopic endoscopic JJ cord-267229-hdnzs9o6 120 40 procedures procedure NNS cord-267229-hdnzs9o6 120 41 : : : cord-267229-hdnzs9o6 120 42 1 1 CD cord-267229-hdnzs9o6 120 43 . . . cord-267229-hdnzs9o6 121 1 Training train VBG cord-267229-hdnzs9o6 121 2 the the DT cord-267229-hdnzs9o6 121 3 trainers trainer NNS cord-267229-hdnzs9o6 121 4 . . . cord-267229-hdnzs9o6 122 1 In in IN cord-267229-hdnzs9o6 122 2 the the DT cord-267229-hdnzs9o6 122 3 traditional traditional JJ cord-267229-hdnzs9o6 122 4 " " `` cord-267229-hdnzs9o6 122 5 see see VB cord-267229-hdnzs9o6 122 6 one one CD cord-267229-hdnzs9o6 122 7 , , , cord-267229-hdnzs9o6 122 8 do do VB cord-267229-hdnzs9o6 122 9 one one CD cord-267229-hdnzs9o6 122 10 , , , cord-267229-hdnzs9o6 122 11 teach teach VB cord-267229-hdnzs9o6 122 12 one one CD cord-267229-hdnzs9o6 122 13 " " `` cord-267229-hdnzs9o6 122 14 training training NN cord-267229-hdnzs9o6 122 15 model model NN cord-267229-hdnzs9o6 122 16 , , , cord-267229-hdnzs9o6 122 17 teachers teacher NNS cord-267229-hdnzs9o6 122 18 are be VBP cord-267229-hdnzs9o6 122 19 identified identify VBN cord-267229-hdnzs9o6 122 20 based base VBN cord-267229-hdnzs9o6 122 21 on on IN cord-267229-hdnzs9o6 122 22 their -PRON- PRP$ cord-267229-hdnzs9o6 122 23 own own JJ cord-267229-hdnzs9o6 122 24 expertise expertise NN cord-267229-hdnzs9o6 122 25 within within IN cord-267229-hdnzs9o6 122 26 a a DT cord-267229-hdnzs9o6 122 27 particular particular JJ cord-267229-hdnzs9o6 122 28 field field NN cord-267229-hdnzs9o6 122 29 of of IN cord-267229-hdnzs9o6 122 30 interest interest NN cord-267229-hdnzs9o6 122 31 . . . cord-267229-hdnzs9o6 123 1 These these DT cord-267229-hdnzs9o6 123 2 teachers teacher NNS cord-267229-hdnzs9o6 123 3 then then RB cord-267229-hdnzs9o6 123 4 serve serve VBP cord-267229-hdnzs9o6 123 5 as as IN cord-267229-hdnzs9o6 123 6 mentors mentor NNS cord-267229-hdnzs9o6 123 7 and and CC cord-267229-hdnzs9o6 123 8 are be VBP cord-267229-hdnzs9o6 123 9 responsible responsible JJ cord-267229-hdnzs9o6 123 10 of of IN cord-267229-hdnzs9o6 123 11 identifying identify VBG cord-267229-hdnzs9o6 123 12 when when WRB cord-267229-hdnzs9o6 123 13 their -PRON- PRP$ cord-267229-hdnzs9o6 123 14 students student NNS cord-267229-hdnzs9o6 123 15 have have VBP cord-267229-hdnzs9o6 123 16 fulfilled fulfil VBN cord-267229-hdnzs9o6 123 17 their -PRON- PRP$ cord-267229-hdnzs9o6 123 18 training training NN cord-267229-hdnzs9o6 123 19 requirements requirement NNS cord-267229-hdnzs9o6 123 20 . . . cord-267229-hdnzs9o6 124 1 A a DT cord-267229-hdnzs9o6 124 2 national national JJ cord-267229-hdnzs9o6 124 3 audit audit NN cord-267229-hdnzs9o6 124 4 of of IN cord-267229-hdnzs9o6 124 5 colonoscopy colonoscopy NN cord-267229-hdnzs9o6 124 6 performance performance NN cord-267229-hdnzs9o6 124 7 in in IN cord-267229-hdnzs9o6 124 8 the the DT cord-267229-hdnzs9o6 124 9 United United NNP cord-267229-hdnzs9o6 124 10 Kingdom Kingdom NNP cord-267229-hdnzs9o6 124 11 ( ( -LRB- cord-267229-hdnzs9o6 124 12 UK UK NNP cord-267229-hdnzs9o6 124 13 ) ) -RRB- cord-267229-hdnzs9o6 124 14 identified identify VBD cord-267229-hdnzs9o6 124 15 the the DT cord-267229-hdnzs9o6 124 16 numerous numerous JJ cord-267229-hdnzs9o6 124 17 pitfalls pitfall NNS cord-267229-hdnzs9o6 124 18 of of IN cord-267229-hdnzs9o6 124 19 this this DT cord-267229-hdnzs9o6 124 20 informal informal JJ cord-267229-hdnzs9o6 124 21 and and CC cord-267229-hdnzs9o6 124 22 highly highly RB cord-267229-hdnzs9o6 124 23 subjective subjective JJ cord-267229-hdnzs9o6 124 24 teaching teaching NN cord-267229-hdnzs9o6 124 25 approach approach NN cord-267229-hdnzs9o6 124 26 [ [ -LRB- cord-267229-hdnzs9o6 124 27 46 46 CD cord-267229-hdnzs9o6 124 28 , , , cord-267229-hdnzs9o6 124 29 47 47 CD cord-267229-hdnzs9o6 124 30 ] ] -RRB- cord-267229-hdnzs9o6 124 31 , , , cord-267229-hdnzs9o6 124 32 which which WDT cord-267229-hdnzs9o6 124 33 subsequently subsequently RB cord-267229-hdnzs9o6 124 34 sparked spark VBD cord-267229-hdnzs9o6 124 35 the the DT cord-267229-hdnzs9o6 124 36 implementation implementation NN cord-267229-hdnzs9o6 124 37 of of IN cord-267229-hdnzs9o6 124 38 various various JJ cord-267229-hdnzs9o6 124 39 strategies strategy NNS cord-267229-hdnzs9o6 124 40 aimed aim VBN cord-267229-hdnzs9o6 124 41 at at IN cord-267229-hdnzs9o6 124 42 improving improve VBG cord-267229-hdnzs9o6 124 43 endoscopic endoscopic NNS cord-267229-hdnzs9o6 124 44 training training NN cord-267229-hdnzs9o6 124 45 [ [ -LRB- cord-267229-hdnzs9o6 124 46 15 15 CD cord-267229-hdnzs9o6 124 47 , , , cord-267229-hdnzs9o6 124 48 16 16 CD cord-267229-hdnzs9o6 124 49 ] ] -RRB- cord-267229-hdnzs9o6 124 50 . . . cord-267229-hdnzs9o6 125 1 One one CD cord-267229-hdnzs9o6 125 2 of of IN cord-267229-hdnzs9o6 125 3 the the DT cord-267229-hdnzs9o6 125 4 key key JJ cord-267229-hdnzs9o6 125 5 issues issue NNS cord-267229-hdnzs9o6 125 6 identified identify VBN cord-267229-hdnzs9o6 125 7 included include VBD cord-267229-hdnzs9o6 125 8 the the DT cord-267229-hdnzs9o6 125 9 importance importance NN cord-267229-hdnzs9o6 125 10 of of IN cord-267229-hdnzs9o6 125 11 developing develop VBG cord-267229-hdnzs9o6 125 12 programs program NNS cord-267229-hdnzs9o6 125 13 to to TO cord-267229-hdnzs9o6 125 14 " " `` cord-267229-hdnzs9o6 125 15 train train VB cord-267229-hdnzs9o6 125 16 the the DT cord-267229-hdnzs9o6 125 17 trainer trainer NN cord-267229-hdnzs9o6 125 18 " " '' cord-267229-hdnzs9o6 125 19 ( ( -LRB- cord-267229-hdnzs9o6 125 20 TTT TTT NNP cord-267229-hdnzs9o6 125 21 ) ) -RRB- cord-267229-hdnzs9o6 125 22 , , , cord-267229-hdnzs9o6 125 23 based base VBN cord-267229-hdnzs9o6 125 24 on on IN cord-267229-hdnzs9o6 125 25 the the DT cord-267229-hdnzs9o6 125 26 premise premise NN cord-267229-hdnzs9o6 125 27 that that IN cord-267229-hdnzs9o6 125 28 simply simply RB cord-267229-hdnzs9o6 125 29 acquiring acquire VBG cord-267229-hdnzs9o6 125 30 the the DT cord-267229-hdnzs9o6 125 31 skill skill NN cord-267229-hdnzs9o6 125 32 of of IN cord-267229-hdnzs9o6 125 33 performing perform VBG cord-267229-hdnzs9o6 125 34 an an DT cord-267229-hdnzs9o6 125 35 endoscopic endoscopic JJ cord-267229-hdnzs9o6 125 36 procedure procedure NN cord-267229-hdnzs9o6 125 37 does do VBZ cord-267229-hdnzs9o6 125 38 not not RB cord-267229-hdnzs9o6 125 39 explicitly explicitly RB cord-267229-hdnzs9o6 125 40 translate translate VB cord-267229-hdnzs9o6 125 41 in in IN cord-267229-hdnzs9o6 125 42 an an DT cord-267229-hdnzs9o6 125 43 ability ability NN cord-267229-hdnzs9o6 125 44 to to TO cord-267229-hdnzs9o6 125 45 be be VB cord-267229-hdnzs9o6 125 46 an an DT cord-267229-hdnzs9o6 125 47 effective effective JJ cord-267229-hdnzs9o6 125 48 endoscopy endoscopy NN cord-267229-hdnzs9o6 125 49 trainer trainer NN cord-267229-hdnzs9o6 125 50 [ [ -LRB- cord-267229-hdnzs9o6 125 51 48 48 CD cord-267229-hdnzs9o6 125 52 ] ] -RRB- cord-267229-hdnzs9o6 125 53 . . . cord-267229-hdnzs9o6 126 1 Since since IN cord-267229-hdnzs9o6 126 2 its -PRON- PRP$ cord-267229-hdnzs9o6 126 3 implementation implementation NN cord-267229-hdnzs9o6 126 4 in in IN cord-267229-hdnzs9o6 126 5 the the DT cord-267229-hdnzs9o6 126 6 United United NNP cord-267229-hdnzs9o6 126 7 Kingdom Kingdom NNP cord-267229-hdnzs9o6 126 8 in in IN cord-267229-hdnzs9o6 126 9 an an DT cord-267229-hdnzs9o6 126 10 effort effort NN cord-267229-hdnzs9o6 126 11 to to TO cord-267229-hdnzs9o6 126 12 improve improve VB cord-267229-hdnzs9o6 126 13 colonoscopy colonoscopy NN cord-267229-hdnzs9o6 126 14 quality quality NN cord-267229-hdnzs9o6 126 15 outcomes outcome NNS cord-267229-hdnzs9o6 126 16 , , , cord-267229-hdnzs9o6 126 17 these these DT cord-267229-hdnzs9o6 126 18 TTT TTT NNP cord-267229-hdnzs9o6 126 19 programs program NNS cord-267229-hdnzs9o6 126 20 have have VBP cord-267229-hdnzs9o6 126 21 been be VBN cord-267229-hdnzs9o6 126 22 applied apply VBN cord-267229-hdnzs9o6 126 23 in in IN cord-267229-hdnzs9o6 126 24 other other JJ cord-267229-hdnzs9o6 126 25 countries country NNS cord-267229-hdnzs9o6 126 26 with with IN cord-267229-hdnzs9o6 126 27 proven prove VBN cord-267229-hdnzs9o6 126 28 impact impact NN cord-267229-hdnzs9o6 126 29 on on IN cord-267229-hdnzs9o6 126 30 endoscopic endoscopic NNS cord-267229-hdnzs9o6 126 31 training training NN cord-267229-hdnzs9o6 126 32 [ [ -LRB- cord-267229-hdnzs9o6 126 33 49 49 CD cord-267229-hdnzs9o6 126 34 ] ] -RRB- cord-267229-hdnzs9o6 126 35 . . . cord-267229-hdnzs9o6 127 1 The the DT cord-267229-hdnzs9o6 127 2 TTT TTT NNP cord-267229-hdnzs9o6 127 3 model model NN cord-267229-hdnzs9o6 127 4 promotes promote VBZ cord-267229-hdnzs9o6 127 5 standardization standardization NN cord-267229-hdnzs9o6 127 6 of of IN cord-267229-hdnzs9o6 127 7 training training NN cord-267229-hdnzs9o6 127 8 by by IN cord-267229-hdnzs9o6 127 9 ( ( -LRB- cord-267229-hdnzs9o6 127 10 1 1 CD cord-267229-hdnzs9o6 127 11 ) ) -RRB- cord-267229-hdnzs9o6 127 12 educating educate VBG cord-267229-hdnzs9o6 127 13 the the DT cord-267229-hdnzs9o6 127 14 trainer trainer NN cord-267229-hdnzs9o6 127 15 on on IN cord-267229-hdnzs9o6 127 16 how how WRB cord-267229-hdnzs9o6 127 17 to to TO cord-267229-hdnzs9o6 127 18 effectively effectively RB cord-267229-hdnzs9o6 127 19 and and CC cord-267229-hdnzs9o6 127 20 efficiently efficiently RB cord-267229-hdnzs9o6 127 21 teach teach VB cord-267229-hdnzs9o6 127 22 endoscopy endoscopy NN cord-267229-hdnzs9o6 127 23 ; ; : cord-267229-hdnzs9o6 127 24 and and CC cord-267229-hdnzs9o6 127 25 stresses stress VBZ cord-267229-hdnzs9o6 127 26 the the DT cord-267229-hdnzs9o6 127 27 ( ( -LRB- cord-267229-hdnzs9o6 127 28 2 2 LS cord-267229-hdnzs9o6 127 29 ) ) -RRB- cord-267229-hdnzs9o6 127 30 need need VBP cord-267229-hdnzs9o6 127 31 to to TO cord-267229-hdnzs9o6 127 32 develop develop VB cord-267229-hdnzs9o6 127 33 a a DT cord-267229-hdnzs9o6 127 34 structured structured JJ cord-267229-hdnzs9o6 127 35 curriculum curriculum NN cord-267229-hdnzs9o6 127 36 with with IN cord-267229-hdnzs9o6 127 37 pre pre JJ cord-267229-hdnzs9o6 127 38 - - JJ cord-267229-hdnzs9o6 127 39 established established JJ cord-267229-hdnzs9o6 127 40 learning learning NN cord-267229-hdnzs9o6 127 41 objectives objective NNS cord-267229-hdnzs9o6 127 42 [ [ -LRB- cord-267229-hdnzs9o6 127 43 48 48 CD cord-267229-hdnzs9o6 127 44 ] ] -RRB- cord-267229-hdnzs9o6 127 45 . . . cord-267229-hdnzs9o6 128 1 Noteworthy noteworthy JJ cord-267229-hdnzs9o6 128 2 , , , cord-267229-hdnzs9o6 128 3 the the DT cord-267229-hdnzs9o6 128 4 adoption adoption NN cord-267229-hdnzs9o6 128 5 of of IN cord-267229-hdnzs9o6 128 6 this this DT cord-267229-hdnzs9o6 128 7 training training NN cord-267229-hdnzs9o6 128 8 program program NN cord-267229-hdnzs9o6 128 9 , , , cord-267229-hdnzs9o6 128 10 designed design VBN cord-267229-hdnzs9o6 128 11 to to TO cord-267229-hdnzs9o6 128 12 upskill upskill VB cord-267229-hdnzs9o6 128 13 endoscopists endoscopist NNS cord-267229-hdnzs9o6 128 14 , , , cord-267229-hdnzs9o6 128 15 should should MD cord-267229-hdnzs9o6 128 16 help help VB cord-267229-hdnzs9o6 128 17 build build VB cord-267229-hdnzs9o6 128 18 an an DT cord-267229-hdnzs9o6 128 19 effective effective JJ cord-267229-hdnzs9o6 128 20 trainer trainer NN cord-267229-hdnzs9o6 128 21 pool pool NN cord-267229-hdnzs9o6 128 22 over over IN cord-267229-hdnzs9o6 128 23 time time NN cord-267229-hdnzs9o6 128 24 , , , cord-267229-hdnzs9o6 128 25 which which WDT cord-267229-hdnzs9o6 128 26 is be VBZ cord-267229-hdnzs9o6 128 27 paramount paramount NN cord-267229-hdnzs9o6 128 28 for for IN cord-267229-hdnzs9o6 128 29 the the DT cord-267229-hdnzs9o6 128 30 dissemination dissemination NN cord-267229-hdnzs9o6 128 31 of of IN cord-267229-hdnzs9o6 128 32 novel novel JJ cord-267229-hdnzs9o6 128 33 endoscopic endoscopic NN cord-267229-hdnzs9o6 128 34 skills skill NNS cord-267229-hdnzs9o6 128 35 [ [ -LRB- cord-267229-hdnzs9o6 128 36 50 50 CD cord-267229-hdnzs9o6 128 37 ] ] -RRB- cord-267229-hdnzs9o6 128 38 . . . cord-267229-hdnzs9o6 129 1 Although although IN cord-267229-hdnzs9o6 129 2 hands hand NNS cord-267229-hdnzs9o6 129 3 - - HYPH cord-267229-hdnzs9o6 129 4 on on RP cord-267229-hdnzs9o6 129 5 practice practice NN cord-267229-hdnzs9o6 129 6 on on IN cord-267229-hdnzs9o6 129 7 animal animal NN cord-267229-hdnzs9o6 129 8 models model NNS cord-267229-hdnzs9o6 129 9 has have VBZ cord-267229-hdnzs9o6 129 10 often often RB cord-267229-hdnzs9o6 129 11 been be VBN cord-267229-hdnzs9o6 129 12 advocated advocate VBN cord-267229-hdnzs9o6 129 13 as as IN cord-267229-hdnzs9o6 129 14 an an DT cord-267229-hdnzs9o6 129 15 integral integral JJ cord-267229-hdnzs9o6 129 16 component component NN cord-267229-hdnzs9o6 129 17 in in IN cord-267229-hdnzs9o6 129 18 endoscopy endoscopy NN cord-267229-hdnzs9o6 129 19 training training NN cord-267229-hdnzs9o6 129 20 , , , cord-267229-hdnzs9o6 129 21 particularly particularly RB cord-267229-hdnzs9o6 129 22 in in IN cord-267229-hdnzs9o6 129 23 the the DT cord-267229-hdnzs9o6 129 24 acquisition acquisition NN cord-267229-hdnzs9o6 129 25 of of IN cord-267229-hdnzs9o6 129 26 major major JJ cord-267229-hdnzs9o6 129 27 skills skill NNS cord-267229-hdnzs9o6 129 28 [ [ -LRB- cord-267229-hdnzs9o6 129 29 19 19 CD cord-267229-hdnzs9o6 129 30 ] ] -RRB- cord-267229-hdnzs9o6 129 31 , , , cord-267229-hdnzs9o6 129 32 animal animal NN cord-267229-hdnzs9o6 129 33 laboratories laboratory NNS cord-267229-hdnzs9o6 129 34 are be VBP cord-267229-hdnzs9o6 129 35 costly costly JJ cord-267229-hdnzs9o6 129 36 and and CC cord-267229-hdnzs9o6 129 37 not not RB cord-267229-hdnzs9o6 129 38 widely widely RB cord-267229-hdnzs9o6 129 39 available available JJ cord-267229-hdnzs9o6 129 40 . . . cord-267229-hdnzs9o6 130 1 Simulation simulation NN cord-267229-hdnzs9o6 130 2 - - HYPH cord-267229-hdnzs9o6 130 3 based base VBN cord-267229-hdnzs9o6 130 4 training training NN cord-267229-hdnzs9o6 130 5 in in IN cord-267229-hdnzs9o6 130 6 GI GI NNP cord-267229-hdnzs9o6 130 7 endoscopy endoscopy NN cord-267229-hdnzs9o6 130 8 may may MD cord-267229-hdnzs9o6 130 9 be be VB cord-267229-hdnzs9o6 130 10 a a DT cord-267229-hdnzs9o6 130 11 valuable valuable JJ cord-267229-hdnzs9o6 130 12 adjunct adjunct NN cord-267229-hdnzs9o6 130 13 tool tool NN cord-267229-hdnzs9o6 130 14 that that WDT cord-267229-hdnzs9o6 130 15 can can MD cord-267229-hdnzs9o6 130 16 help help VB cord-267229-hdnzs9o6 130 17 trainees trainee NNS cord-267229-hdnzs9o6 130 18 acquire acquire VB cord-267229-hdnzs9o6 130 19 new new JJ cord-267229-hdnzs9o6 130 20 skills skill NNS cord-267229-hdnzs9o6 130 21 and and CC cord-267229-hdnzs9o6 130 22 accelerate accelerate VB cord-267229-hdnzs9o6 130 23 learning learn VBG cord-267229-hdnzs9o6 130 24 curve curve NN cord-267229-hdnzs9o6 130 25 in in IN cord-267229-hdnzs9o6 130 26 a a DT cord-267229-hdnzs9o6 130 27 low low JJ cord-267229-hdnzs9o6 130 28 - - HYPH cord-267229-hdnzs9o6 130 29 risk risk NN cord-267229-hdnzs9o6 130 30 environment environment NN cord-267229-hdnzs9o6 130 31 [ [ -LRB- cord-267229-hdnzs9o6 130 32 51 51 CD cord-267229-hdnzs9o6 130 33 , , , cord-267229-hdnzs9o6 130 34 52 52 CD cord-267229-hdnzs9o6 130 35 ] ] -RRB- cord-267229-hdnzs9o6 130 36 . . . cord-267229-hdnzs9o6 131 1 This this DT cord-267229-hdnzs9o6 131 2 may may MD cord-267229-hdnzs9o6 131 3 be be VB cord-267229-hdnzs9o6 131 4 particularly particularly RB cord-267229-hdnzs9o6 131 5 attractive attractive JJ cord-267229-hdnzs9o6 131 6 for for IN cord-267229-hdnzs9o6 131 7 training training NN cord-267229-hdnzs9o6 131 8 in in IN cord-267229-hdnzs9o6 131 9 third third JJ cord-267229-hdnzs9o6 131 10 - - HYPH cord-267229-hdnzs9o6 131 11 space space NN cord-267229-hdnzs9o6 131 12 endoscopy endoscopy NN cord-267229-hdnzs9o6 131 13 , , , cord-267229-hdnzs9o6 131 14 given give VBN cord-267229-hdnzs9o6 131 15 the the DT cord-267229-hdnzs9o6 131 16 already already RB cord-267229-hdnzs9o6 131 17 aforementioned aforementioned JJ cord-267229-hdnzs9o6 131 18 lack lack NN cord-267229-hdnzs9o6 131 19 of of IN cord-267229-hdnzs9o6 131 20 local local JJ cord-267229-hdnzs9o6 131 21 " " '' cord-267229-hdnzs9o6 131 22 experts expert NNS cord-267229-hdnzs9o6 131 23 , , , cord-267229-hdnzs9o6 131 24 " " '' cord-267229-hdnzs9o6 131 25 training training NN cord-267229-hdnzs9o6 131 26 opportunities opportunity NNS cord-267229-hdnzs9o6 131 27 , , , cord-267229-hdnzs9o6 131 28 and and CC cord-267229-hdnzs9o6 131 29 high high JJ cord-267229-hdnzs9o6 131 30 stakes stake NNS cord-267229-hdnzs9o6 131 31 with with IN cord-267229-hdnzs9o6 131 32 these these DT cord-267229-hdnzs9o6 131 33 complex complex JJ cord-267229-hdnzs9o6 131 34 interventions intervention NNS cord-267229-hdnzs9o6 131 35 . . . cord-267229-hdnzs9o6 132 1 Theoretically theoretically RB cord-267229-hdnzs9o6 132 2 , , , cord-267229-hdnzs9o6 132 3 with with IN cord-267229-hdnzs9o6 132 4 simulation simulation NN cord-267229-hdnzs9o6 132 5 - - HYPH cord-267229-hdnzs9o6 132 6 based base VBN cord-267229-hdnzs9o6 132 7 training training NN cord-267229-hdnzs9o6 132 8 , , , cord-267229-hdnzs9o6 132 9 learners learner NNS cord-267229-hdnzs9o6 132 10 should should MD cord-267229-hdnzs9o6 132 11 be be VB cord-267229-hdnzs9o6 132 12 able able JJ cord-267229-hdnzs9o6 132 13 to to TO cord-267229-hdnzs9o6 132 14 repetitively repetitively RB cord-267229-hdnzs9o6 132 15 perform perform VB cord-267229-hdnzs9o6 132 16 the the DT cord-267229-hdnzs9o6 132 17 intended intended JJ cord-267229-hdnzs9o6 132 18 skills skill NNS cord-267229-hdnzs9o6 132 19 and and CC cord-267229-hdnzs9o6 132 20 adjust adjust VB cord-267229-hdnzs9o6 132 21 training training NN cord-267229-hdnzs9o6 132 22 to to TO cord-267229-hdnzs9o6 132 23 target target VB cord-267229-hdnzs9o6 132 24 specific specific JJ cord-267229-hdnzs9o6 132 25 skills skill NNS cord-267229-hdnzs9o6 132 26 or or CC cord-267229-hdnzs9o6 132 27 build build VB cord-267229-hdnzs9o6 132 28 upon upon IN cord-267229-hdnzs9o6 132 29 existing exist VBG cord-267229-hdnzs9o6 132 30 competencies competency NNS cord-267229-hdnzs9o6 132 31 with with IN cord-267229-hdnzs9o6 132 32 no no DT cord-267229-hdnzs9o6 132 33 risk risk NN cord-267229-hdnzs9o6 132 34 to to IN cord-267229-hdnzs9o6 132 35 patients patient NNS cord-267229-hdnzs9o6 132 36 . . . cord-267229-hdnzs9o6 133 1 However however RB cord-267229-hdnzs9o6 133 2 , , , cord-267229-hdnzs9o6 133 3 there there EX cord-267229-hdnzs9o6 133 4 is be VBZ cord-267229-hdnzs9o6 133 5 currently currently RB cord-267229-hdnzs9o6 133 6 a a DT cord-267229-hdnzs9o6 133 7 scarcity scarcity NN cord-267229-hdnzs9o6 133 8 of of IN cord-267229-hdnzs9o6 133 9 data datum NNS cord-267229-hdnzs9o6 133 10 examining examine VBG cord-267229-hdnzs9o6 133 11 the the DT cord-267229-hdnzs9o6 133 12 ability ability NN cord-267229-hdnzs9o6 133 13 of of IN cord-267229-hdnzs9o6 133 14 simulators simulator NNS cord-267229-hdnzs9o6 133 15 as as IN cord-267229-hdnzs9o6 133 16 tools tool NNS cord-267229-hdnzs9o6 133 17 to to TO cord-267229-hdnzs9o6 133 18 assess assess VB cord-267229-hdnzs9o6 133 19 endoscopic endoscopic JJ cord-267229-hdnzs9o6 133 20 skill skill NN cord-267229-hdnzs9o6 133 21 . . . cord-267229-hdnzs9o6 134 1 Hence hence RB cord-267229-hdnzs9o6 134 2 , , , cord-267229-hdnzs9o6 134 3 although although IN cord-267229-hdnzs9o6 134 4 promising promising JJ cord-267229-hdnzs9o6 134 5 , , , cord-267229-hdnzs9o6 134 6 additional additional JJ cord-267229-hdnzs9o6 134 7 studies study NNS cord-267229-hdnzs9o6 134 8 on on IN cord-267229-hdnzs9o6 134 9 simulator simulator NN cord-267229-hdnzs9o6 134 10 - - HYPH cord-267229-hdnzs9o6 134 11 based base VBN cord-267229-hdnzs9o6 134 12 assessment assessment NN cord-267229-hdnzs9o6 134 13 tools tool NNS cord-267229-hdnzs9o6 134 14 with with IN cord-267229-hdnzs9o6 134 15 predictive predictive JJ cord-267229-hdnzs9o6 134 16 validity validity NN cord-267229-hdnzs9o6 134 17 are be VBP cord-267229-hdnzs9o6 134 18 necessary necessary JJ cord-267229-hdnzs9o6 134 19 before before IN cord-267229-hdnzs9o6 134 20 we -PRON- PRP cord-267229-hdnzs9o6 134 21 can can MD cord-267229-hdnzs9o6 134 22 determine determine VB cord-267229-hdnzs9o6 134 23 its -PRON- PRP$ cord-267229-hdnzs9o6 134 24 role role NN cord-267229-hdnzs9o6 134 25 as as IN cord-267229-hdnzs9o6 134 26 compared compare VBN cord-267229-hdnzs9o6 134 27 with with IN cord-267229-hdnzs9o6 134 28 the the DT cord-267229-hdnzs9o6 134 29 acquisition acquisition NN cord-267229-hdnzs9o6 134 30 of of IN cord-267229-hdnzs9o6 134 31 technical technical JJ cord-267229-hdnzs9o6 134 32 and and CC cord-267229-hdnzs9o6 134 33 cognitive cognitive JJ cord-267229-hdnzs9o6 134 34 competency competency NN cord-267229-hdnzs9o6 134 35 via via IN cord-267229-hdnzs9o6 134 36 standard standard JJ cord-267229-hdnzs9o6 134 37 endoscopic endoscopic NNS cord-267229-hdnzs9o6 134 38 training training NN cord-267229-hdnzs9o6 134 39 [ [ -LRB- cord-267229-hdnzs9o6 134 40 53 53 CD cord-267229-hdnzs9o6 134 41 ] ] -RRB- cord-267229-hdnzs9o6 134 42 . . . cord-267229-hdnzs9o6 135 1 Similarly similarly RB cord-267229-hdnzs9o6 135 2 , , , cord-267229-hdnzs9o6 135 3 real real JJ cord-267229-hdnzs9o6 135 4 - - HYPH cord-267229-hdnzs9o6 135 5 time time NN cord-267229-hdnzs9o6 135 6 assessment assessment NN cord-267229-hdnzs9o6 135 7 and and CC cord-267229-hdnzs9o6 135 8 provision provision NN cord-267229-hdnzs9o6 135 9 of of IN cord-267229-hdnzs9o6 135 10 data datum NNS cord-267229-hdnzs9o6 135 11 on on IN cord-267229-hdnzs9o6 135 12 trainee trainee NN cord-267229-hdnzs9o6 135 13 performance performance NN cord-267229-hdnzs9o6 135 14 can can MD cord-267229-hdnzs9o6 135 15 be be VB cord-267229-hdnzs9o6 135 16 challenging challenge VBG cord-267229-hdnzs9o6 135 17 depending depend VBG cord-267229-hdnzs9o6 135 18 on on IN cord-267229-hdnzs9o6 135 19 the the DT cord-267229-hdnzs9o6 135 20 available available JJ cord-267229-hdnzs9o6 135 21 of of IN cord-267229-hdnzs9o6 135 22 local local JJ cord-267229-hdnzs9o6 135 23 experts expert NNS cord-267229-hdnzs9o6 135 24 . . . cord-267229-hdnzs9o6 136 1 More more RBR cord-267229-hdnzs9o6 136 2 recently recently RB cord-267229-hdnzs9o6 136 3 , , , cord-267229-hdnzs9o6 136 4 indirect indirect JJ cord-267229-hdnzs9o6 136 5 assessment assessment NN cord-267229-hdnzs9o6 136 6 methods method NNS cord-267229-hdnzs9o6 136 7 , , , cord-267229-hdnzs9o6 136 8 including include VBG cord-267229-hdnzs9o6 136 9 video video NN cord-267229-hdnzs9o6 136 10 - - HYPH cord-267229-hdnzs9o6 136 11 recorded record VBN cord-267229-hdnzs9o6 136 12 procedures procedure NNS cord-267229-hdnzs9o6 136 13 , , , cord-267229-hdnzs9o6 136 14 have have VBP cord-267229-hdnzs9o6 136 15 been be VBN cord-267229-hdnzs9o6 136 16 evaluated evaluate VBN cord-267229-hdnzs9o6 136 17 as as IN cord-267229-hdnzs9o6 136 18 an an DT cord-267229-hdnzs9o6 136 19 alternative alternative NN cord-267229-hdnzs9o6 136 20 to to TO cord-267229-hdnzs9o6 136 21 " " `` cord-267229-hdnzs9o6 136 22 live live VB cord-267229-hdnzs9o6 136 23 " " '' cord-267229-hdnzs9o6 136 24 assessment assessment NN cord-267229-hdnzs9o6 136 25 [ [ -LRB- cord-267229-hdnzs9o6 136 26 54 54 CD cord-267229-hdnzs9o6 136 27 ] ] -RRB- cord-267229-hdnzs9o6 136 28 . . . cord-267229-hdnzs9o6 137 1 Video video NN cord-267229-hdnzs9o6 137 2 recording recording NN cord-267229-hdnzs9o6 137 3 allows allow VBZ cord-267229-hdnzs9o6 137 4 careful careful JJ cord-267229-hdnzs9o6 137 5 review review NN cord-267229-hdnzs9o6 137 6 and and CC cord-267229-hdnzs9o6 137 7 debriefing debriefing NN cord-267229-hdnzs9o6 137 8 of of IN cord-267229-hdnzs9o6 137 9 procedures procedure NNS cord-267229-hdnzs9o6 137 10 after after IN cord-267229-hdnzs9o6 137 11 the the DT cord-267229-hdnzs9o6 137 12 training training NN cord-267229-hdnzs9o6 137 13 session session NN cord-267229-hdnzs9o6 137 14 , , , cord-267229-hdnzs9o6 137 15 which which WDT cord-267229-hdnzs9o6 137 16 may may MD cord-267229-hdnzs9o6 137 17 facilitate facilitate VB cord-267229-hdnzs9o6 137 18 the the DT cord-267229-hdnzs9o6 137 19 exchange exchange NN cord-267229-hdnzs9o6 137 20 between between IN cord-267229-hdnzs9o6 137 21 mentor mentor NN cord-267229-hdnzs9o6 137 22 and and CC cord-267229-hdnzs9o6 137 23 trainee trainee NN cord-267229-hdnzs9o6 137 24 . . . cord-267229-hdnzs9o6 138 1 With with IN cord-267229-hdnzs9o6 138 2 technological technological JJ cord-267229-hdnzs9o6 138 3 innovations innovation NNS cord-267229-hdnzs9o6 138 4 and and CC cord-267229-hdnzs9o6 138 5 increasing increase VBG cord-267229-hdnzs9o6 138 6 broadband broadband NN cord-267229-hdnzs9o6 138 7 availability availability NN cord-267229-hdnzs9o6 138 8 , , , cord-267229-hdnzs9o6 138 9 video video NN cord-267229-hdnzs9o6 138 10 - - HYPH cord-267229-hdnzs9o6 138 11 based base VBN cord-267229-hdnzs9o6 138 12 live live JJ cord-267229-hdnzs9o6 138 13 instruction instruction NN cord-267229-hdnzs9o6 138 14 ( ( -LRB- cord-267229-hdnzs9o6 138 15 during during IN cord-267229-hdnzs9o6 138 16 animal animal NN cord-267229-hdnzs9o6 138 17 hands hand NNS cord-267229-hdnzs9o6 138 18 - - HYPH cord-267229-hdnzs9o6 138 19 on on RP cord-267229-hdnzs9o6 138 20 training training NN cord-267229-hdnzs9o6 138 21 , , , cord-267229-hdnzs9o6 138 22 simulationbased simulationbased JJ cord-267229-hdnzs9o6 138 23 sessions session NNS cord-267229-hdnzs9o6 138 24 , , , cord-267229-hdnzs9o6 138 25 or or CC cord-267229-hdnzs9o6 138 26 even even RB cord-267229-hdnzs9o6 138 27 human human JJ cord-267229-hdnzs9o6 138 28 cases case NNS cord-267229-hdnzs9o6 138 29 ) ) -RRB- cord-267229-hdnzs9o6 138 30 may may MD cord-267229-hdnzs9o6 138 31 be be VB cord-267229-hdnzs9o6 138 32 a a DT cord-267229-hdnzs9o6 138 33 potential potential JJ cord-267229-hdnzs9o6 138 34 strategy strategy NN cord-267229-hdnzs9o6 138 35 for for IN cord-267229-hdnzs9o6 138 36 endoscopic endoscopic JJ cord-267229-hdnzs9o6 138 37 education education NN cord-267229-hdnzs9o6 138 38 of of IN cord-267229-hdnzs9o6 138 39 highly highly RB cord-267229-hdnzs9o6 138 40 specialized specialized JJ cord-267229-hdnzs9o6 138 41 new new JJ cord-267229-hdnzs9o6 138 42 techniques technique NNS cord-267229-hdnzs9o6 138 43 even even RB cord-267229-hdnzs9o6 138 44 with with IN cord-267229-hdnzs9o6 138 45 mentors mentor NNS cord-267229-hdnzs9o6 138 46 in in IN cord-267229-hdnzs9o6 138 47 geographically geographically RB cord-267229-hdnzs9o6 138 48 distant distant JJ cord-267229-hdnzs9o6 138 49 locations location NNS cord-267229-hdnzs9o6 138 50 [ [ -LRB- cord-267229-hdnzs9o6 138 51 55 55 CD cord-267229-hdnzs9o6 138 52 ] ] -RRB- cord-267229-hdnzs9o6 138 53 . . . cord-267229-hdnzs9o6 139 1 This this DT cord-267229-hdnzs9o6 139 2 approach approach NN cord-267229-hdnzs9o6 139 3 may may MD cord-267229-hdnzs9o6 139 4 become become VB cord-267229-hdnzs9o6 139 5 even even RB cord-267229-hdnzs9o6 139 6 more more RBR cord-267229-hdnzs9o6 139 7 prominent prominent JJ cord-267229-hdnzs9o6 139 8 due due IN cord-267229-hdnzs9o6 139 9 to to IN cord-267229-hdnzs9o6 139 10 the the DT cord-267229-hdnzs9o6 139 11 expected expect VBN cord-267229-hdnzs9o6 139 12 higher high JJR cord-267229-hdnzs9o6 139 13 precautionary precautionary JJ cord-267229-hdnzs9o6 139 14 restrictions restriction NNS cord-267229-hdnzs9o6 139 15 on on IN cord-267229-hdnzs9o6 139 16 travel travel NN cord-267229-hdnzs9o6 139 17 and and CC cord-267229-hdnzs9o6 139 18 visiting visit VBG cord-267229-hdnzs9o6 139 19 endoscopists endoscopist NNS cord-267229-hdnzs9o6 139 20 in in IN cord-267229-hdnzs9o6 139 21 light light NN cord-267229-hdnzs9o6 139 22 of of IN cord-267229-hdnzs9o6 139 23 the the DT cord-267229-hdnzs9o6 139 24 recent recent JJ cord-267229-hdnzs9o6 139 25 worldwide worldwide JJ cord-267229-hdnzs9o6 139 26 coronavirus coronavirus NN cord-267229-hdnzs9o6 139 27 ( ( -LRB- cord-267229-hdnzs9o6 139 28 SARS SARS NNP cord-267229-hdnzs9o6 139 29 - - HYPH cord-267229-hdnzs9o6 139 30 CoV-2 CoV-2 NNP cord-267229-hdnzs9o6 139 31 ) ) -RRB- cord-267229-hdnzs9o6 139 32 pandemic pandemic NN cord-267229-hdnzs9o6 139 33 [ [ -LRB- cord-267229-hdnzs9o6 139 34 56 56 CD cord-267229-hdnzs9o6 139 35 ] ] -RRB- cord-267229-hdnzs9o6 139 36 . . . cord-267229-hdnzs9o6 140 1 3 3 LS cord-267229-hdnzs9o6 140 2 . . . cord-267229-hdnzs9o6 141 1 Standardization standardization NN cord-267229-hdnzs9o6 141 2 of of IN cord-267229-hdnzs9o6 141 3 Training Training NNP cord-267229-hdnzs9o6 141 4 and and CC cord-267229-hdnzs9o6 141 5 Assessment Assessment NNP cord-267229-hdnzs9o6 141 6 Tools Tools NNPS cord-267229-hdnzs9o6 141 7 . . . cord-267229-hdnzs9o6 142 1 Trainees trainee NNS cord-267229-hdnzs9o6 142 2 learn learn VBP cord-267229-hdnzs9o6 142 3 and and CC cord-267229-hdnzs9o6 142 4 acquire acquire VB cord-267229-hdnzs9o6 142 5 endoscopic endoscopic JJ cord-267229-hdnzs9o6 142 6 skills skill NNS cord-267229-hdnzs9o6 142 7 at at IN cord-267229-hdnzs9o6 142 8 variable variable JJ cord-267229-hdnzs9o6 142 9 rates rate NNS cord-267229-hdnzs9o6 142 10 ; ; : cord-267229-hdnzs9o6 142 11 thus thus RB cord-267229-hdnzs9o6 142 12 , , , cord-267229-hdnzs9o6 142 13 recommended recommend VBN cord-267229-hdnzs9o6 142 14 minimum minimum JJ cord-267229-hdnzs9o6 142 15 volume volume NN cord-267229-hdnzs9o6 142 16 thresholds threshold NNS cord-267229-hdnzs9o6 142 17 in in IN cord-267229-hdnzs9o6 142 18 silo silo NN cord-267229-hdnzs9o6 142 19 can can MD cord-267229-hdnzs9o6 142 20 not not RB cord-267229-hdnzs9o6 142 21 ensure ensure VB cord-267229-hdnzs9o6 142 22 competence competence NN cord-267229-hdnzs9o6 142 23 . . . cord-267229-hdnzs9o6 143 1 For for IN cord-267229-hdnzs9o6 143 2 example example NN cord-267229-hdnzs9o6 143 3 , , , cord-267229-hdnzs9o6 143 4 with with IN cord-267229-hdnzs9o6 143 5 ESD ESD NNP cord-267229-hdnzs9o6 143 6 training training NN cord-267229-hdnzs9o6 143 7 , , , cord-267229-hdnzs9o6 143 8 we -PRON- PRP cord-267229-hdnzs9o6 143 9 can can MD cord-267229-hdnzs9o6 143 10 not not RB cord-267229-hdnzs9o6 143 11 expect expect VB cord-267229-hdnzs9o6 143 12 that that IN cord-267229-hdnzs9o6 143 13 the the DT cord-267229-hdnzs9o6 143 14 needs need NNS cord-267229-hdnzs9o6 143 15 and and CC cord-267229-hdnzs9o6 143 16 requirements requirement NNS cord-267229-hdnzs9o6 143 17 of of IN cord-267229-hdnzs9o6 143 18 an an DT cord-267229-hdnzs9o6 143 19 individual individual NN cord-267229-hdnzs9o6 143 20 who who WP cord-267229-hdnzs9o6 143 21 just just RB cord-267229-hdnzs9o6 143 22 graduated graduate VBD cord-267229-hdnzs9o6 143 23 from from IN cord-267229-hdnzs9o6 143 24 GI GI NNP cord-267229-hdnzs9o6 143 25 fellowship fellowship NN cord-267229-hdnzs9o6 143 26 will will MD cord-267229-hdnzs9o6 143 27 be be VB cord-267229-hdnzs9o6 143 28 the the DT cord-267229-hdnzs9o6 143 29 same same JJ cord-267229-hdnzs9o6 143 30 as as IN cord-267229-hdnzs9o6 143 31 that that DT cord-267229-hdnzs9o6 143 32 of of IN cord-267229-hdnzs9o6 143 33 a a DT cord-267229-hdnzs9o6 143 34 practicing practice VBG cord-267229-hdnzs9o6 143 35 endoscopist endoscopist NN cord-267229-hdnzs9o6 143 36 with with IN cord-267229-hdnzs9o6 143 37 extensive extensive JJ cord-267229-hdnzs9o6 143 38 experience experience NN cord-267229-hdnzs9o6 143 39 in in IN cord-267229-hdnzs9o6 143 40 EMR EMR NNP cord-267229-hdnzs9o6 143 41 already already RB cord-267229-hdnzs9o6 143 42 . . . cord-267229-hdnzs9o6 144 1 Hence hence RB cord-267229-hdnzs9o6 144 2 , , , cord-267229-hdnzs9o6 144 3 duration duration NN cord-267229-hdnzs9o6 144 4 and and CC cord-267229-hdnzs9o6 144 5 intensity intensity NN cord-267229-hdnzs9o6 144 6 of of IN cord-267229-hdnzs9o6 144 7 training training NN cord-267229-hdnzs9o6 144 8 should should MD cord-267229-hdnzs9o6 144 9 be be VB cord-267229-hdnzs9o6 144 10 in in IN cord-267229-hdnzs9o6 144 11 part part NN cord-267229-hdnzs9o6 144 12 dictated dictate VBN cord-267229-hdnzs9o6 144 13 by by IN cord-267229-hdnzs9o6 144 14 the the DT cord-267229-hdnzs9o6 144 15 trainee trainee NN cord-267229-hdnzs9o6 144 16 's 's POS cord-267229-hdnzs9o6 144 17 background background NN cord-267229-hdnzs9o6 144 18 . . . cord-267229-hdnzs9o6 145 1 Given give VBN cord-267229-hdnzs9o6 145 2 the the DT cord-267229-hdnzs9o6 145 3 complexity complexity NN cord-267229-hdnzs9o6 145 4 of of IN cord-267229-hdnzs9o6 145 5 some some DT cord-267229-hdnzs9o6 145 6 of of IN cord-267229-hdnzs9o6 145 7 these these DT cord-267229-hdnzs9o6 145 8 techniques technique NNS cord-267229-hdnzs9o6 145 9 , , , cord-267229-hdnzs9o6 145 10 it -PRON- PRP cord-267229-hdnzs9o6 145 11 is be VBZ cord-267229-hdnzs9o6 145 12 unrealistic unrealistic JJ cord-267229-hdnzs9o6 145 13 to to TO cord-267229-hdnzs9o6 145 14 expect expect VB cord-267229-hdnzs9o6 145 15 that that IN cord-267229-hdnzs9o6 145 16 all all DT cord-267229-hdnzs9o6 145 17 trainee trainee NN cord-267229-hdnzs9o6 145 18 can can MD cord-267229-hdnzs9o6 145 19 acquire acquire VB cord-267229-hdnzs9o6 145 20 these these DT cord-267229-hdnzs9o6 145 21 skills skill NNS cord-267229-hdnzs9o6 145 22 through through IN cord-267229-hdnzs9o6 145 23 the the DT cord-267229-hdnzs9o6 145 24 " " `` cord-267229-hdnzs9o6 145 25 standard standard JJ cord-267229-hdnzs9o6 145 26 " " '' cord-267229-hdnzs9o6 145 27 advanced advanced JJ cord-267229-hdnzs9o6 145 28 endoscopy endoscopy NNP cord-267229-hdnzs9o6 145 29 fellowship fellowship NN cord-267229-hdnzs9o6 145 30 pathway pathway NN cord-267229-hdnzs9o6 145 31 . . . cord-267229-hdnzs9o6 146 1 In in IN cord-267229-hdnzs9o6 146 2 recognition recognition NN cord-267229-hdnzs9o6 146 3 of of IN cord-267229-hdnzs9o6 146 4 this this DT cord-267229-hdnzs9o6 146 5 limitation limitation NN cord-267229-hdnzs9o6 146 6 , , , cord-267229-hdnzs9o6 146 7 several several JJ cord-267229-hdnzs9o6 146 8 advanced advanced JJ cord-267229-hdnzs9o6 146 9 endoscopy endoscopy NN cord-267229-hdnzs9o6 146 10 training training NN cord-267229-hdnzs9o6 146 11 programs program NNS cord-267229-hdnzs9o6 146 12 , , , cord-267229-hdnzs9o6 146 13 have have VBP cord-267229-hdnzs9o6 146 14 modified modify VBN cord-267229-hdnzs9o6 146 15 their -PRON- PRP$ cord-267229-hdnzs9o6 146 16 curriculum curriculum NN cord-267229-hdnzs9o6 146 17 as as IN cord-267229-hdnzs9o6 146 18 to to TO cord-267229-hdnzs9o6 146 19 meet meet VB cord-267229-hdnzs9o6 146 20 the the DT cord-267229-hdnzs9o6 146 21 specific specific JJ cord-267229-hdnzs9o6 146 22 needs need NNS cord-267229-hdnzs9o6 146 23 and and CC cord-267229-hdnzs9o6 146 24 expectations expectation NNS cord-267229-hdnzs9o6 146 25 of of IN cord-267229-hdnzs9o6 146 26 the the DT cord-267229-hdnzs9o6 146 27 trainee trainee NN cord-267229-hdnzs9o6 146 28 . . . cord-267229-hdnzs9o6 147 1 Likewise likewise RB cord-267229-hdnzs9o6 147 2 , , , cord-267229-hdnzs9o6 147 3 we -PRON- PRP cord-267229-hdnzs9o6 147 4 need need VBP cord-267229-hdnzs9o6 147 5 to to TO cord-267229-hdnzs9o6 147 6 acknowledge acknowledge VB cord-267229-hdnzs9o6 147 7 that that IN cord-267229-hdnzs9o6 147 8 many many JJ cord-267229-hdnzs9o6 147 9 endoscopists endoscopist NNS cord-267229-hdnzs9o6 147 10 seeking seek VBG cord-267229-hdnzs9o6 147 11 training training NN cord-267229-hdnzs9o6 147 12 in in IN cord-267229-hdnzs9o6 147 13 novel novel JJ cord-267229-hdnzs9o6 147 14 technologies technology NNS cord-267229-hdnzs9o6 147 15 do do VBP cord-267229-hdnzs9o6 147 16 not not RB cord-267229-hdnzs9o6 147 17 necessarily necessarily RB cord-267229-hdnzs9o6 147 18 do do VB cord-267229-hdnzs9o6 147 19 so so RB cord-267229-hdnzs9o6 147 20 through through IN cord-267229-hdnzs9o6 147 21 the the DT cord-267229-hdnzs9o6 147 22 formal formal JJ cord-267229-hdnzs9o6 147 23 advanced advanced JJ cord-267229-hdnzs9o6 147 24 endoscopy endoscopy NNP cord-267229-hdnzs9o6 147 25 fellowship fellowship NN cord-267229-hdnzs9o6 147 26 pathway pathway NN cord-267229-hdnzs9o6 147 27 . . . cord-267229-hdnzs9o6 148 1 Given give VBN cord-267229-hdnzs9o6 148 2 this this DT cord-267229-hdnzs9o6 148 3 heterogeneity heterogeneity NN cord-267229-hdnzs9o6 148 4 , , , cord-267229-hdnzs9o6 148 5 there there EX cord-267229-hdnzs9o6 148 6 is be VBZ cord-267229-hdnzs9o6 148 7 an an DT cord-267229-hdnzs9o6 148 8 urgent urgent JJ cord-267229-hdnzs9o6 148 9 need need NN cord-267229-hdnzs9o6 148 10 to to TO cord-267229-hdnzs9o6 148 11 standardize standardize VB cord-267229-hdnzs9o6 148 12 training training NN cord-267229-hdnzs9o6 148 13 , , , cord-267229-hdnzs9o6 148 14 especially especially RB cord-267229-hdnzs9o6 148 15 given give VBN cord-267229-hdnzs9o6 148 16 the the DT cord-267229-hdnzs9o6 148 17 paucity paucity NN cord-267229-hdnzs9o6 148 18 of of IN cord-267229-hdnzs9o6 148 19 data datum NNS cord-267229-hdnzs9o6 148 20 on on IN cord-267229-hdnzs9o6 148 21 learning learn VBG cord-267229-hdnzs9o6 148 22 curves curve NNS cord-267229-hdnzs9o6 148 23 for for IN cord-267229-hdnzs9o6 148 24 novel novel JJ cord-267229-hdnzs9o6 148 25 procedures procedure NNS cord-267229-hdnzs9o6 148 26 and and CC cord-267229-hdnzs9o6 148 27 the the DT cord-267229-hdnzs9o6 148 28 numerous numerous JJ cord-267229-hdnzs9o6 148 29 training training NN cord-267229-hdnzs9o6 148 30 pathway pathway NN cord-267229-hdnzs9o6 148 31 permutations permutation NNS cord-267229-hdnzs9o6 148 32 [ [ -LRB- cord-267229-hdnzs9o6 148 33 50 50 CD cord-267229-hdnzs9o6 148 34 ] ] -RRB- cord-267229-hdnzs9o6 148 35 . . . cord-267229-hdnzs9o6 149 1 In in IN cord-267229-hdnzs9o6 149 2 Figure figure NN cord-267229-hdnzs9o6 149 3 1 1 CD cord-267229-hdnzs9o6 149 4 , , , cord-267229-hdnzs9o6 149 5 we -PRON- PRP cord-267229-hdnzs9o6 149 6 outline outline VBP cord-267229-hdnzs9o6 149 7 the the DT cord-267229-hdnzs9o6 149 8 suggested suggest VBN cord-267229-hdnzs9o6 149 9 steps step NNS cord-267229-hdnzs9o6 149 10 to to TO cord-267229-hdnzs9o6 149 11 consider consider VB cord-267229-hdnzs9o6 149 12 when when WRB cord-267229-hdnzs9o6 149 13 developing develop VBG cord-267229-hdnzs9o6 149 14 a a DT cord-267229-hdnzs9o6 149 15 training training NN cord-267229-hdnzs9o6 149 16 curriculum curriculum NN cord-267229-hdnzs9o6 149 17 for for IN cord-267229-hdnzs9o6 149 18 a a DT cord-267229-hdnzs9o6 149 19 novel novel JJ cord-267229-hdnzs9o6 149 20 endoscopic endoscopic NN cord-267229-hdnzs9o6 149 21 procedure procedure NN cord-267229-hdnzs9o6 149 22 . . . cord-267229-hdnzs9o6 150 1 First first RB cord-267229-hdnzs9o6 150 2 , , , cord-267229-hdnzs9o6 150 3 core core NN cord-267229-hdnzs9o6 150 4 skills skill NNS cord-267229-hdnzs9o6 150 5 for for IN cord-267229-hdnzs9o6 150 6 each each DT cord-267229-hdnzs9o6 150 7 novel novel JJ cord-267229-hdnzs9o6 150 8 procedure procedure NN cord-267229-hdnzs9o6 150 9 should should MD cord-267229-hdnzs9o6 150 10 be be VB cord-267229-hdnzs9o6 150 11 defined define VBN cord-267229-hdnzs9o6 150 12 , , , cord-267229-hdnzs9o6 150 13 which which WDT cord-267229-hdnzs9o6 150 14 can can MD cord-267229-hdnzs9o6 150 15 be be VB cord-267229-hdnzs9o6 150 16 achieved achieve VBN cord-267229-hdnzs9o6 150 17 by by IN cord-267229-hdnzs9o6 150 18 deconstructing deconstruct VBG cord-267229-hdnzs9o6 150 19 the the DT cord-267229-hdnzs9o6 150 20 technique technique NN cord-267229-hdnzs9o6 150 21 into into IN cord-267229-hdnzs9o6 150 22 a a DT cord-267229-hdnzs9o6 150 23 series series NN cord-267229-hdnzs9o6 150 24 of of IN cord-267229-hdnzs9o6 150 25 sequential sequential JJ cord-267229-hdnzs9o6 150 26 steps step NNS cord-267229-hdnzs9o6 150 27 . . . cord-267229-hdnzs9o6 151 1 In in IN cord-267229-hdnzs9o6 151 2 the the DT cord-267229-hdnzs9o6 151 3 case case NN cord-267229-hdnzs9o6 151 4 of of IN cord-267229-hdnzs9o6 151 5 ESD ESD NNP cord-267229-hdnzs9o6 151 6 , , , cord-267229-hdnzs9o6 151 7 these these DT cord-267229-hdnzs9o6 151 8 steps step NNS cord-267229-hdnzs9o6 151 9 may may MD cord-267229-hdnzs9o6 151 10 include include VB cord-267229-hdnzs9o6 151 11 lesion lesion NN cord-267229-hdnzs9o6 151 12 assessment assessment NN cord-267229-hdnzs9o6 151 13 before before IN cord-267229-hdnzs9o6 151 14 resection resection NN cord-267229-hdnzs9o6 151 15 , , , cord-267229-hdnzs9o6 151 16 marking mark VBG cord-267229-hdnzs9o6 151 17 the the DT cord-267229-hdnzs9o6 151 18 margins margin NNS cord-267229-hdnzs9o6 151 19 of of IN cord-267229-hdnzs9o6 151 20 the the DT cord-267229-hdnzs9o6 151 21 lesion lesion NN cord-267229-hdnzs9o6 151 22 , , , cord-267229-hdnzs9o6 151 23 mucosal mucosal JJ cord-267229-hdnzs9o6 151 24 incision incision NN cord-267229-hdnzs9o6 151 25 , , , cord-267229-hdnzs9o6 151 26 submucosal submucosal NN cord-267229-hdnzs9o6 151 27 dissection dissection NN cord-267229-hdnzs9o6 151 28 , , , cord-267229-hdnzs9o6 151 29 use use NN cord-267229-hdnzs9o6 151 30 of of IN cord-267229-hdnzs9o6 151 31 traction traction NN cord-267229-hdnzs9o6 151 32 - - HYPH cord-267229-hdnzs9o6 151 33 countertraction countertraction NN cord-267229-hdnzs9o6 151 34 during during IN cord-267229-hdnzs9o6 151 35 the the DT cord-267229-hdnzs9o6 151 36 procedure procedure NN cord-267229-hdnzs9o6 151 37 , , , cord-267229-hdnzs9o6 151 38 elective elective JJ cord-267229-hdnzs9o6 151 39 closure closure NN cord-267229-hdnzs9o6 151 40 and and CC cord-267229-hdnzs9o6 151 41 management management NN cord-267229-hdnzs9o6 151 42 of of IN cord-267229-hdnzs9o6 151 43 adverse adverse JJ cord-267229-hdnzs9o6 151 44 events event NNS cord-267229-hdnzs9o6 151 45 . . . cord-267229-hdnzs9o6 152 1 The the DT cord-267229-hdnzs9o6 152 2 next next JJ cord-267229-hdnzs9o6 152 3 step step NN cord-267229-hdnzs9o6 152 4 is be VBZ cord-267229-hdnzs9o6 152 5 to to TO cord-267229-hdnzs9o6 152 6 define define VB cord-267229-hdnzs9o6 152 7 quality quality NN cord-267229-hdnzs9o6 152 8 metrics metric NNS cord-267229-hdnzs9o6 152 9 based base VBN cord-267229-hdnzs9o6 152 10 on on IN cord-267229-hdnzs9o6 152 11 outcomes outcome NNS cord-267229-hdnzs9o6 152 12 data datum NNS cord-267229-hdnzs9o6 152 13 and and CC cord-267229-hdnzs9o6 152 14 set set VBD cord-267229-hdnzs9o6 152 15 these these DT cord-267229-hdnzs9o6 152 16 as as IN cord-267229-hdnzs9o6 152 17 benchmarks benchmark NNS cord-267229-hdnzs9o6 152 18 during during IN cord-267229-hdnzs9o6 152 19 training training NN cord-267229-hdnzs9o6 152 20 ( ( -LRB- cord-267229-hdnzs9o6 152 21 ie ie FW cord-267229-hdnzs9o6 152 22 , , , cord-267229-hdnzs9o6 152 23 en en NNP cord-267229-hdnzs9o6 152 24 - - HYPH cord-267229-hdnzs9o6 152 25 bloc bloc NNP cord-267229-hdnzs9o6 152 26 resection resection NN cord-267229-hdnzs9o6 152 27 and and CC cord-267229-hdnzs9o6 152 28 adverse adverse JJ cord-267229-hdnzs9o6 152 29 event event NN cord-267229-hdnzs9o6 152 30 rates rate NNS cord-267229-hdnzs9o6 152 31 ) ) -RRB- cord-267229-hdnzs9o6 152 32 . . . cord-267229-hdnzs9o6 153 1 For for IN cord-267229-hdnzs9o6 153 2 instance instance NN cord-267229-hdnzs9o6 153 3 , , , cord-267229-hdnzs9o6 153 4 the the DT cord-267229-hdnzs9o6 153 5 ESGE ESGE NNP cord-267229-hdnzs9o6 153 6 training training NN cord-267229-hdnzs9o6 153 7 curriculum curriculum NN cord-267229-hdnzs9o6 153 8 for for IN cord-267229-hdnzs9o6 153 9 ESD ESD NNP cord-267229-hdnzs9o6 153 10 proposes propose VBZ cord-267229-hdnzs9o6 153 11 a a DT cord-267229-hdnzs9o6 153 12 90 90 CD cord-267229-hdnzs9o6 153 13 % % NN cord-267229-hdnzs9o6 153 14 en en JJ cord-267229-hdnzs9o6 153 15 - - HYPH cord-267229-hdnzs9o6 153 16 bloc bloc NN cord-267229-hdnzs9o6 153 17 resection resection NN cord-267229-hdnzs9o6 153 18 rate rate NN cord-267229-hdnzs9o6 153 19 with with IN cord-267229-hdnzs9o6 153 20 <3 <3 CD cord-267229-hdnzs9o6 153 21 % % NN cord-267229-hdnzs9o6 153 22 perforation perforation NN cord-267229-hdnzs9o6 153 23 rate rate NN cord-267229-hdnzs9o6 153 24 as as IN cord-267229-hdnzs9o6 153 25 threshold threshold NN cord-267229-hdnzs9o6 153 26 targets target NNS cord-267229-hdnzs9o6 153 27 [ [ -LRB- cord-267229-hdnzs9o6 153 28 19 19 CD cord-267229-hdnzs9o6 153 29 ] ] -RRB- cord-267229-hdnzs9o6 153 30 . . . cord-267229-hdnzs9o6 154 1 Once once IN cord-267229-hdnzs9o6 154 2 these these DT cord-267229-hdnzs9o6 154 3 core core NN cord-267229-hdnzs9o6 154 4 skills skill NNS cord-267229-hdnzs9o6 154 5 and and CC cord-267229-hdnzs9o6 154 6 target target NN cord-267229-hdnzs9o6 154 7 metrics metric NNS cord-267229-hdnzs9o6 154 8 are be VBP cord-267229-hdnzs9o6 154 9 established establish VBN cord-267229-hdnzs9o6 154 10 , , , cord-267229-hdnzs9o6 154 11 the the DT cord-267229-hdnzs9o6 154 12 next next JJ cord-267229-hdnzs9o6 154 13 steps step NNS cord-267229-hdnzs9o6 154 14 would would MD cord-267229-hdnzs9o6 154 15 involve involve VB cord-267229-hdnzs9o6 154 16 the the DT cord-267229-hdnzs9o6 154 17 development development NN cord-267229-hdnzs9o6 154 18 and and CC cord-267229-hdnzs9o6 154 19 validation validation NN cord-267229-hdnzs9o6 154 20 of of IN cord-267229-hdnzs9o6 154 21 an an DT cord-267229-hdnzs9o6 154 22 assessment assessment NN cord-267229-hdnzs9o6 154 23 tool tool NN cord-267229-hdnzs9o6 154 24 followed follow VBN cord-267229-hdnzs9o6 154 25 by by IN cord-267229-hdnzs9o6 154 26 its -PRON- PRP$ cord-267229-hdnzs9o6 154 27 adoption adoption NN cord-267229-hdnzs9o6 154 28 in in IN cord-267229-hdnzs9o6 154 29 formal formal JJ cord-267229-hdnzs9o6 154 30 competency competency NN cord-267229-hdnzs9o6 154 31 - - HYPH cord-267229-hdnzs9o6 154 32 based base VBN cord-267229-hdnzs9o6 154 33 training training NN cord-267229-hdnzs9o6 154 34 programs program NNS cord-267229-hdnzs9o6 154 35 ( ( -LRB- cord-267229-hdnzs9o6 154 36 Figure figure NN cord-267229-hdnzs9o6 154 37 1 1 CD cord-267229-hdnzs9o6 154 38 ) ) -RRB- cord-267229-hdnzs9o6 154 39 . . . cord-267229-hdnzs9o6 155 1 Again again RB cord-267229-hdnzs9o6 155 2 , , , cord-267229-hdnzs9o6 155 3 it -PRON- PRP cord-267229-hdnzs9o6 155 4 should should MD cord-267229-hdnzs9o6 155 5 be be VB cord-267229-hdnzs9o6 155 6 emphasized emphasize VBN cord-267229-hdnzs9o6 155 7 that that IN cord-267229-hdnzs9o6 155 8 these these DT cord-267229-hdnzs9o6 155 9 assessment assessment NN cord-267229-hdnzs9o6 155 10 tools tool NNS cord-267229-hdnzs9o6 155 11 must must MD cord-267229-hdnzs9o6 155 12 be be VB cord-267229-hdnzs9o6 155 13 procedure procedure NN cord-267229-hdnzs9o6 155 14 - - HYPH cord-267229-hdnzs9o6 155 15 specific specific JJ cord-267229-hdnzs9o6 155 16 based base VBN cord-267229-hdnzs9o6 155 17 on on IN cord-267229-hdnzs9o6 155 18 the the DT cord-267229-hdnzs9o6 155 19 predefined predefined JJ cord-267229-hdnzs9o6 155 20 outcome outcome NN cord-267229-hdnzs9o6 155 21 metrics metric NNS cord-267229-hdnzs9o6 155 22 , , , cord-267229-hdnzs9o6 155 23 which which WDT cord-267229-hdnzs9o6 155 24 is be VBZ cord-267229-hdnzs9o6 155 25 key key JJ cord-267229-hdnzs9o6 155 26 in in IN cord-267229-hdnzs9o6 155 27 ensuring ensure VBG cord-267229-hdnzs9o6 155 28 that that IN cord-267229-hdnzs9o6 155 29 endoscopists endoscopist NNS cord-267229-hdnzs9o6 155 30 , , , cord-267229-hdnzs9o6 155 31 irrespective irrespective RB cord-267229-hdnzs9o6 155 32 of of IN cord-267229-hdnzs9o6 155 33 their -PRON- PRP$ cord-267229-hdnzs9o6 155 34 training training NN cord-267229-hdnzs9o6 155 35 background background NN cord-267229-hdnzs9o6 155 36 , , , cord-267229-hdnzs9o6 155 37 meet meet VB cord-267229-hdnzs9o6 155 38 the the DT cord-267229-hdnzs9o6 155 39 expected expect VBN cord-267229-hdnzs9o6 155 40 quality quality NN cord-267229-hdnzs9o6 155 41 benchmarks benchmark NNS cord-267229-hdnzs9o6 155 42 for for IN cord-267229-hdnzs9o6 155 43 clinical clinical JJ cord-267229-hdnzs9o6 155 44 practice practice NN cord-267229-hdnzs9o6 155 45 . . . cord-267229-hdnzs9o6 156 1 Lastly lastly RB cord-267229-hdnzs9o6 156 2 , , , cord-267229-hdnzs9o6 156 3 post post JJ cord-267229-hdnzs9o6 156 4 - - JJ cord-267229-hdnzs9o6 156 5 training training JJ cord-267229-hdnzs9o6 156 6 evaluation evaluation NN cord-267229-hdnzs9o6 156 7 ( ( -LRB- cord-267229-hdnzs9o6 156 8 ie ie FW cord-267229-hdnzs9o6 156 9 , , , cord-267229-hdnzs9o6 156 10 assessment assessment NN cord-267229-hdnzs9o6 156 11 of of IN cord-267229-hdnzs9o6 156 12 prospective prospective JJ cord-267229-hdnzs9o6 156 13 case case NN cord-267229-hdnzs9o6 156 14 log log NN cord-267229-hdnzs9o6 156 15 with with IN cord-267229-hdnzs9o6 156 16 documentation documentation NN cord-267229-hdnzs9o6 156 17 of of IN cord-267229-hdnzs9o6 156 18 quality quality NN cord-267229-hdnzs9o6 156 19 indicators indicator NNS cord-267229-hdnzs9o6 156 20 ) ) -RRB- cord-267229-hdnzs9o6 156 21 will will MD cord-267229-hdnzs9o6 156 22 be be VB cord-267229-hdnzs9o6 156 23 key key JJ cord-267229-hdnzs9o6 156 24 in in IN cord-267229-hdnzs9o6 156 25 validating validate VBG cord-267229-hdnzs9o6 156 26 the the DT cord-267229-hdnzs9o6 156 27 efficacy efficacy NN cord-267229-hdnzs9o6 156 28 of of IN cord-267229-hdnzs9o6 156 29 the the DT cord-267229-hdnzs9o6 156 30 assessment assessment NN cord-267229-hdnzs9o6 156 31 tools tool NNS cord-267229-hdnzs9o6 156 32 in in IN cord-267229-hdnzs9o6 156 33 establishing establish VBG cord-267229-hdnzs9o6 156 34 competency competency NN cord-267229-hdnzs9o6 156 35 in in IN cord-267229-hdnzs9o6 156 36 terms term NNS cord-267229-hdnzs9o6 156 37 of of IN cord-267229-hdnzs9o6 156 38 independent independent JJ cord-267229-hdnzs9o6 156 39 practice practice NN cord-267229-hdnzs9o6 156 40 . . . cord-267229-hdnzs9o6 157 1 4 4 LS cord-267229-hdnzs9o6 157 2 . . . cord-267229-hdnzs9o6 158 1 Maintenance maintenance NN cord-267229-hdnzs9o6 158 2 of of IN cord-267229-hdnzs9o6 158 3 Skills Skills NNPS cord-267229-hdnzs9o6 158 4 / / SYM cord-267229-hdnzs9o6 158 5 Competence Competence NNP cord-267229-hdnzs9o6 158 6 . . . cord-267229-hdnzs9o6 159 1 The the DT cord-267229-hdnzs9o6 159 2 maintenance maintenance NN cord-267229-hdnzs9o6 159 3 of of IN cord-267229-hdnzs9o6 159 4 endoscopic endoscopic JJ cord-267229-hdnzs9o6 159 5 competence competence NN cord-267229-hdnzs9o6 159 6 is be VBZ cord-267229-hdnzs9o6 159 7 equally equally RB cord-267229-hdnzs9o6 159 8 as as RB cord-267229-hdnzs9o6 159 9 important important JJ cord-267229-hdnzs9o6 159 10 as as IN cord-267229-hdnzs9o6 159 11 the the DT cord-267229-hdnzs9o6 159 12 skill skill NN cord-267229-hdnzs9o6 159 13 acquisition acquisition NN cord-267229-hdnzs9o6 159 14 process process NN cord-267229-hdnzs9o6 159 15 . . . cord-267229-hdnzs9o6 160 1 Many many JJ cord-267229-hdnzs9o6 160 2 of of IN cord-267229-hdnzs9o6 160 3 these these DT cord-267229-hdnzs9o6 160 4 novel novel JJ cord-267229-hdnzs9o6 160 5 advanced advanced JJ cord-267229-hdnzs9o6 160 6 endoscopic endoscopic JJ cord-267229-hdnzs9o6 160 7 techniques technique NNS cord-267229-hdnzs9o6 160 8 , , , cord-267229-hdnzs9o6 160 9 such such JJ cord-267229-hdnzs9o6 160 10 as as IN cord-267229-hdnzs9o6 160 11 ESD ESD NNP cord-267229-hdnzs9o6 160 12 and and CC cord-267229-hdnzs9o6 160 13 POEM POEM NNP cord-267229-hdnzs9o6 160 14 , , , cord-267229-hdnzs9o6 160 15 are be VBP cord-267229-hdnzs9o6 160 16 complex complex JJ cord-267229-hdnzs9o6 160 17 and and CC cord-267229-hdnzs9o6 160 18 technically technically RB cord-267229-hdnzs9o6 160 19 demanding demanding JJ cord-267229-hdnzs9o6 160 20 . . . cord-267229-hdnzs9o6 161 1 Maintaining maintain VBG cord-267229-hdnzs9o6 161 2 skills skill NNS cord-267229-hdnzs9o6 161 3 is be VBZ cord-267229-hdnzs9o6 161 4 highly highly RB cord-267229-hdnzs9o6 161 5 dependent dependent JJ cord-267229-hdnzs9o6 161 6 on on IN cord-267229-hdnzs9o6 161 7 case case NN cord-267229-hdnzs9o6 161 8 volume volume NN cord-267229-hdnzs9o6 161 9 , , , cord-267229-hdnzs9o6 161 10 which which WDT cord-267229-hdnzs9o6 161 11 can can MD cord-267229-hdnzs9o6 161 12 be be VB cord-267229-hdnzs9o6 161 13 difficult difficult JJ cord-267229-hdnzs9o6 161 14 to to TO cord-267229-hdnzs9o6 161 15 attain attain VB cord-267229-hdnzs9o6 161 16 due due IN cord-267229-hdnzs9o6 161 17 to to IN cord-267229-hdnzs9o6 161 18 multiple multiple JJ cord-267229-hdnzs9o6 161 19 factors factor NNS cord-267229-hdnzs9o6 161 20 , , , cord-267229-hdnzs9o6 161 21 including include VBG cord-267229-hdnzs9o6 161 22 low low JJ cord-267229-hdnzs9o6 161 23 incidence incidence NN cord-267229-hdnzs9o6 161 24 of of IN cord-267229-hdnzs9o6 161 25 certain certain JJ cord-267229-hdnzs9o6 161 26 illnesses illness NNS cord-267229-hdnzs9o6 161 27 ( ( -LRB- cord-267229-hdnzs9o6 161 28 ie ie FW cord-267229-hdnzs9o6 161 29 , , , cord-267229-hdnzs9o6 161 30 gastric gastric JJ cord-267229-hdnzs9o6 161 31 cancer cancer NN cord-267229-hdnzs9o6 161 32 in in IN cord-267229-hdnzs9o6 161 33 the the DT cord-267229-hdnzs9o6 161 34 United United NNP cord-267229-hdnzs9o6 161 35 States States NNP cord-267229-hdnzs9o6 161 36 ) ) -RRB- cord-267229-hdnzs9o6 161 37 or or CC cord-267229-hdnzs9o6 161 38 reimbursement reimbursement NN cord-267229-hdnzs9o6 161 39 issues issue NNS cord-267229-hdnzs9o6 161 40 ( ( -LRB- cord-267229-hdnzs9o6 161 41 ie ie NNP cord-267229-hdnzs9o6 161 42 , , , cord-267229-hdnzs9o6 161 43 ESD ESD NNP cord-267229-hdnzs9o6 161 44 , , , cord-267229-hdnzs9o6 161 45 POEM POEM NNP cord-267229-hdnzs9o6 161 46 , , , cord-267229-hdnzs9o6 161 47 EBT EBT NNP cord-267229-hdnzs9o6 161 48 ) ) -RRB- cord-267229-hdnzs9o6 161 49 . . . cord-267229-hdnzs9o6 162 1 As as IN cord-267229-hdnzs9o6 162 2 such such JJ cord-267229-hdnzs9o6 162 3 , , , cord-267229-hdnzs9o6 162 4 endoscopists endoscopist NNS cord-267229-hdnzs9o6 162 5 should should MD cord-267229-hdnzs9o6 162 6 have have VB cord-267229-hdnzs9o6 162 7 a a DT cord-267229-hdnzs9o6 162 8 well well RB cord-267229-hdnzs9o6 162 9 thought think VBN cord-267229-hdnzs9o6 162 10 out out RP cord-267229-hdnzs9o6 162 11 plan plan NN cord-267229-hdnzs9o6 162 12 before before IN cord-267229-hdnzs9o6 162 13 undertaking undertake VBG cord-267229-hdnzs9o6 162 14 training training NN cord-267229-hdnzs9o6 162 15 in in IN cord-267229-hdnzs9o6 162 16 new new JJ cord-267229-hdnzs9o6 162 17 endoscopic endoscopic JJ cord-267229-hdnzs9o6 162 18 skills skill NNS cord-267229-hdnzs9o6 162 19 . . . cord-267229-hdnzs9o6 163 1 This this DT cord-267229-hdnzs9o6 163 2 initial initial JJ cord-267229-hdnzs9o6 163 3 plan plan NN cord-267229-hdnzs9o6 163 4 should should MD cord-267229-hdnzs9o6 163 5 include include VB cord-267229-hdnzs9o6 163 6 prediction prediction NN cord-267229-hdnzs9o6 163 7 of of IN cord-267229-hdnzs9o6 163 8 future future JJ cord-267229-hdnzs9o6 163 9 case case NN cord-267229-hdnzs9o6 163 10 volume volume NN cord-267229-hdnzs9o6 163 11 at at IN cord-267229-hdnzs9o6 163 12 their -PRON- PRP$ cord-267229-hdnzs9o6 163 13 own own JJ cord-267229-hdnzs9o6 163 14 center center NN cord-267229-hdnzs9o6 163 15 as as IN cord-267229-hdnzs9o6 163 16 to to TO cord-267229-hdnzs9o6 163 17 ensure ensure VB cord-267229-hdnzs9o6 163 18 maintenance maintenance NN cord-267229-hdnzs9o6 163 19 of of IN cord-267229-hdnzs9o6 163 20 skills skill NNS cord-267229-hdnzs9o6 163 21 , , , cord-267229-hdnzs9o6 163 22 and and CC cord-267229-hdnzs9o6 163 23 perhaps perhaps RB cord-267229-hdnzs9o6 163 24 even even RB cord-267229-hdnzs9o6 163 25 more more RBR cord-267229-hdnzs9o6 163 26 importantly importantly RB cord-267229-hdnzs9o6 163 27 , , , cord-267229-hdnzs9o6 163 28 to to TO cord-267229-hdnzs9o6 163 29 justify justify VB cord-267229-hdnzs9o6 163 30 the the DT cord-267229-hdnzs9o6 163 31 need need NN cord-267229-hdnzs9o6 163 32 for for IN cord-267229-hdnzs9o6 163 33 training training NN cord-267229-hdnzs9o6 163 34 in in IN cord-267229-hdnzs9o6 163 35 this this DT cord-267229-hdnzs9o6 163 36 new new JJ cord-267229-hdnzs9o6 163 37 skill skill NN cord-267229-hdnzs9o6 163 38 in in IN cord-267229-hdnzs9o6 163 39 the the DT cord-267229-hdnzs9o6 163 40 first first JJ cord-267229-hdnzs9o6 163 41 place place NN cord-267229-hdnzs9o6 163 42 . . . cord-267229-hdnzs9o6 164 1 Obtaining obtain VBG cord-267229-hdnzs9o6 164 2 institutional institutional JJ cord-267229-hdnzs9o6 164 3 endorsement endorsement NN cord-267229-hdnzs9o6 164 4 on on IN cord-267229-hdnzs9o6 164 5 various various JJ cord-267229-hdnzs9o6 164 6 fronts front NNS cord-267229-hdnzs9o6 164 7 is be VBZ cord-267229-hdnzs9o6 164 8 key key JJ cord-267229-hdnzs9o6 164 9 before before IN cord-267229-hdnzs9o6 164 10 starting start VBG cord-267229-hdnzs9o6 164 11 training training NN cord-267229-hdnzs9o6 164 12 . . . cord-267229-hdnzs9o6 165 1 For for IN cord-267229-hdnzs9o6 165 2 instance instance NN cord-267229-hdnzs9o6 165 3 , , , cord-267229-hdnzs9o6 165 4 institutional institutional JJ cord-267229-hdnzs9o6 165 5 support support NN cord-267229-hdnzs9o6 165 6 at at IN cord-267229-hdnzs9o6 165 7 our -PRON- PRP$ cord-267229-hdnzs9o6 165 8 institutions institution NNS cord-267229-hdnzs9o6 165 9 ( ( -LRB- cord-267229-hdnzs9o6 165 10 University University NNP cord-267229-hdnzs9o6 165 11 of of IN cord-267229-hdnzs9o6 165 12 Florida Florida NNP cord-267229-hdnzs9o6 165 13 and and CC cord-267229-hdnzs9o6 165 14 University University NNP cord-267229-hdnzs9o6 165 15 of of IN cord-267229-hdnzs9o6 165 16 Colorado Colorado NNP cord-267229-hdnzs9o6 165 17 ) ) -RRB- cord-267229-hdnzs9o6 165 18 , , , cord-267229-hdnzs9o6 165 19 allowed allow VBD cord-267229-hdnzs9o6 165 20 us -PRON- PRP cord-267229-hdnzs9o6 165 21 to to TO cord-267229-hdnzs9o6 165 22 make make VB cord-267229-hdnzs9o6 165 23 infrastructural infrastructural JJ cord-267229-hdnzs9o6 165 24 adjustments adjustment NNS cord-267229-hdnzs9o6 165 25 to to TO cord-267229-hdnzs9o6 165 26 facilitate facilitate VB cord-267229-hdnzs9o6 165 27 the the DT cord-267229-hdnzs9o6 165 28 introduction introduction NN cord-267229-hdnzs9o6 165 29 of of IN cord-267229-hdnzs9o6 165 30 POEM POEM NNP cord-267229-hdnzs9o6 165 31 and and CC cord-267229-hdnzs9o6 165 32 ESD ESD NNP cord-267229-hdnzs9o6 165 33 into into IN cord-267229-hdnzs9o6 165 34 our -PRON- PRP$ cord-267229-hdnzs9o6 165 35 endoscopy endoscopy NN cord-267229-hdnzs9o6 165 36 unit unit NN cord-267229-hdnzs9o6 165 37 , , , cord-267229-hdnzs9o6 165 38 thereby thereby RB cord-267229-hdnzs9o6 165 39 easing ease VBG cord-267229-hdnzs9o6 165 40 the the DT cord-267229-hdnzs9o6 165 41 incorporation incorporation NN cord-267229-hdnzs9o6 165 42 of of IN cord-267229-hdnzs9o6 165 43 these these DT cord-267229-hdnzs9o6 165 44 procedures procedure NNS cord-267229-hdnzs9o6 165 45 into into IN cord-267229-hdnzs9o6 165 46 the the DT cord-267229-hdnzs9o6 165 47 schedule schedule NN cord-267229-hdnzs9o6 165 48 [ [ -LRB- cord-267229-hdnzs9o6 165 49 57 57 CD cord-267229-hdnzs9o6 165 50 ] ] -RRB- cord-267229-hdnzs9o6 165 51 . . . cord-267229-hdnzs9o6 166 1 Institutional institutional JJ cord-267229-hdnzs9o6 166 2 support support NN cord-267229-hdnzs9o6 166 3 in in IN cord-267229-hdnzs9o6 166 4 terms term NNS cord-267229-hdnzs9o6 166 5 of of IN cord-267229-hdnzs9o6 166 6 protected protect VBN cord-267229-hdnzs9o6 166 7 time time NN cord-267229-hdnzs9o6 166 8 to to TO cord-267229-hdnzs9o6 166 9 train train VB cord-267229-hdnzs9o6 166 10 in in IN cord-267229-hdnzs9o6 166 11 an an DT cord-267229-hdnzs9o6 166 12 animal animal NN cord-267229-hdnzs9o6 166 13 laboratory laboratory NN cord-267229-hdnzs9o6 166 14 is be VBZ cord-267229-hdnzs9o6 166 15 also also RB cord-267229-hdnzs9o6 166 16 highly highly RB cord-267229-hdnzs9o6 166 17 desirable desirable JJ cord-267229-hdnzs9o6 166 18 , , , cord-267229-hdnzs9o6 166 19 as as IN cord-267229-hdnzs9o6 166 20 this this DT cord-267229-hdnzs9o6 166 21 can can MD cord-267229-hdnzs9o6 166 22 be be VB cord-267229-hdnzs9o6 166 23 a a DT cord-267229-hdnzs9o6 166 24 complementary complementary JJ cord-267229-hdnzs9o6 166 25 strategy strategy NN cord-267229-hdnzs9o6 166 26 to to TO cord-267229-hdnzs9o6 166 27 maintain maintain VB cord-267229-hdnzs9o6 166 28 skills skill NNS cord-267229-hdnzs9o6 166 29 and and CC cord-267229-hdnzs9o6 166 30 avoid avoid VB cord-267229-hdnzs9o6 166 31 spaced spaced JJ cord-267229-hdnzs9o6 166 32 training training NN cord-267229-hdnzs9o6 166 33 initially initially RB cord-267229-hdnzs9o6 166 34 , , , cord-267229-hdnzs9o6 166 35 when when WRB cord-267229-hdnzs9o6 166 36 human human JJ cord-267229-hdnzs9o6 166 37 cases case NNS cord-267229-hdnzs9o6 166 38 are be VBP cord-267229-hdnzs9o6 166 39 relatively relatively RB cord-267229-hdnzs9o6 166 40 low low JJ cord-267229-hdnzs9o6 166 41 [ [ -LRB- cord-267229-hdnzs9o6 166 42 19 19 CD cord-267229-hdnzs9o6 166 43 ] ] -RRB- cord-267229-hdnzs9o6 166 44 . . . cord-267229-hdnzs9o6 167 1 Last last RB cord-267229-hdnzs9o6 167 2 , , , cord-267229-hdnzs9o6 167 3 although although IN cord-267229-hdnzs9o6 167 4 beyond beyond IN cord-267229-hdnzs9o6 167 5 the the DT cord-267229-hdnzs9o6 167 6 scope scope NN cord-267229-hdnzs9o6 167 7 of of IN cord-267229-hdnzs9o6 167 8 this this DT cord-267229-hdnzs9o6 167 9 review review NN cord-267229-hdnzs9o6 167 10 , , , cord-267229-hdnzs9o6 167 11 it -PRON- PRP cord-267229-hdnzs9o6 167 12 is be VBZ cord-267229-hdnzs9o6 167 13 important important JJ cord-267229-hdnzs9o6 167 14 to to TO cord-267229-hdnzs9o6 167 15 recognize recognize VB cord-267229-hdnzs9o6 167 16 that that IN cord-267229-hdnzs9o6 167 17 many many JJ cord-267229-hdnzs9o6 167 18 of of IN cord-267229-hdnzs9o6 167 19 these these DT cord-267229-hdnzs9o6 167 20 interventions intervention NNS cord-267229-hdnzs9o6 167 21 do do VBP cord-267229-hdnzs9o6 167 22 not not RB cord-267229-hdnzs9o6 167 23 have have VB cord-267229-hdnzs9o6 167 24 dedicated dedicate VBN cord-267229-hdnzs9o6 167 25 procedural procedural JJ cord-267229-hdnzs9o6 167 26 terminology terminology NN cord-267229-hdnzs9o6 167 27 ( ( -LRB- cord-267229-hdnzs9o6 167 28 CPT CPT NNP cord-267229-hdnzs9o6 167 29 ) ) -RRB- cord-267229-hdnzs9o6 167 30 codes code NNS cord-267229-hdnzs9o6 167 31 . . . cord-267229-hdnzs9o6 168 1 Upfront upfront JJ cord-267229-hdnzs9o6 168 2 discussion discussion NN cord-267229-hdnzs9o6 168 3 with with IN cord-267229-hdnzs9o6 168 4 stakeholders stakeholder NNS cord-267229-hdnzs9o6 168 5 with with IN cord-267229-hdnzs9o6 168 6 regard regard NN cord-267229-hdnzs9o6 168 7 to to IN cord-267229-hdnzs9o6 168 8 billing billing NN cord-267229-hdnzs9o6 168 9 and and CC cord-267229-hdnzs9o6 168 10 coding coding NN cord-267229-hdnzs9o6 168 11 is be VBZ cord-267229-hdnzs9o6 168 12 essential essential JJ cord-267229-hdnzs9o6 168 13 to to TO cord-267229-hdnzs9o6 168 14 ensure ensure VB cord-267229-hdnzs9o6 168 15 the the DT cord-267229-hdnzs9o6 168 16 necessary necessary JJ cord-267229-hdnzs9o6 168 17 case case NN cord-267229-hdnzs9o6 168 18 volume volume NN cord-267229-hdnzs9o6 168 19 to to TO cord-267229-hdnzs9o6 168 20 sustain sustain VB cord-267229-hdnzs9o6 168 21 newly newly RB cord-267229-hdnzs9o6 168 22 acquired acquire VBN cord-267229-hdnzs9o6 168 23 skill skill NN cord-267229-hdnzs9o6 168 24 sets set NNS cord-267229-hdnzs9o6 168 25 [ [ -LRB- cord-267229-hdnzs9o6 168 26 57 57 CD cord-267229-hdnzs9o6 168 27 ] ] -RRB- cord-267229-hdnzs9o6 168 28 . . . cord-267229-hdnzs9o6 169 1 Credentialing credentialing NN cord-267229-hdnzs9o6 169 2 is be VBZ cord-267229-hdnzs9o6 169 3 the the DT cord-267229-hdnzs9o6 169 4 process process NN cord-267229-hdnzs9o6 169 5 in in IN cord-267229-hdnzs9o6 169 6 which which WDT cord-267229-hdnzs9o6 169 7 an an DT cord-267229-hdnzs9o6 169 8 institution institution NN cord-267229-hdnzs9o6 169 9 reviews review VBZ cord-267229-hdnzs9o6 169 10 an an DT cord-267229-hdnzs9o6 169 11 endoscopist endoscopist NN cord-267229-hdnzs9o6 169 12 's 's POS cord-267229-hdnzs9o6 169 13 qualifications qualification NNS cord-267229-hdnzs9o6 169 14 to to TO cord-267229-hdnzs9o6 169 15 determine determine VB cord-267229-hdnzs9o6 169 16 if if IN cord-267229-hdnzs9o6 169 17 they -PRON- PRP cord-267229-hdnzs9o6 169 18 meet meet VBP cord-267229-hdnzs9o6 169 19 the the DT cord-267229-hdnzs9o6 169 20 criteria criterion NNS cord-267229-hdnzs9o6 169 21 to to TO cord-267229-hdnzs9o6 169 22 perform perform VB cord-267229-hdnzs9o6 169 23 the the DT cord-267229-hdnzs9o6 169 24 endoscopic endoscopic JJ cord-267229-hdnzs9o6 169 25 procedure procedure NN cord-267229-hdnzs9o6 169 26 in in IN cord-267229-hdnzs9o6 169 27 question question NN cord-267229-hdnzs9o6 169 28 . . . cord-267229-hdnzs9o6 170 1 Traditionally traditionally RB cord-267229-hdnzs9o6 170 2 , , , cord-267229-hdnzs9o6 170 3 preceptors preceptor NNS cord-267229-hdnzs9o6 170 4 have have VBP cord-267229-hdnzs9o6 170 5 been be VBN cord-267229-hdnzs9o6 170 6 responsible responsible JJ cord-267229-hdnzs9o6 170 7 in in IN cord-267229-hdnzs9o6 170 8 establishing establish VBG cord-267229-hdnzs9o6 170 9 when when WRB cord-267229-hdnzs9o6 170 10 a a DT cord-267229-hdnzs9o6 170 11 trainee trainee NN cord-267229-hdnzs9o6 170 12 has have VBZ cord-267229-hdnzs9o6 170 13 reached reach VBN cord-267229-hdnzs9o6 170 14 " " `` cord-267229-hdnzs9o6 170 15 an an DT cord-267229-hdnzs9o6 170 16 acceptable acceptable JJ cord-267229-hdnzs9o6 170 17 level level NN cord-267229-hdnzs9o6 170 18 of of IN cord-267229-hdnzs9o6 170 19 competency competency NN cord-267229-hdnzs9o6 170 20 " " '' cord-267229-hdnzs9o6 170 21 and and CC cord-267229-hdnzs9o6 170 22 thereby thereby RB cord-267229-hdnzs9o6 170 23 provide provide VB cord-267229-hdnzs9o6 170 24 written write VBN cord-267229-hdnzs9o6 170 25 documentation documentation NN cord-267229-hdnzs9o6 170 26 of of IN cord-267229-hdnzs9o6 170 27 the the DT cord-267229-hdnzs9o6 170 28 successful successful JJ cord-267229-hdnzs9o6 170 29 completion completion NN cord-267229-hdnzs9o6 170 30 of of IN cord-267229-hdnzs9o6 170 31 the the DT cord-267229-hdnzs9o6 170 32 training training NN cord-267229-hdnzs9o6 170 33 for for IN cord-267229-hdnzs9o6 170 34 future future JJ cord-267229-hdnzs9o6 170 35 credentialing credentialing NN cord-267229-hdnzs9o6 170 36 purposes purpose NNS cord-267229-hdnzs9o6 170 37 [ [ -LRB- cord-267229-hdnzs9o6 170 38 12 12 CD cord-267229-hdnzs9o6 170 39 , , , cord-267229-hdnzs9o6 170 40 13 13 CD cord-267229-hdnzs9o6 170 41 ] ] -RRB- cord-267229-hdnzs9o6 170 42 . . . cord-267229-hdnzs9o6 171 1 Hospital hospital NN cord-267229-hdnzs9o6 171 2 credentialing credentialing NN cord-267229-hdnzs9o6 171 3 committees committee NNS cord-267229-hdnzs9o6 171 4 then then RB cord-267229-hdnzs9o6 171 5 determine determine VB cord-267229-hdnzs9o6 171 6 who who WP cord-267229-hdnzs9o6 171 7 will will MD cord-267229-hdnzs9o6 171 8 be be VB cord-267229-hdnzs9o6 171 9 granted grant VBN cord-267229-hdnzs9o6 171 10 privileges privilege NNS cord-267229-hdnzs9o6 171 11 based base VBN cord-267229-hdnzs9o6 171 12 on on IN cord-267229-hdnzs9o6 171 13 the the DT cord-267229-hdnzs9o6 171 14 supporting support VBG cord-267229-hdnzs9o6 171 15 evidence evidence NN cord-267229-hdnzs9o6 171 16 . . . cord-267229-hdnzs9o6 172 1 There there EX cord-267229-hdnzs9o6 172 2 are be VBP cord-267229-hdnzs9o6 172 3 several several JJ cord-267229-hdnzs9o6 172 4 issues issue NNS cord-267229-hdnzs9o6 172 5 worthy worthy JJ cord-267229-hdnzs9o6 172 6 of of IN cord-267229-hdnzs9o6 172 7 discussion discussion NN cord-267229-hdnzs9o6 172 8 with with IN cord-267229-hdnzs9o6 172 9 regard regard NN cord-267229-hdnzs9o6 172 10 to to IN cord-267229-hdnzs9o6 172 11 how how WRB cord-267229-hdnzs9o6 172 12 this this DT cord-267229-hdnzs9o6 172 13 process process NN cord-267229-hdnzs9o6 172 14 is be VBZ cord-267229-hdnzs9o6 172 15 currently currently RB cord-267229-hdnzs9o6 172 16 structured structure VBN cord-267229-hdnzs9o6 172 17 : : : cord-267229-hdnzs9o6 172 18 1 1 CD cord-267229-hdnzs9o6 172 19 . . . cord-267229-hdnzs9o6 173 1 Definition definition NN cord-267229-hdnzs9o6 173 2 and and CC cord-267229-hdnzs9o6 173 3 assessment assessment NN cord-267229-hdnzs9o6 173 4 of of IN cord-267229-hdnzs9o6 173 5 competence competence NN cord-267229-hdnzs9o6 173 6 . . . cord-267229-hdnzs9o6 174 1 As as IN cord-267229-hdnzs9o6 174 2 we -PRON- PRP cord-267229-hdnzs9o6 174 3 have have VBP cord-267229-hdnzs9o6 174 4 previously previously RB cord-267229-hdnzs9o6 174 5 discussed discuss VBN cord-267229-hdnzs9o6 174 6 , , , cord-267229-hdnzs9o6 174 7 defining define VBG cord-267229-hdnzs9o6 174 8 competence competence NN cord-267229-hdnzs9o6 174 9 remains remain VBZ cord-267229-hdnzs9o6 174 10 a a DT cord-267229-hdnzs9o6 174 11 challenge challenge NN cord-267229-hdnzs9o6 174 12 in in IN cord-267229-hdnzs9o6 174 13 endoscopic endoscopic JJ cord-267229-hdnzs9o6 174 14 training training NN cord-267229-hdnzs9o6 174 15 . . . cord-267229-hdnzs9o6 175 1 The the DT cord-267229-hdnzs9o6 175 2 assessment assessment NN cord-267229-hdnzs9o6 175 3 of of IN cord-267229-hdnzs9o6 175 4 competence competence NN cord-267229-hdnzs9o6 175 5 by by IN cord-267229-hdnzs9o6 175 6 tallying tally VBG cord-267229-hdnzs9o6 175 7 total total JJ cord-267229-hdnzs9o6 175 8 number number NN cord-267229-hdnzs9o6 175 9 of of IN cord-267229-hdnzs9o6 175 10 procedures procedure NNS cord-267229-hdnzs9o6 175 11 performed perform VBN cord-267229-hdnzs9o6 175 12 is be VBZ cord-267229-hdnzs9o6 175 13 not not RB cord-267229-hdnzs9o6 175 14 sufficient sufficient JJ cord-267229-hdnzs9o6 175 15 . . . cord-267229-hdnzs9o6 176 1 Although although IN cord-267229-hdnzs9o6 176 2 the the DT cord-267229-hdnzs9o6 176 3 performance performance NN cord-267229-hdnzs9o6 176 4 of of IN cord-267229-hdnzs9o6 176 5 a a DT cord-267229-hdnzs9o6 176 6 minimum minimum JJ cord-267229-hdnzs9o6 176 7 volume volume NN cord-267229-hdnzs9o6 176 8 is be VBZ cord-267229-hdnzs9o6 176 9 a a DT cord-267229-hdnzs9o6 176 10 prerequisite prerequisite NN cord-267229-hdnzs9o6 176 11 for for IN cord-267229-hdnzs9o6 176 12 skill skill NN cord-267229-hdnzs9o6 176 13 acquisition acquisition NN cord-267229-hdnzs9o6 176 14 , , , cord-267229-hdnzs9o6 176 15 it -PRON- PRP cord-267229-hdnzs9o6 176 16 does do VBZ cord-267229-hdnzs9o6 176 17 not not RB cord-267229-hdnzs9o6 176 18 guarantee guarantee VB cord-267229-hdnzs9o6 176 19 competence competence NN cord-267229-hdnzs9o6 176 20 ; ; : cord-267229-hdnzs9o6 176 21 herein herein RB cord-267229-hdnzs9o6 176 22 lies lie VBZ cord-267229-hdnzs9o6 176 23 the the DT cord-267229-hdnzs9o6 176 24 importance importance NN cord-267229-hdnzs9o6 176 25 of of IN cord-267229-hdnzs9o6 176 26 establishing establish VBG cord-267229-hdnzs9o6 176 27 procedure procedure NN cord-267229-hdnzs9o6 176 28 specific specific JJ cord-267229-hdnzs9o6 176 29 benchmarks benchmark NNS cord-267229-hdnzs9o6 176 30 that that WDT cord-267229-hdnzs9o6 176 31 can can MD cord-267229-hdnzs9o6 176 32 be be VB cord-267229-hdnzs9o6 176 33 used use VBN cord-267229-hdnzs9o6 176 34 as as IN cord-267229-hdnzs9o6 176 35 concrete concrete JJ cord-267229-hdnzs9o6 176 36 performance performance NN cord-267229-hdnzs9o6 176 37 endpoints endpoint NNS cord-267229-hdnzs9o6 176 38 . . . cord-267229-hdnzs9o6 177 1 Continuous continuous JJ cord-267229-hdnzs9o6 177 2 recording recording NN cord-267229-hdnzs9o6 177 3 of of IN cord-267229-hdnzs9o6 177 4 performance performance NN cord-267229-hdnzs9o6 177 5 data datum NNS cord-267229-hdnzs9o6 177 6 into into IN cord-267229-hdnzs9o6 177 7 accessible accessible JJ cord-267229-hdnzs9o6 177 8 electronically electronically RB cord-267229-hdnzs9o6 177 9 generated generate VBN cord-267229-hdnzs9o6 177 10 centralized centralized JJ cord-267229-hdnzs9o6 177 11 endoscopic endoscopic JJ cord-267229-hdnzs9o6 177 12 databases database NNS cord-267229-hdnzs9o6 177 13 would would MD cord-267229-hdnzs9o6 177 14 potentially potentially RB cord-267229-hdnzs9o6 177 15 allow allow VB cord-267229-hdnzs9o6 177 16 third third JJ cord-267229-hdnzs9o6 177 17 - - HYPH cord-267229-hdnzs9o6 177 18 parties party NNS cord-267229-hdnzs9o6 177 19 ( ( -LRB- cord-267229-hdnzs9o6 177 20 ie ie FW cord-267229-hdnzs9o6 177 21 , , , cord-267229-hdnzs9o6 177 22 hospital hospital NN cord-267229-hdnzs9o6 177 23 credentialing credentialing NN cord-267229-hdnzs9o6 177 24 committees committee NNS cord-267229-hdnzs9o6 177 25 ) ) -RRB- cord-267229-hdnzs9o6 177 26 to to TO cord-267229-hdnzs9o6 177 27 then then RB cord-267229-hdnzs9o6 177 28 identify identify VB cord-267229-hdnzs9o6 177 29 and and CC cord-267229-hdnzs9o6 177 30 search search VB cord-267229-hdnzs9o6 177 31 for for IN cord-267229-hdnzs9o6 177 32 these these DT cord-267229-hdnzs9o6 177 33 target target NN cord-267229-hdnzs9o6 177 34 benchmarks benchmark NNS cord-267229-hdnzs9o6 177 35 [ [ -LRB- cord-267229-hdnzs9o6 177 36 12 12 CD cord-267229-hdnzs9o6 177 37 ] ] -RRB- cord-267229-hdnzs9o6 177 38 . . . cord-267229-hdnzs9o6 178 1 2 2 LS cord-267229-hdnzs9o6 178 2 . . . cord-267229-hdnzs9o6 179 1 Responsibility responsibility NN cord-267229-hdnzs9o6 179 2 of of IN cord-267229-hdnzs9o6 179 3 establishing establish VBG cord-267229-hdnzs9o6 179 4 competency competency NN cord-267229-hdnzs9o6 179 5 in in IN cord-267229-hdnzs9o6 179 6 endoscopy endoscopy NN cord-267229-hdnzs9o6 179 7 training training NN cord-267229-hdnzs9o6 179 8 . . . cord-267229-hdnzs9o6 180 1 The the DT cord-267229-hdnzs9o6 180 2 current current JJ cord-267229-hdnzs9o6 180 3 certification certification NN cord-267229-hdnzs9o6 180 4 of of IN cord-267229-hdnzs9o6 180 5 competency competency NN cord-267229-hdnzs9o6 180 6 in in IN cord-267229-hdnzs9o6 180 7 endoscopy endoscopy NN cord-267229-hdnzs9o6 180 8 is be VBZ cord-267229-hdnzs9o6 180 9 usually usually RB cord-267229-hdnzs9o6 180 10 provided provide VBN cord-267229-hdnzs9o6 180 11 by by IN cord-267229-hdnzs9o6 180 12 a a DT cord-267229-hdnzs9o6 180 13 training training NN cord-267229-hdnzs9o6 180 14 program program NN cord-267229-hdnzs9o6 180 15 director director NN cord-267229-hdnzs9o6 180 16 . . . cord-267229-hdnzs9o6 181 1 However however RB cord-267229-hdnzs9o6 181 2 , , , cord-267229-hdnzs9o6 181 3 there there EX cord-267229-hdnzs9o6 181 4 are be VBP cord-267229-hdnzs9o6 181 5 several several JJ cord-267229-hdnzs9o6 181 6 limitations limitation NNS cord-267229-hdnzs9o6 181 7 to to IN cord-267229-hdnzs9o6 181 8 this this DT cord-267229-hdnzs9o6 181 9 approach approach NN cord-267229-hdnzs9o6 181 10 . . . cord-267229-hdnzs9o6 182 1 For for IN cord-267229-hdnzs9o6 182 2 one one CD cord-267229-hdnzs9o6 182 3 , , , cord-267229-hdnzs9o6 182 4 a a DT cord-267229-hdnzs9o6 182 5 trainee trainee NN cord-267229-hdnzs9o6 182 6 's 's POS cord-267229-hdnzs9o6 182 7 performance performance NN cord-267229-hdnzs9o6 182 8 is be VBZ cord-267229-hdnzs9o6 182 9 based base VBN cord-267229-hdnzs9o6 182 10 on on IN cord-267229-hdnzs9o6 182 11 the the DT cord-267229-hdnzs9o6 182 12 subjective subjective JJ cord-267229-hdnzs9o6 182 13 evaluation evaluation NN cord-267229-hdnzs9o6 182 14 by by IN cord-267229-hdnzs9o6 182 15 his -PRON- PRP$ cord-267229-hdnzs9o6 182 16 / / SYM cord-267229-hdnzs9o6 182 17 her -PRON- PRP$ cord-267229-hdnzs9o6 182 18 mentor mentor NN cord-267229-hdnzs9o6 182 19 , , , cord-267229-hdnzs9o6 182 20 which which WDT cord-267229-hdnzs9o6 182 21 , , , cord-267229-hdnzs9o6 182 22 by by IN cord-267229-hdnzs9o6 182 23 itself -PRON- PRP cord-267229-hdnzs9o6 182 24 , , , cord-267229-hdnzs9o6 182 25 may may MD cord-267229-hdnzs9o6 182 26 introduce introduce VB cord-267229-hdnzs9o6 182 27 bias bias NN cord-267229-hdnzs9o6 182 28 in in IN cord-267229-hdnzs9o6 182 29 the the DT cord-267229-hdnzs9o6 182 30 credentialing credentialing NN cord-267229-hdnzs9o6 182 31 process process NN cord-267229-hdnzs9o6 182 32 . . . cord-267229-hdnzs9o6 183 1 Secondly secondly RB cord-267229-hdnzs9o6 183 2 , , , cord-267229-hdnzs9o6 183 3 in in IN cord-267229-hdnzs9o6 183 4 the the DT cord-267229-hdnzs9o6 183 5 absence absence NN cord-267229-hdnzs9o6 183 6 of of IN cord-267229-hdnzs9o6 183 7 standards standard NNS cord-267229-hdnzs9o6 183 8 and and CC cord-267229-hdnzs9o6 183 9 objective objective JJ cord-267229-hdnzs9o6 183 10 parameters parameter NNS cord-267229-hdnzs9o6 183 11 , , , cord-267229-hdnzs9o6 183 12 there there EX cord-267229-hdnzs9o6 183 13 is be VBZ cord-267229-hdnzs9o6 183 14 likely likely JJ cord-267229-hdnzs9o6 183 15 substantial substantial JJ cord-267229-hdnzs9o6 183 16 variation variation NN cord-267229-hdnzs9o6 183 17 among among IN cord-267229-hdnzs9o6 183 18 training training NN cord-267229-hdnzs9o6 183 19 directors director NNS cord-267229-hdnzs9o6 183 20 on on IN cord-267229-hdnzs9o6 183 21 what what WP cord-267229-hdnzs9o6 183 22 may may MD cord-267229-hdnzs9o6 183 23 be be VB cord-267229-hdnzs9o6 183 24 considered consider VBN cord-267229-hdnzs9o6 183 25 an an DT cord-267229-hdnzs9o6 183 26 " " `` cord-267229-hdnzs9o6 183 27 acceptable acceptable JJ cord-267229-hdnzs9o6 183 28 level level NN cord-267229-hdnzs9o6 183 29 of of IN cord-267229-hdnzs9o6 183 30 competency competency NN cord-267229-hdnzs9o6 183 31 . . . cord-267229-hdnzs9o6 184 1 " " `` cord-267229-hdnzs9o6 184 2 It -PRON- PRP cord-267229-hdnzs9o6 184 3 is be VBZ cord-267229-hdnzs9o6 184 4 important important JJ cord-267229-hdnzs9o6 184 5 to to TO cord-267229-hdnzs9o6 184 6 reiterate reiterate VB cord-267229-hdnzs9o6 184 7 that that DT cord-267229-hdnzs9o6 184 8 competency competency NN cord-267229-hdnzs9o6 184 9 should should MD cord-267229-hdnzs9o6 184 10 be be VB cord-267229-hdnzs9o6 184 11 procedure procedure NN cord-267229-hdnzs9o6 184 12 specific specific JJ cord-267229-hdnzs9o6 184 13 . . . cord-267229-hdnzs9o6 185 1 Hence hence RB cord-267229-hdnzs9o6 185 2 , , , cord-267229-hdnzs9o6 185 3 competence competence NN cord-267229-hdnzs9o6 185 4 in in IN cord-267229-hdnzs9o6 185 5 a a DT cord-267229-hdnzs9o6 185 6 particular particular JJ cord-267229-hdnzs9o6 185 7 procedure procedure NN cord-267229-hdnzs9o6 185 8 does do VBZ cord-267229-hdnzs9o6 185 9 not not RB cord-267229-hdnzs9o6 185 10 necessarily necessarily RB cord-267229-hdnzs9o6 185 11 translate translate VB cord-267229-hdnzs9o6 185 12 into into IN cord-267229-hdnzs9o6 185 13 competence competence NN cord-267229-hdnzs9o6 185 14 in in IN cord-267229-hdnzs9o6 185 15 a a DT cord-267229-hdnzs9o6 185 16 materially materially RB cord-267229-hdnzs9o6 185 17 different different JJ cord-267229-hdnzs9o6 185 18 one one CD cord-267229-hdnzs9o6 185 19 . . . cord-267229-hdnzs9o6 186 1 Last last RB cord-267229-hdnzs9o6 186 2 , , , cord-267229-hdnzs9o6 186 3 as as IN cord-267229-hdnzs9o6 186 4 previously previously RB cord-267229-hdnzs9o6 186 5 discussed discuss VBN cord-267229-hdnzs9o6 186 6 , , , cord-267229-hdnzs9o6 186 7 many many JJ cord-267229-hdnzs9o6 186 8 endoscopists endoscopist NNS cord-267229-hdnzs9o6 186 9 interested interested JJ cord-267229-hdnzs9o6 186 10 in in IN cord-267229-hdnzs9o6 186 11 acquiring acquire VBG cord-267229-hdnzs9o6 186 12 new new JJ cord-267229-hdnzs9o6 186 13 endoscopic endoscopic JJ cord-267229-hdnzs9o6 186 14 skills skill NNS cord-267229-hdnzs9o6 186 15 do do VBP cord-267229-hdnzs9o6 186 16 not not RB cord-267229-hdnzs9o6 186 17 undergo undergo VB cord-267229-hdnzs9o6 186 18 formal formal JJ cord-267229-hdnzs9o6 186 19 advanced advanced JJ cord-267229-hdnzs9o6 186 20 endoscopy endoscopy NN cord-267229-hdnzs9o6 186 21 training training NN cord-267229-hdnzs9o6 186 22 and and CC cord-267229-hdnzs9o6 186 23 may may MD cord-267229-hdnzs9o6 186 24 do do VB cord-267229-hdnzs9o6 186 25 so so RB cord-267229-hdnzs9o6 186 26 through through IN cord-267229-hdnzs9o6 186 27 different different JJ cord-267229-hdnzs9o6 186 28 training training NN cord-267229-hdnzs9o6 186 29 pathways pathway NNS cord-267229-hdnzs9o6 186 30 . . . cord-267229-hdnzs9o6 187 1 This this DT cord-267229-hdnzs9o6 187 2 poses pose VBZ cord-267229-hdnzs9o6 187 3 a a DT cord-267229-hdnzs9o6 187 4 challenge challenge NN cord-267229-hdnzs9o6 187 5 in in IN cord-267229-hdnzs9o6 187 6 the the DT cord-267229-hdnzs9o6 187 7 absence absence NN cord-267229-hdnzs9o6 187 8 of of IN cord-267229-hdnzs9o6 187 9 clear clear JJ cord-267229-hdnzs9o6 187 10 guidelines guideline NNS cord-267229-hdnzs9o6 187 11 on on IN cord-267229-hdnzs9o6 187 12 how how WRB cord-267229-hdnzs9o6 187 13 or or CC cord-267229-hdnzs9o6 187 14 who who WP cord-267229-hdnzs9o6 187 15 should should MD cord-267229-hdnzs9o6 187 16 be be VB cord-267229-hdnzs9o6 187 17 responsible responsible JJ cord-267229-hdnzs9o6 187 18 in in IN cord-267229-hdnzs9o6 187 19 attesting attest VBG cord-267229-hdnzs9o6 187 20 to to IN cord-267229-hdnzs9o6 187 21 the the DT cord-267229-hdnzs9o6 187 22 competency competency NN cord-267229-hdnzs9o6 187 23 of of IN cord-267229-hdnzs9o6 187 24 these these DT cord-267229-hdnzs9o6 187 25 individuals individual NNS cord-267229-hdnzs9o6 187 26 . . . cord-267229-hdnzs9o6 188 1 In in IN cord-267229-hdnzs9o6 188 2 light light NN cord-267229-hdnzs9o6 188 3 of of IN cord-267229-hdnzs9o6 188 4 these these DT cord-267229-hdnzs9o6 188 5 concerns concern NNS cord-267229-hdnzs9o6 188 6 , , , cord-267229-hdnzs9o6 188 7 the the DT cord-267229-hdnzs9o6 188 8 ASGE ASGE NNP cord-267229-hdnzs9o6 188 9 has have VBZ cord-267229-hdnzs9o6 188 10 previously previously RB cord-267229-hdnzs9o6 188 11 issued issue VBN cord-267229-hdnzs9o6 188 12 a a DT cord-267229-hdnzs9o6 188 13 statement statement NN cord-267229-hdnzs9o6 188 14 regarding regard VBG cord-267229-hdnzs9o6 188 15 the the DT cord-267229-hdnzs9o6 188 16 important important JJ cord-267229-hdnzs9o6 188 17 role role NN cord-267229-hdnzs9o6 188 18 of of IN cord-267229-hdnzs9o6 188 19 proctoring proctoring NN cord-267229-hdnzs9o6 188 20 in in IN cord-267229-hdnzs9o6 188 21 the the DT cord-267229-hdnzs9o6 188 22 process process NN cord-267229-hdnzs9o6 188 23 of of IN cord-267229-hdnzs9o6 188 24 endoscopic endoscopic NNS cord-267229-hdnzs9o6 188 25 privileging privilege VBG cord-267229-hdnzs9o6 188 26 [ [ -LRB- cord-267229-hdnzs9o6 188 27 12 12 CD cord-267229-hdnzs9o6 188 28 , , , cord-267229-hdnzs9o6 188 29 13 13 CD cord-267229-hdnzs9o6 188 30 ] ] -RRB- cord-267229-hdnzs9o6 188 31 . . . cord-267229-hdnzs9o6 189 1 According accord VBG cord-267229-hdnzs9o6 189 2 to to IN cord-267229-hdnzs9o6 189 3 these these DT cord-267229-hdnzs9o6 189 4 guidelines guideline NNS cord-267229-hdnzs9o6 189 5 , , , cord-267229-hdnzs9o6 189 6 a a DT cord-267229-hdnzs9o6 189 7 proctor proctor NN cord-267229-hdnzs9o6 189 8 should should MD cord-267229-hdnzs9o6 189 9 be be VB cord-267229-hdnzs9o6 189 10 an an DT cord-267229-hdnzs9o6 189 11 endoscopist endoscopist NN cord-267229-hdnzs9o6 189 12 who who WP cord-267229-hdnzs9o6 189 13 is be VBZ cord-267229-hdnzs9o6 189 14 credentialed credentiale VBN cord-267229-hdnzs9o6 189 15 in in IN cord-267229-hdnzs9o6 189 16 the the DT cord-267229-hdnzs9o6 189 17 specific specific JJ cord-267229-hdnzs9o6 189 18 procedure procedure NN cord-267229-hdnzs9o6 189 19 being be VBG cord-267229-hdnzs9o6 189 20 observed observe VBN cord-267229-hdnzs9o6 189 21 , , , cord-267229-hdnzs9o6 189 22 has have VBZ cord-267229-hdnzs9o6 189 23 no no DT cord-267229-hdnzs9o6 189 24 physician physician NN cord-267229-hdnzs9o6 189 25 or or CC cord-267229-hdnzs9o6 189 26 patient patient JJ cord-267229-hdnzs9o6 189 27 relationship relationship NN cord-267229-hdnzs9o6 189 28 , , , cord-267229-hdnzs9o6 189 29 and and CC cord-267229-hdnzs9o6 189 30 reports report VBZ cord-267229-hdnzs9o6 189 31 directly directly RB cord-267229-hdnzs9o6 189 32 to to IN cord-267229-hdnzs9o6 189 33 the the DT cord-267229-hdnzs9o6 189 34 institution institution NN cord-267229-hdnzs9o6 189 35 's 's POS cord-267229-hdnzs9o6 189 36 credentialing credentialing NN cord-267229-hdnzs9o6 189 37 committee committee NN cord-267229-hdnzs9o6 189 38 . . . cord-267229-hdnzs9o6 190 1 The the DT cord-267229-hdnzs9o6 190 2 role role NN cord-267229-hdnzs9o6 190 3 of of IN cord-267229-hdnzs9o6 190 4 the the DT cord-267229-hdnzs9o6 190 5 proctor proctor NN cord-267229-hdnzs9o6 190 6 is be VBZ cord-267229-hdnzs9o6 190 7 to to TO cord-267229-hdnzs9o6 190 8 provide provide VB cord-267229-hdnzs9o6 190 9 an an DT cord-267229-hdnzs9o6 190 10 unbiased unbiased JJ cord-267229-hdnzs9o6 190 11 evaluation evaluation NN cord-267229-hdnzs9o6 190 12 of of IN cord-267229-hdnzs9o6 190 13 the the DT cord-267229-hdnzs9o6 190 14 endoscopist endoscopist NN cord-267229-hdnzs9o6 190 15 's 's POS cord-267229-hdnzs9o6 190 16 competence competence NN cord-267229-hdnzs9o6 190 17 on on IN cord-267229-hdnzs9o6 190 18 the the DT cord-267229-hdnzs9o6 190 19 procedure procedure NN cord-267229-hdnzs9o6 190 20 in in IN cord-267229-hdnzs9o6 190 21 question question NN cord-267229-hdnzs9o6 190 22 . . . cord-267229-hdnzs9o6 191 1 However however RB cord-267229-hdnzs9o6 191 2 , , , cord-267229-hdnzs9o6 191 3 similar similar JJ cord-267229-hdnzs9o6 191 4 to to IN cord-267229-hdnzs9o6 191 5 the the DT cord-267229-hdnzs9o6 191 6 issues issue NNS cord-267229-hdnzs9o6 191 7 regarding regard VBG cord-267229-hdnzs9o6 191 8 the the DT cord-267229-hdnzs9o6 191 9 lack lack NN cord-267229-hdnzs9o6 191 10 of of IN cord-267229-hdnzs9o6 191 11 locally locally RB cord-267229-hdnzs9o6 191 12 available available JJ cord-267229-hdnzs9o6 191 13 experts expert NNS cord-267229-hdnzs9o6 191 14 , , , cord-267229-hdnzs9o6 191 15 we -PRON- PRP cord-267229-hdnzs9o6 191 16 presume presume VBP cord-267229-hdnzs9o6 191 17 that that IN cord-267229-hdnzs9o6 191 18 the the DT cord-267229-hdnzs9o6 191 19 pool pool NN cord-267229-hdnzs9o6 191 20 of of IN cord-267229-hdnzs9o6 191 21 qualified qualified JJ cord-267229-hdnzs9o6 191 22 proctors proctor NNS cord-267229-hdnzs9o6 191 23 for for IN cord-267229-hdnzs9o6 191 24 emerging emerge VBG cord-267229-hdnzs9o6 191 25 new new JJ cord-267229-hdnzs9o6 191 26 technologies technology NNS cord-267229-hdnzs9o6 191 27 will will MD cord-267229-hdnzs9o6 191 28 also also RB cord-267229-hdnzs9o6 191 29 be be VB cord-267229-hdnzs9o6 191 30 scarce scarce JJ cord-267229-hdnzs9o6 191 31 . . . cord-267229-hdnzs9o6 192 1 Videobased videobased JJ cord-267229-hdnzs9o6 192 2 proctoring proctoring NN cord-267229-hdnzs9o6 192 3 may may MD cord-267229-hdnzs9o6 192 4 be be VB cord-267229-hdnzs9o6 192 5 a a DT cord-267229-hdnzs9o6 192 6 viable viable JJ cord-267229-hdnzs9o6 192 7 strategy strategy NN cord-267229-hdnzs9o6 192 8 in in IN cord-267229-hdnzs9o6 192 9 the the DT cord-267229-hdnzs9o6 192 10 future future NN cord-267229-hdnzs9o6 192 11 . . . cord-267229-hdnzs9o6 193 1 Reliable reliable JJ cord-267229-hdnzs9o6 193 2 , , , cord-267229-hdnzs9o6 193 3 blinded blinded JJ cord-267229-hdnzs9o6 193 4 video video NN cord-267229-hdnzs9o6 193 5 - - HYPH cord-267229-hdnzs9o6 193 6 based base VBN cord-267229-hdnzs9o6 193 7 proctoring proctoring NN cord-267229-hdnzs9o6 193 8 could could MD cord-267229-hdnzs9o6 193 9 potentially potentially RB cord-267229-hdnzs9o6 193 10 provide provide VB cord-267229-hdnzs9o6 193 11 an an DT cord-267229-hdnzs9o6 193 12 unbiased unbiased JJ cord-267229-hdnzs9o6 193 13 assessment assessment NN cord-267229-hdnzs9o6 193 14 in in IN cord-267229-hdnzs9o6 193 15 the the DT cord-267229-hdnzs9o6 193 16 credentialing credentialing NN cord-267229-hdnzs9o6 193 17 process process NN cord-267229-hdnzs9o6 193 18 [ [ -LRB- cord-267229-hdnzs9o6 193 19 54 54 CD cord-267229-hdnzs9o6 193 20 , , , cord-267229-hdnzs9o6 193 21 55 55 CD cord-267229-hdnzs9o6 193 22 ] ] -RRB- cord-267229-hdnzs9o6 193 23 . . . cord-267229-hdnzs9o6 194 1 3 3 LS cord-267229-hdnzs9o6 194 2 . . . cord-267229-hdnzs9o6 195 1 Responsibility responsibility NN cord-267229-hdnzs9o6 195 2 for for IN cord-267229-hdnzs9o6 195 3 privileging privilege VBG cord-267229-hdnzs9o6 195 4 , , , cord-267229-hdnzs9o6 195 5 conflicts conflict NNS cord-267229-hdnzs9o6 195 6 of of IN cord-267229-hdnzs9o6 195 7 interest interest NN cord-267229-hdnzs9o6 195 8 , , , cord-267229-hdnzs9o6 195 9 and and CC cord-267229-hdnzs9o6 195 10 the the DT cord-267229-hdnzs9o6 195 11 lack lack NN cord-267229-hdnzs9o6 195 12 of of IN cord-267229-hdnzs9o6 195 13 uniform uniform JJ cord-267229-hdnzs9o6 195 14 standards standard NNS cord-267229-hdnzs9o6 195 15 . . . cord-267229-hdnzs9o6 196 1 There there EX cord-267229-hdnzs9o6 196 2 are be VBP cord-267229-hdnzs9o6 196 3 no no DT cord-267229-hdnzs9o6 196 4 established establish VBN cord-267229-hdnzs9o6 196 5 national national JJ cord-267229-hdnzs9o6 196 6 standards standard NNS cord-267229-hdnzs9o6 196 7 for for IN cord-267229-hdnzs9o6 196 8 granting grant VBG cord-267229-hdnzs9o6 196 9 endoscopic endoscopic JJ cord-267229-hdnzs9o6 196 10 privileges privilege NNS cord-267229-hdnzs9o6 196 11 . . . cord-267229-hdnzs9o6 197 1 The the DT cord-267229-hdnzs9o6 197 2 current current JJ cord-267229-hdnzs9o6 197 3 credentialing credentialing NN cord-267229-hdnzs9o6 197 4 process process NN cord-267229-hdnzs9o6 197 5 in in IN cord-267229-hdnzs9o6 197 6 the the DT cord-267229-hdnzs9o6 197 7 United United NNP cord-267229-hdnzs9o6 197 8 States States NNP cord-267229-hdnzs9o6 197 9 requires require VBZ cord-267229-hdnzs9o6 197 10 each each DT cord-267229-hdnzs9o6 197 11 hospital hospital NN cord-267229-hdnzs9o6 197 12 and and CC cord-267229-hdnzs9o6 197 13 its -PRON- PRP$ cord-267229-hdnzs9o6 197 14 credentialing credentialing NN cord-267229-hdnzs9o6 197 15 committee committee NN cord-267229-hdnzs9o6 197 16 to to TO cord-267229-hdnzs9o6 197 17 manage manage VB cord-267229-hdnzs9o6 197 18 the the DT cord-267229-hdnzs9o6 197 19 process process NN cord-267229-hdnzs9o6 197 20 of of IN cord-267229-hdnzs9o6 197 21 granting grant VBG cord-267229-hdnzs9o6 197 22 privileges privilege NNS cord-267229-hdnzs9o6 197 23 . . . cord-267229-hdnzs9o6 198 1 It -PRON- PRP cord-267229-hdnzs9o6 198 2 is be VBZ cord-267229-hdnzs9o6 198 3 the the DT cord-267229-hdnzs9o6 198 4 responsibility responsibility NN cord-267229-hdnzs9o6 198 5 of of IN cord-267229-hdnzs9o6 198 6 each each DT cord-267229-hdnzs9o6 198 7 institution institution NN cord-267229-hdnzs9o6 198 8 to to TO cord-267229-hdnzs9o6 198 9 develop develop VB cord-267229-hdnzs9o6 198 10 and and CC cord-267229-hdnzs9o6 198 11 maintain maintain VB cord-267229-hdnzs9o6 198 12 their -PRON- PRP$ cord-267229-hdnzs9o6 198 13 own own JJ cord-267229-hdnzs9o6 198 14 guidelines guideline NNS cord-267229-hdnzs9o6 198 15 regarding regard VBG cord-267229-hdnzs9o6 198 16 this this DT cord-267229-hdnzs9o6 198 17 process process NN cord-267229-hdnzs9o6 198 18 , , , cord-267229-hdnzs9o6 198 19 which which WDT cord-267229-hdnzs9o6 198 20 potentially potentially RB cord-267229-hdnzs9o6 198 21 introduces introduce VBZ cord-267229-hdnzs9o6 198 22 conflict conflict NN cord-267229-hdnzs9o6 198 23 of of IN cord-267229-hdnzs9o6 198 24 interest interest NN cord-267229-hdnzs9o6 198 25 - - HYPH cord-267229-hdnzs9o6 198 26 hospital hospital NN cord-267229-hdnzs9o6 198 27 credentialing credentialing NN cord-267229-hdnzs9o6 198 28 committees committee NNS cord-267229-hdnzs9o6 198 29 may may MD cord-267229-hdnzs9o6 198 30 be be VB cord-267229-hdnzs9o6 198 31 subject subject JJ cord-267229-hdnzs9o6 198 32 to to IN cord-267229-hdnzs9o6 198 33 external external JJ cord-267229-hdnzs9o6 198 34 pressure pressure NN cord-267229-hdnzs9o6 198 35 from from IN cord-267229-hdnzs9o6 198 36 the the DT cord-267229-hdnzs9o6 198 37 applicants applicant NNS cord-267229-hdnzs9o6 198 38 , , , cord-267229-hdnzs9o6 198 39 their -PRON- PRP$ cord-267229-hdnzs9o6 198 40 employers employer NNS cord-267229-hdnzs9o6 198 41 and and CC cord-267229-hdnzs9o6 198 42 even even RB cord-267229-hdnzs9o6 198 43 competitors competitor NNS cord-267229-hdnzs9o6 198 44 [ [ -LRB- cord-267229-hdnzs9o6 198 45 58 58 CD cord-267229-hdnzs9o6 198 46 ] ] -RRB- cord-267229-hdnzs9o6 198 47 . . . cord-267229-hdnzs9o6 199 1 Many many JJ cord-267229-hdnzs9o6 199 2 hospitals hospital NNS cord-267229-hdnzs9o6 199 3 may may MD cord-267229-hdnzs9o6 199 4 be be VB cord-267229-hdnzs9o6 199 5 pressured pressure VBN cord-267229-hdnzs9o6 199 6 to to TO cord-267229-hdnzs9o6 199 7 offer offer VB cord-267229-hdnzs9o6 199 8 a a DT cord-267229-hdnzs9o6 199 9 broad broad JJ cord-267229-hdnzs9o6 199 10 range range NN cord-267229-hdnzs9o6 199 11 of of IN cord-267229-hdnzs9o6 199 12 endoscopic endoscopic JJ cord-267229-hdnzs9o6 199 13 procedures procedure NNS cord-267229-hdnzs9o6 199 14 due due JJ cord-267229-hdnzs9o6 199 15 to to IN cord-267229-hdnzs9o6 199 16 economic economic JJ cord-267229-hdnzs9o6 199 17 incentives incentive NNS cord-267229-hdnzs9o6 199 18 . . . cord-267229-hdnzs9o6 200 1 Similarly similarly RB cord-267229-hdnzs9o6 200 2 , , , cord-267229-hdnzs9o6 200 3 the the DT cord-267229-hdnzs9o6 200 4 pursuit pursuit NN cord-267229-hdnzs9o6 200 5 for for IN cord-267229-hdnzs9o6 200 6 endoscopic endoscopic JJ cord-267229-hdnzs9o6 200 7 innovation innovation NN cord-267229-hdnzs9o6 200 8 and and CC cord-267229-hdnzs9o6 200 9 the the DT cord-267229-hdnzs9o6 200 10 distinction distinction NN cord-267229-hdnzs9o6 200 11 of of IN cord-267229-hdnzs9o6 200 12 being be VBG cord-267229-hdnzs9o6 200 13 the the DT cord-267229-hdnzs9o6 200 14 " " `` cord-267229-hdnzs9o6 200 15 first first JJ cord-267229-hdnzs9o6 200 16 " " '' cord-267229-hdnzs9o6 200 17 hospital hospital NN cord-267229-hdnzs9o6 200 18 to to TO cord-267229-hdnzs9o6 200 19 offer offer VB cord-267229-hdnzs9o6 200 20 a a DT cord-267229-hdnzs9o6 200 21 novel novel JJ cord-267229-hdnzs9o6 200 22 procedure procedure NN cord-267229-hdnzs9o6 200 23 may may MD cord-267229-hdnzs9o6 200 24 unintentionally unintentionally RB cord-267229-hdnzs9o6 200 25 influence influence VB cord-267229-hdnzs9o6 200 26 and and CC cord-267229-hdnzs9o6 200 27 circumvent circumvent VB cord-267229-hdnzs9o6 200 28 the the DT cord-267229-hdnzs9o6 200 29 safeguard safeguard NN cord-267229-hdnzs9o6 200 30 training training NN cord-267229-hdnzs9o6 200 31 and and CC cord-267229-hdnzs9o6 200 32 credentialing credentialing NN cord-267229-hdnzs9o6 200 33 requirements requirement NNS cord-267229-hdnzs9o6 200 34 necessary necessary JJ cord-267229-hdnzs9o6 200 35 for for IN cord-267229-hdnzs9o6 200 36 such such JJ cord-267229-hdnzs9o6 200 37 processes process NNS cord-267229-hdnzs9o6 200 38 . . . cord-267229-hdnzs9o6 201 1 In in IN cord-267229-hdnzs9o6 201 2 the the DT cord-267229-hdnzs9o6 201 3 case case NN cord-267229-hdnzs9o6 201 4 of of IN cord-267229-hdnzs9o6 201 5 many many JJ cord-267229-hdnzs9o6 201 6 novel novel JJ cord-267229-hdnzs9o6 201 7 endoscopic endoscopic NN cord-267229-hdnzs9o6 201 8 techniques technique NNS cord-267229-hdnzs9o6 201 9 , , , cord-267229-hdnzs9o6 201 10 trainees trainee NNS cord-267229-hdnzs9o6 201 11 often often RB cord-267229-hdnzs9o6 201 12 use use VBP cord-267229-hdnzs9o6 201 13 certificates certificate NNS cord-267229-hdnzs9o6 201 14 of of IN cord-267229-hdnzs9o6 201 15 " " `` cord-267229-hdnzs9o6 201 16 attendance attendance NN cord-267229-hdnzs9o6 201 17 " " '' cord-267229-hdnzs9o6 201 18 from from IN cord-267229-hdnzs9o6 201 19 industry industry NN cord-267229-hdnzs9o6 201 20 - - HYPH cord-267229-hdnzs9o6 201 21 sponsored sponsor VBN cord-267229-hdnzs9o6 201 22 courses course NNS cord-267229-hdnzs9o6 201 23 to to TO cord-267229-hdnzs9o6 201 24 support support VB cord-267229-hdnzs9o6 201 25 their -PRON- PRP$ cord-267229-hdnzs9o6 201 26 application application NN cord-267229-hdnzs9o6 201 27 . . . cord-267229-hdnzs9o6 202 1 However however RB cord-267229-hdnzs9o6 202 2 , , , cord-267229-hdnzs9o6 202 3 most most JJS cord-267229-hdnzs9o6 202 4 of of IN cord-267229-hdnzs9o6 202 5 these these DT cord-267229-hdnzs9o6 202 6 " " `` cord-267229-hdnzs9o6 202 7 exposure exposure NN cord-267229-hdnzs9o6 202 8 " " '' cord-267229-hdnzs9o6 202 9 courses course NNS cord-267229-hdnzs9o6 202 10 vary vary VBP cord-267229-hdnzs9o6 202 11 significantly significantly RB cord-267229-hdnzs9o6 202 12 in in IN cord-267229-hdnzs9o6 202 13 length length NN cord-267229-hdnzs9o6 202 14 , , , cord-267229-hdnzs9o6 202 15 content content NN cord-267229-hdnzs9o6 202 16 , , , cord-267229-hdnzs9o6 202 17 didactics didactic NNS cord-267229-hdnzs9o6 202 18 and and CC cord-267229-hdnzs9o6 202 19 hands hand NNS cord-267229-hdnzs9o6 202 20 - - HYPH cord-267229-hdnzs9o6 202 21 on on RP cord-267229-hdnzs9o6 202 22 training training NN cord-267229-hdnzs9o6 202 23 . . . cord-267229-hdnzs9o6 203 1 Importantly importantly RB cord-267229-hdnzs9o6 203 2 , , , cord-267229-hdnzs9o6 203 3 with with IN cord-267229-hdnzs9o6 203 4 a a DT cord-267229-hdnzs9o6 203 5 few few JJ cord-267229-hdnzs9o6 203 6 exceptions exception NNS cord-267229-hdnzs9o6 203 7 for for IN cord-267229-hdnzs9o6 203 8 the the DT cord-267229-hdnzs9o6 203 9 acquisition acquisition NN cord-267229-hdnzs9o6 203 10 of of IN cord-267229-hdnzs9o6 203 11 minor minor JJ cord-267229-hdnzs9o6 203 12 skills skill NNS cord-267229-hdnzs9o6 203 13 as as IN cord-267229-hdnzs9o6 203 14 previously previously RB cord-267229-hdnzs9o6 203 15 discussed discuss VBN cord-267229-hdnzs9o6 203 16 , , , cord-267229-hdnzs9o6 203 17 most most JJS cord-267229-hdnzs9o6 203 18 of of IN cord-267229-hdnzs9o6 203 19 these these DT cord-267229-hdnzs9o6 203 20 courses course NNS cord-267229-hdnzs9o6 203 21 do do VBP cord-267229-hdnzs9o6 203 22 not not RB cord-267229-hdnzs9o6 203 23 attest attest VB cord-267229-hdnzs9o6 203 24 to to IN cord-267229-hdnzs9o6 203 25 the the DT cord-267229-hdnzs9o6 203 26 competence competence NN cord-267229-hdnzs9o6 203 27 of of IN cord-267229-hdnzs9o6 203 28 the the DT cord-267229-hdnzs9o6 203 29 attendees attendee NNS cord-267229-hdnzs9o6 203 30 . . . cord-267229-hdnzs9o6 204 1 The the DT cord-267229-hdnzs9o6 204 2 ultimate ultimate JJ cord-267229-hdnzs9o6 204 3 solution solution NN cord-267229-hdnzs9o6 204 4 would would MD cord-267229-hdnzs9o6 204 5 be be VB cord-267229-hdnzs9o6 204 6 the the DT cord-267229-hdnzs9o6 204 7 establishment establishment NN cord-267229-hdnzs9o6 204 8 of of IN cord-267229-hdnzs9o6 204 9 an an DT cord-267229-hdnzs9o6 204 10 independent independent JJ cord-267229-hdnzs9o6 204 11 board board NN cord-267229-hdnzs9o6 204 12 for for IN cord-267229-hdnzs9o6 204 13 endoscopic endoscopic NNP cord-267229-hdnzs9o6 204 14 procedural procedural JJ cord-267229-hdnzs9o6 204 15 credentialing credentialing NN cord-267229-hdnzs9o6 204 16 that that WDT cord-267229-hdnzs9o6 204 17 would would MD cord-267229-hdnzs9o6 204 18 remove remove VB cord-267229-hdnzs9o6 204 19 conflicts conflict NNS cord-267229-hdnzs9o6 204 20 of of IN cord-267229-hdnzs9o6 204 21 interest interest NN cord-267229-hdnzs9o6 204 22 from from IN cord-267229-hdnzs9o6 204 23 hospital hospital NN cord-267229-hdnzs9o6 204 24 credentialing credentialing NN cord-267229-hdnzs9o6 204 25 committees committee NNS cord-267229-hdnzs9o6 204 26 . . . cord-267229-hdnzs9o6 205 1 Requiring require VBG cord-267229-hdnzs9o6 205 2 certification certification NN cord-267229-hdnzs9o6 205 3 for for IN cord-267229-hdnzs9o6 205 4 endoscopic endoscopic JJ cord-267229-hdnzs9o6 205 5 procedures procedure NNS cord-267229-hdnzs9o6 205 6 by by IN cord-267229-hdnzs9o6 205 7 a a DT cord-267229-hdnzs9o6 205 8 national national JJ cord-267229-hdnzs9o6 205 9 board board NN cord-267229-hdnzs9o6 205 10 would would MD cord-267229-hdnzs9o6 205 11 help help VB cord-267229-hdnzs9o6 205 12 oversee oversee VB cord-267229-hdnzs9o6 205 13 that that IN cord-267229-hdnzs9o6 205 14 endoscopic endoscopic JJ cord-267229-hdnzs9o6 205 15 privileges privilege NNS cord-267229-hdnzs9o6 205 16 are be VBP cord-267229-hdnzs9o6 205 17 granted grant VBN cord-267229-hdnzs9o6 205 18 to to IN cord-267229-hdnzs9o6 205 19 hospitals hospital NNS cord-267229-hdnzs9o6 205 20 that that WDT cord-267229-hdnzs9o6 205 21 meet meet VBP cord-267229-hdnzs9o6 205 22 the the DT cord-267229-hdnzs9o6 205 23 established establish VBN cord-267229-hdnzs9o6 205 24 national national JJ cord-267229-hdnzs9o6 205 25 consensus consensus NN cord-267229-hdnzs9o6 205 26 parameters parameter NNS cord-267229-hdnzs9o6 205 27 in in IN cord-267229-hdnzs9o6 205 28 order order NN cord-267229-hdnzs9o6 205 29 to to TO cord-267229-hdnzs9o6 205 30 safeguard safeguard VB cord-267229-hdnzs9o6 205 31 best good JJS cord-267229-hdnzs9o6 205 32 patient patient JJ cord-267229-hdnzs9o6 205 33 practices practice NNS cord-267229-hdnzs9o6 205 34 and and CC cord-267229-hdnzs9o6 205 35 ensure ensure VB cord-267229-hdnzs9o6 205 36 uniformity uniformity NN cord-267229-hdnzs9o6 205 37 of of IN cord-267229-hdnzs9o6 205 38 the the DT cord-267229-hdnzs9o6 205 39 process process NN cord-267229-hdnzs9o6 205 40 across across IN cord-267229-hdnzs9o6 205 41 all all DT cord-267229-hdnzs9o6 205 42 institutions institution NNS cord-267229-hdnzs9o6 205 43 . . . cord-267229-hdnzs9o6 206 1 This this DT cord-267229-hdnzs9o6 206 2 step step NN cord-267229-hdnzs9o6 206 3 is be VBZ cord-267229-hdnzs9o6 206 4 particularly particularly RB cord-267229-hdnzs9o6 206 5 crucial crucial JJ cord-267229-hdnzs9o6 206 6 in in IN cord-267229-hdnzs9o6 206 7 assuring assure VBG cord-267229-hdnzs9o6 206 8 the the DT cord-267229-hdnzs9o6 206 9 safe safe JJ cord-267229-hdnzs9o6 206 10 stepwise stepwise JJ cord-267229-hdnzs9o6 206 11 dissemination dissemination NN cord-267229-hdnzs9o6 206 12 and and CC cord-267229-hdnzs9o6 206 13 adoption adoption NN cord-267229-hdnzs9o6 206 14 of of IN cord-267229-hdnzs9o6 206 15 new new JJ cord-267229-hdnzs9o6 206 16 technologies technology NNS cord-267229-hdnzs9o6 206 17 in in IN cord-267229-hdnzs9o6 206 18 clinical clinical JJ cord-267229-hdnzs9o6 206 19 practice practice NN cord-267229-hdnzs9o6 206 20 . . . cord-267229-hdnzs9o6 207 1 Until until IN cord-267229-hdnzs9o6 207 2 then then RB cord-267229-hdnzs9o6 207 3 , , , cord-267229-hdnzs9o6 207 4 criteria criterion NNS cord-267229-hdnzs9o6 207 5 for for IN cord-267229-hdnzs9o6 207 6 endoscopic endoscopic NNS cord-267229-hdnzs9o6 207 7 privileging privilege VBG cord-267229-hdnzs9o6 207 8 could could MD cord-267229-hdnzs9o6 207 9 be be VB cord-267229-hdnzs9o6 207 10 established establish VBN cord-267229-hdnzs9o6 207 11 by by IN cord-267229-hdnzs9o6 207 12 national national JJ cord-267229-hdnzs9o6 207 13 consensus consensus NN cord-267229-hdnzs9o6 207 14 standards standard NNS cord-267229-hdnzs9o6 207 15 developed develop VBN cord-267229-hdnzs9o6 207 16 by by IN cord-267229-hdnzs9o6 207 17 professional professional JJ cord-267229-hdnzs9o6 207 18 societies society NNS cord-267229-hdnzs9o6 207 19 based base VBN cord-267229-hdnzs9o6 207 20 on on IN cord-267229-hdnzs9o6 207 21 evidence evidence NN cord-267229-hdnzs9o6 207 22 and and CC cord-267229-hdnzs9o6 207 23 expert expert JJ cord-267229-hdnzs9o6 207 24 opinion opinion NN cord-267229-hdnzs9o6 207 25 , , , cord-267229-hdnzs9o6 207 26 including include VBG cord-267229-hdnzs9o6 207 27 experiences experience NNS cord-267229-hdnzs9o6 207 28 from from IN cord-267229-hdnzs9o6 207 29 centers center NNS cord-267229-hdnzs9o6 207 30 across across IN cord-267229-hdnzs9o6 207 31 the the DT cord-267229-hdnzs9o6 207 32 world world NN cord-267229-hdnzs9o6 207 33 . . . cord-267229-hdnzs9o6 208 1 These these DT cord-267229-hdnzs9o6 208 2 professional professional JJ cord-267229-hdnzs9o6 208 3 societies society NNS cord-267229-hdnzs9o6 208 4 could could MD cord-267229-hdnzs9o6 208 5 also also RB cord-267229-hdnzs9o6 208 6 help help VB cord-267229-hdnzs9o6 208 7 identify identify VB cord-267229-hdnzs9o6 208 8 and and CC cord-267229-hdnzs9o6 208 9 assign assign VB cord-267229-hdnzs9o6 208 10 independent independent JJ cord-267229-hdnzs9o6 208 11 proctors proctor NNS cord-267229-hdnzs9o6 208 12 , , , cord-267229-hdnzs9o6 208 13 which which WDT cord-267229-hdnzs9o6 208 14 would would MD cord-267229-hdnzs9o6 208 15 help help VB cord-267229-hdnzs9o6 208 16 limit limit VB cord-267229-hdnzs9o6 208 17 any any DT cord-267229-hdnzs9o6 208 18 undue undue JJ cord-267229-hdnzs9o6 208 19 influence influence NN cord-267229-hdnzs9o6 209 1 CONCLUSION conclusion JJ cord-267229-hdnzs9o6 209 2 GI GI NNP cord-267229-hdnzs9o6 209 3 endoscopy endoscopy NN cord-267229-hdnzs9o6 209 4 is be VBZ cord-267229-hdnzs9o6 209 5 an an DT cord-267229-hdnzs9o6 209 6 exciting exciting JJ cord-267229-hdnzs9o6 209 7 and and CC cord-267229-hdnzs9o6 209 8 continuously continuously RB cord-267229-hdnzs9o6 209 9 evolving evolve VBG cord-267229-hdnzs9o6 209 10 field field NN cord-267229-hdnzs9o6 209 11 . . . cord-267229-hdnzs9o6 210 1 The the DT cord-267229-hdnzs9o6 210 2 age age NN cord-267229-hdnzs9o6 210 3 - - HYPH cord-267229-hdnzs9o6 210 4 old old JJ cord-267229-hdnzs9o6 210 5 dictum dictum NN cord-267229-hdnzs9o6 210 6 of of IN cord-267229-hdnzs9o6 210 7 " " `` cord-267229-hdnzs9o6 210 8 see see VB cord-267229-hdnzs9o6 210 9 one one CD cord-267229-hdnzs9o6 210 10 , , , cord-267229-hdnzs9o6 210 11 do do VB cord-267229-hdnzs9o6 210 12 one one CD cord-267229-hdnzs9o6 210 13 , , , cord-267229-hdnzs9o6 210 14 teach teach VB cord-267229-hdnzs9o6 210 15 one one CD cord-267229-hdnzs9o6 210 16 " " '' cord-267229-hdnzs9o6 210 17 is be VBZ cord-267229-hdnzs9o6 210 18 dated date VBN cord-267229-hdnzs9o6 210 19 with with IN cord-267229-hdnzs9o6 210 20 the the DT cord-267229-hdnzs9o6 210 21 increasing increase VBG cord-267229-hdnzs9o6 210 22 diversity diversity NN cord-267229-hdnzs9o6 210 23 of of IN cord-267229-hdnzs9o6 210 24 complexity complexity NN cord-267229-hdnzs9o6 210 25 of of IN cord-267229-hdnzs9o6 210 26 emerging emerge VBG cord-267229-hdnzs9o6 210 27 endoscopic endoscopic NNS cord-267229-hdnzs9o6 210 28 techniques technique NNS cord-267229-hdnzs9o6 210 29 and and CC cord-267229-hdnzs9o6 210 30 the the DT cord-267229-hdnzs9o6 210 31 shift shift NN cord-267229-hdnzs9o6 210 32 toward toward IN cord-267229-hdnzs9o6 210 33 competency competency NN cord-267229-hdnzs9o6 210 34 - - HYPH cord-267229-hdnzs9o6 210 35 based base VBN cord-267229-hdnzs9o6 210 36 medical medical JJ cord-267229-hdnzs9o6 210 37 education education NN cord-267229-hdnzs9o6 210 38 . . . cord-267229-hdnzs9o6 211 1 Minimal minimal JJ cord-267229-hdnzs9o6 211 2 threshold threshold NN cord-267229-hdnzs9o6 211 3 numbers number NNS cord-267229-hdnzs9o6 211 4 are be VBP cord-267229-hdnzs9o6 211 5 an an DT cord-267229-hdnzs9o6 211 6 integral integral JJ cord-267229-hdnzs9o6 211 7 part part NN cord-267229-hdnzs9o6 211 8 of of IN cord-267229-hdnzs9o6 211 9 training training NN cord-267229-hdnzs9o6 211 10 ; ; : cord-267229-hdnzs9o6 211 11 yet yet CC cord-267229-hdnzs9o6 211 12 do do VBP cord-267229-hdnzs9o6 211 13 not not RB cord-267229-hdnzs9o6 211 14 guarantee guarantee VB cord-267229-hdnzs9o6 211 15 competence competence NN cord-267229-hdnzs9o6 211 16 . . . cord-267229-hdnzs9o6 212 1 Of of IN cord-267229-hdnzs9o6 212 2 note note VB cord-267229-hdnzs9o6 212 3 , , , cord-267229-hdnzs9o6 212 4 defining define VBG cord-267229-hdnzs9o6 212 5 competence competence NN cord-267229-hdnzs9o6 212 6 in in IN cord-267229-hdnzs9o6 212 7 endoscopy endoscopy NN cord-267229-hdnzs9o6 212 8 must must MD cord-267229-hdnzs9o6 212 9 be be VB cord-267229-hdnzs9o6 212 10 procedure procedure NN cord-267229-hdnzs9o6 212 11 specific specific JJ cord-267229-hdnzs9o6 212 12 , , , cord-267229-hdnzs9o6 212 13 starting start VBG cord-267229-hdnzs9o6 212 14 with with IN cord-267229-hdnzs9o6 212 15 the the DT cord-267229-hdnzs9o6 212 16 identification identification NN cord-267229-hdnzs9o6 212 17 of of IN cord-267229-hdnzs9o6 212 18 core core NN cord-267229-hdnzs9o6 212 19 skills skill NNS cord-267229-hdnzs9o6 212 20 , , , cord-267229-hdnzs9o6 212 21 and and CC cord-267229-hdnzs9o6 212 22 establishing establish VBG cord-267229-hdnzs9o6 212 23 quality quality NN cord-267229-hdnzs9o6 212 24 metrics metric NNS cord-267229-hdnzs9o6 212 25 and and CC cord-267229-hdnzs9o6 212 26 benchmarks benchmark NNS cord-267229-hdnzs9o6 212 27 for for IN cord-267229-hdnzs9o6 212 28 a a DT cord-267229-hdnzs9o6 212 29 given give VBN cord-267229-hdnzs9o6 212 30 technique technique NN cord-267229-hdnzs9o6 212 31 . . . cord-267229-hdnzs9o6 213 1 The the DT cord-267229-hdnzs9o6 213 2 development development NN cord-267229-hdnzs9o6 213 3 of of IN cord-267229-hdnzs9o6 213 4 validated validate VBN cord-267229-hdnzs9o6 213 5 procedure procedure NN cord-267229-hdnzs9o6 213 6 - - HYPH cord-267229-hdnzs9o6 213 7 specific specific JJ cord-267229-hdnzs9o6 213 8 assessment assessment NN cord-267229-hdnzs9o6 213 9 tools tool NNS cord-267229-hdnzs9o6 213 10 can can MD cord-267229-hdnzs9o6 213 11 then then RB cord-267229-hdnzs9o6 213 12 help help VB cord-267229-hdnzs9o6 213 13 in in IN cord-267229-hdnzs9o6 213 14 the the DT cord-267229-hdnzs9o6 213 15 evaluation evaluation NN cord-267229-hdnzs9o6 213 16 of of IN cord-267229-hdnzs9o6 213 17 these these DT cord-267229-hdnzs9o6 213 18 predefined predefined JJ cord-267229-hdnzs9o6 213 19 targets target NNS cord-267229-hdnzs9o6 213 20 . . . cord-267229-hdnzs9o6 214 1 Training train VBG cord-267229-hdnzs9o6 214 2 in in IN cord-267229-hdnzs9o6 214 3 novel novel JJ cord-267229-hdnzs9o6 214 4 emergent emergent JJ cord-267229-hdnzs9o6 214 5 endoscopic endoscopic NN cord-267229-hdnzs9o6 214 6 techniques technique NNS cord-267229-hdnzs9o6 214 7 can can MD cord-267229-hdnzs9o6 214 8 be be VB cord-267229-hdnzs9o6 214 9 obtained obtain VBN cord-267229-hdnzs9o6 214 10 through through IN cord-267229-hdnzs9o6 214 11 various various JJ cord-267229-hdnzs9o6 214 12 pathways pathway NNS cord-267229-hdnzs9o6 214 13 , , , cord-267229-hdnzs9o6 214 14 and and CC cord-267229-hdnzs9o6 214 15 the the DT cord-267229-hdnzs9o6 214 16 integration integration NN cord-267229-hdnzs9o6 214 17 of of IN cord-267229-hdnzs9o6 214 18 standard standard JJ cord-267229-hdnzs9o6 214 19 advanced advanced JJ cord-267229-hdnzs9o6 214 20 fellowships fellowship NNS cord-267229-hdnzs9o6 214 21 and and CC cord-267229-hdnzs9o6 214 22 other other JJ cord-267229-hdnzs9o6 214 23 resources resource NNS cord-267229-hdnzs9o6 214 24 , , , cord-267229-hdnzs9o6 214 25 including include VBG cord-267229-hdnzs9o6 214 26 simulation simulation NN cord-267229-hdnzs9o6 214 27 - - HYPH cord-267229-hdnzs9o6 214 28 based base VBN cord-267229-hdnzs9o6 214 29 learning learning NN cord-267229-hdnzs9o6 214 30 and and CC cord-267229-hdnzs9o6 214 31 video video NN cord-267229-hdnzs9o6 214 32 - - HYPH cord-267229-hdnzs9o6 214 33 based base VBN cord-267229-hdnzs9o6 214 34 teaching teaching NN cord-267229-hdnzs9o6 214 35 , , , cord-267229-hdnzs9o6 214 36 may may MD cord-267229-hdnzs9o6 214 37 further further RB cord-267229-hdnzs9o6 214 38 broaden broaden VB cord-267229-hdnzs9o6 214 39 and and CC cord-267229-hdnzs9o6 214 40 tailor tailor VB cord-267229-hdnzs9o6 214 41 the the DT cord-267229-hdnzs9o6 214 42 educational educational JJ cord-267229-hdnzs9o6 214 43 opportunities opportunity NNS cord-267229-hdnzs9o6 214 44 to to IN cord-267229-hdnzs9o6 214 45 a a DT cord-267229-hdnzs9o6 214 46 widely widely RB cord-267229-hdnzs9o6 214 47 diverse diverse JJ cord-267229-hdnzs9o6 214 48 trainee trainee NN cord-267229-hdnzs9o6 214 49 population population NN cord-267229-hdnzs9o6 214 50 . . . cord-267229-hdnzs9o6 215 1 It -PRON- PRP cord-267229-hdnzs9o6 215 2 can can MD cord-267229-hdnzs9o6 215 3 not not RB cord-267229-hdnzs9o6 215 4 be be VB cord-267229-hdnzs9o6 215 5 overemphasized overemphasize VBN cord-267229-hdnzs9o6 215 6 that that IN cord-267229-hdnzs9o6 215 7 short short JJ cord-267229-hdnzs9o6 215 8 weekend weekend NN cord-267229-hdnzs9o6 215 9 courses course NNS cord-267229-hdnzs9o6 215 10 and and CC cord-267229-hdnzs9o6 215 11 training training NN cord-267229-hdnzs9o6 215 12 in in IN cord-267229-hdnzs9o6 215 13 animal animal NN cord-267229-hdnzs9o6 215 14 models model NNS cord-267229-hdnzs9o6 215 15 does do VBZ cord-267229-hdnzs9o6 215 16 not not RB cord-267229-hdnzs9o6 215 17 necessarily necessarily RB cord-267229-hdnzs9o6 215 18 qualify qualify VB cord-267229-hdnzs9o6 215 19 as as IN cord-267229-hdnzs9o6 215 20 a a DT cord-267229-hdnzs9o6 215 21 permit permit NN cord-267229-hdnzs9o6 215 22 to to TO cord-267229-hdnzs9o6 215 23 start start VB cord-267229-hdnzs9o6 215 24 performing perform VBG cord-267229-hdnzs9o6 215 25 these these DT cord-267229-hdnzs9o6 215 26 newer new JJR cord-267229-hdnzs9o6 215 27 endoscopic endoscopic JJ cord-267229-hdnzs9o6 215 28 procedures procedure NNS cord-267229-hdnzs9o6 215 29 in in IN cord-267229-hdnzs9o6 215 30 humans human NNS cord-267229-hdnzs9o6 215 31 independently independently RB cord-267229-hdnzs9o6 215 32 . . . cord-267229-hdnzs9o6 216 1 Lastly lastly RB cord-267229-hdnzs9o6 216 2 , , , cord-267229-hdnzs9o6 216 3 establishing establish VBG cord-267229-hdnzs9o6 216 4 national national JJ cord-267229-hdnzs9o6 216 5 consensus consensus NN cord-267229-hdnzs9o6 216 6 standards standard NNS cord-267229-hdnzs9o6 216 7 for for IN cord-267229-hdnzs9o6 216 8 endoscopic endoscopic NNS cord-267229-hdnzs9o6 216 9 privileging privilege VBG cord-267229-hdnzs9o6 216 10 are be VBP cord-267229-hdnzs9o6 216 11 needed need VBN cord-267229-hdnzs9o6 216 12 in in IN cord-267229-hdnzs9o6 216 13 order order NN cord-267229-hdnzs9o6 216 14 to to TO cord-267229-hdnzs9o6 216 15 reduce reduce VB cord-267229-hdnzs9o6 216 16 variation variation NN cord-267229-hdnzs9o6 216 17 in in IN cord-267229-hdnzs9o6 216 18 endoscopy endoscopy NN cord-267229-hdnzs9o6 216 19 practice practice NN cord-267229-hdnzs9o6 216 20 and and CC cord-267229-hdnzs9o6 216 21 ensure ensure VB cord-267229-hdnzs9o6 216 22 that that IN cord-267229-hdnzs9o6 216 23 all all DT cord-267229-hdnzs9o6 216 24 patients patient NNS cord-267229-hdnzs9o6 216 25 are be VBP cord-267229-hdnzs9o6 216 26 optimally optimally RB cord-267229-hdnzs9o6 216 27 managed manage VBN cord-267229-hdnzs9o6 216 28 . . . cord-267229-hdnzs9o6 217 1 Figure figure NN cord-267229-hdnzs9o6 217 2 1 1 CD cord-267229-hdnzs9o6 217 3 . . . cord-267229-hdnzs9o6 218 1 Flow flow NN cord-267229-hdnzs9o6 218 2 diagram diagram NN cord-267229-hdnzs9o6 218 3 for for IN cord-267229-hdnzs9o6 218 4 the the DT cord-267229-hdnzs9o6 218 5 creation creation NN cord-267229-hdnzs9o6 218 6 of of IN cord-267229-hdnzs9o6 218 7 a a DT cord-267229-hdnzs9o6 218 8 structured structured JJ cord-267229-hdnzs9o6 218 9 training training NN cord-267229-hdnzs9o6 218 10 curriculum curriculum NN cord-267229-hdnzs9o6 218 11 for for IN cord-267229-hdnzs9o6 218 12 novel novel JJ cord-267229-hdnzs9o6 218 13 endoscopic endoscopic JJ cord-267229-hdnzs9o6 218 14 procedures procedure NNS cord-267229-hdnzs9o6 218 15 using use VBG cord-267229-hdnzs9o6 218 16 ESD ESD NNP cord-267229-hdnzs9o6 218 17 as as IN cord-267229-hdnzs9o6 218 18 an an DT cord-267229-hdnzs9o6 218 19 example example NN cord-267229-hdnzs9o6 218 20 . . . cord-267229-hdnzs9o6 219 1 * * NFP cord-267229-hdnzs9o6 219 2 The the DT cord-267229-hdnzs9o6 219 3 ESD ESD NNP cord-267229-hdnzs9o6 219 4 assessment assessment NN cord-267229-hdnzs9o6 219 5 tool tool NN cord-267229-hdnzs9o6 219 6 in in IN cord-267229-hdnzs9o6 219 7 the the DT cord-267229-hdnzs9o6 219 8 diagram diagram NN cord-267229-hdnzs9o6 219 9 is be VBZ cord-267229-hdnzs9o6 219 10 used use VBN cord-267229-hdnzs9o6 219 11 to to TO cord-267229-hdnzs9o6 219 12 illustrate illustrate VB cord-267229-hdnzs9o6 219 13 potential potential JJ cord-267229-hdnzs9o6 219 14 core core NN cord-267229-hdnzs9o6 219 15 skills skill NNS cord-267229-hdnzs9o6 219 16 that that WDT cord-267229-hdnzs9o6 219 17 could could MD cord-267229-hdnzs9o6 219 18 be be VB cord-267229-hdnzs9o6 219 19 graded grade VBN cord-267229-hdnzs9o6 219 20 using use VBG cord-267229-hdnzs9o6 219 21 a a DT cord-267229-hdnzs9o6 219 22 numerical numerical JJ cord-267229-hdnzs9o6 219 23 score score NN cord-267229-hdnzs9o6 219 24 . . . cord-267229-hdnzs9o6 220 1 This this DT cord-267229-hdnzs9o6 220 2 is be VBZ cord-267229-hdnzs9o6 220 3 not not RB cord-267229-hdnzs9o6 220 4 a a DT cord-267229-hdnzs9o6 220 5 complete complete JJ cord-267229-hdnzs9o6 220 6 list list NN cord-267229-hdnzs9o6 220 7 nor nor CC cord-267229-hdnzs9o6 220 8 a a DT cord-267229-hdnzs9o6 220 9 validated validated JJ cord-267229-hdnzs9o6 220 10 tool tool NN cord-267229-hdnzs9o6 220 11 . . . cord-267229-hdnzs9o6 220 12 _SP cord-267229-hdnzs9o6 221 1 Health Health NNP cord-267229-hdnzs9o6 221 2 and and CC cord-267229-hdnzs9o6 221 3 Public Public NNP cord-267229-hdnzs9o6 221 4 Policy Policy NNP cord-267229-hdnzs9o6 221 5 Committee Committee NNP cord-267229-hdnzs9o6 221 6 , , , cord-267229-hdnzs9o6 221 7 American American NNP cord-267229-hdnzs9o6 221 8 College College NNP cord-267229-hdnzs9o6 221 9 of of IN cord-267229-hdnzs9o6 221 10 Physicians Physicians NNP cord-267229-hdnzs9o6 221 11 Assessment Assessment NNP cord-267229-hdnzs9o6 221 12 of of IN cord-267229-hdnzs9o6 221 13 technical technical JJ cord-267229-hdnzs9o6 221 14 competence competence NN cord-267229-hdnzs9o6 221 15 during during IN cord-267229-hdnzs9o6 221 16 ERCP ERCP NNP cord-267229-hdnzs9o6 221 17 training training NN cord-267229-hdnzs9o6 221 18 Quantitative quantitative JJ cord-267229-hdnzs9o6 221 19 assessment assessment NN cord-267229-hdnzs9o6 221 20 of of IN cord-267229-hdnzs9o6 221 21 procedural procedural JJ cord-267229-hdnzs9o6 221 22 competence competence NN cord-267229-hdnzs9o6 221 23 : : : cord-267229-hdnzs9o6 221 24 a a DT cord-267229-hdnzs9o6 221 25 prospective prospective JJ cord-267229-hdnzs9o6 221 26 study study NN cord-267229-hdnzs9o6 221 27 of of IN cord-267229-hdnzs9o6 221 28 training training NN cord-267229-hdnzs9o6 221 29 in in IN cord-267229-hdnzs9o6 221 30 endoscopic endoscopic JJ cord-267229-hdnzs9o6 221 31 retrograde retrograde JJ cord-267229-hdnzs9o6 221 32 cholangiopancreatography cholangiopancreatography $ cord-267229-hdnzs9o6 221 33 200 200 CD cord-267229-hdnzs9o6 221 34 supervised supervise VBN cord-267229-hdnzs9o6 221 35 procedures procedure NNS cord-267229-hdnzs9o6 221 36 : : : cord-267229-hdnzs9o6 221 37 The the DT cord-267229-hdnzs9o6 221 38 minimum minimum NN cord-267229-hdnzs9o6 221 39 threshold threshold NN cord-267229-hdnzs9o6 221 40 number number NN cord-267229-hdnzs9o6 221 41 for for IN cord-267229-hdnzs9o6 221 42 competency competency NN cord-267229-hdnzs9o6 221 43 in in IN cord-267229-hdnzs9o6 221 44 performing perform VBG cord-267229-hdnzs9o6 221 45 endoscopic endoscopic NNS cord-267229-hdnzs9o6 221 46 retrograde retrograde JJ cord-267229-hdnzs9o6 221 47 cholangiopancreatography cholangiopancreatography NN cord-267229-hdnzs9o6 221 48 Methods method NNS cord-267229-hdnzs9o6 221 49 of of IN cord-267229-hdnzs9o6 221 50 granting grant VBG cord-267229-hdnzs9o6 221 51 hospital hospital NN cord-267229-hdnzs9o6 221 52 privileges privilege NNS cord-267229-hdnzs9o6 221 53 to to TO cord-267229-hdnzs9o6 221 54 perform perform VB cord-267229-hdnzs9o6 221 55 gastrointestinal gastrointestinal JJ cord-267229-hdnzs9o6 221 56 endsocopy endsocopy NN cord-267229-hdnzs9o6 221 57 NIH NIH NNP cord-267229-hdnzs9o6 221 58 state state NN cord-267229-hdnzs9o6 221 59 - - HYPH cord-267229-hdnzs9o6 221 60 of of IN cord-267229-hdnzs9o6 221 61 - - HYPH cord-267229-hdnzs9o6 221 62 the the DT cord-267229-hdnzs9o6 221 63 - - HYPH cord-267229-hdnzs9o6 221 64 science science NN cord-267229-hdnzs9o6 221 65 statement statement NN cord-267229-hdnzs9o6 221 66 on on IN cord-267229-hdnzs9o6 221 67 endoscopic endoscopic JJ cord-267229-hdnzs9o6 221 68 retrograde retrograde JJ cord-267229-hdnzs9o6 221 69 cholangiopancreatography cholangiopancreatography NN cord-267229-hdnzs9o6 221 70 ( ( -LRB- cord-267229-hdnzs9o6 221 71 ERCP ERCP NNP cord-267229-hdnzs9o6 221 72 ) ) -RRB- cord-267229-hdnzs9o6 221 73 for for IN cord-267229-hdnzs9o6 221 74 diagnosis diagnosis NN cord-267229-hdnzs9o6 221 75 and and CC cord-267229-hdnzs9o6 221 76 therapy therapy NN cord-267229-hdnzs9o6 221 77 Establishing establish VBG cord-267229-hdnzs9o6 221 78 a a DT cord-267229-hdnzs9o6 221 79 true true JJ cord-267229-hdnzs9o6 221 80 assessment assessment NN cord-267229-hdnzs9o6 221 81 of of IN cord-267229-hdnzs9o6 221 82 endoscopic endoscopic JJ cord-267229-hdnzs9o6 221 83 competence competence NN cord-267229-hdnzs9o6 221 84 in in IN cord-267229-hdnzs9o6 221 85 ERCP ERCP NNP cord-267229-hdnzs9o6 221 86 during during IN cord-267229-hdnzs9o6 221 87 training training NN cord-267229-hdnzs9o6 221 88 and and CC cord-267229-hdnzs9o6 221 89 beyond beyond IN cord-267229-hdnzs9o6 221 90 : : : cord-267229-hdnzs9o6 221 91 A a DT cord-267229-hdnzs9o6 221 92 single single JJ cord-267229-hdnzs9o6 221 93 - - HYPH cord-267229-hdnzs9o6 221 94 operator operator NN cord-267229-hdnzs9o6 221 95 learning learning NN cord-267229-hdnzs9o6 221 96 curve curve NN cord-267229-hdnzs9o6 221 97 for for IN cord-267229-hdnzs9o6 221 98 deep deep JJ cord-267229-hdnzs9o6 221 99 biliary biliary JJ cord-267229-hdnzs9o6 221 100 cannulation cannulation NN cord-267229-hdnzs9o6 221 101 in in IN cord-267229-hdnzs9o6 221 102 patients patient NNS cord-267229-hdnzs9o6 221 103 with with IN cord-267229-hdnzs9o6 221 104 native native JJ cord-267229-hdnzs9o6 221 105 papillary papillary JJ cord-267229-hdnzs9o6 221 106 anatomy anatomy NN cord-267229-hdnzs9o6 222 1 When when WRB cord-267229-hdnzs9o6 222 2 trainees trainee NNS cord-267229-hdnzs9o6 222 3 reach reach VBP cord-267229-hdnzs9o6 222 4 competency competency NN cord-267229-hdnzs9o6 222 5 in in IN cord-267229-hdnzs9o6 222 6 performing perform VBG cord-267229-hdnzs9o6 222 7 ERCP ERCP NNP cord-267229-hdnzs9o6 222 8 : : : cord-267229-hdnzs9o6 222 9 a a DT cord-267229-hdnzs9o6 222 10 systematic systematic JJ cord-267229-hdnzs9o6 222 11 review review NN cord-267229-hdnzs9o6 222 12 Endoscopic Endoscopic NNS cord-267229-hdnzs9o6 222 13 retrograde retrograde JJ cord-267229-hdnzs9o6 222 14 cholangiopancreatography cholangiopancreatography NN cord-267229-hdnzs9o6 222 15 ( ( -LRB- cord-267229-hdnzs9o6 222 16 ERCP ERCP NNP cord-267229-hdnzs9o6 222 17 ) ) -RRB- cord-267229-hdnzs9o6 223 1 : : : cord-267229-hdnzs9o6 223 2 core core NN cord-267229-hdnzs9o6 223 3 curriculum curriculum NN cord-267229-hdnzs9o6 224 1 EUS EUS NNP cord-267229-hdnzs9o6 224 2 core core NN cord-267229-hdnzs9o6 224 3 curriculum curriculum NN cord-267229-hdnzs9o6 225 1 The the DT cord-267229-hdnzs9o6 225 2 next next JJ cord-267229-hdnzs9o6 225 3 GME GME NNP cord-267229-hdnzs9o6 225 4 accreditation accreditation NN cord-267229-hdnzs9o6 225 5 system system NN cord-267229-hdnzs9o6 225 6 - - : cord-267229-hdnzs9o6 225 7 rationale rationale NN cord-267229-hdnzs9o6 225 8 and and CC cord-267229-hdnzs9o6 225 9 benefits benefit VBZ cord-267229-hdnzs9o6 225 10 Guidelines guideline NNS cord-267229-hdnzs9o6 225 11 for for IN cord-267229-hdnzs9o6 225 12 privileging privilege VBG cord-267229-hdnzs9o6 225 13 , , , cord-267229-hdnzs9o6 225 14 credentialing credentialing NN cord-267229-hdnzs9o6 225 15 , , , cord-267229-hdnzs9o6 225 16 and and CC cord-267229-hdnzs9o6 225 17 proctoring proctor VBG cord-267229-hdnzs9o6 225 18 to to TO cord-267229-hdnzs9o6 225 19 perform perform VB cord-267229-hdnzs9o6 225 20 GI GI NNP cord-267229-hdnzs9o6 225 21 endoscopy endoscopy NN cord-267229-hdnzs9o6 225 22 Methods method NNS cord-267229-hdnzs9o6 225 23 of of IN cord-267229-hdnzs9o6 225 24 privileging privilege VBG cord-267229-hdnzs9o6 225 25 for for IN cord-267229-hdnzs9o6 225 26 new new JJ cord-267229-hdnzs9o6 225 27 technology technology NN cord-267229-hdnzs9o6 225 28 in in IN cord-267229-hdnzs9o6 225 29 gastrointestinal gastrointestinal JJ cord-267229-hdnzs9o6 225 30 endoscopy endoscopy NN cord-267229-hdnzs9o6 225 31 Training training NN cord-267229-hdnzs9o6 225 32 in in IN cord-267229-hdnzs9o6 225 33 EUS eus NN cord-267229-hdnzs9o6 225 34 and and CC cord-267229-hdnzs9o6 225 35 ERCP ERCP NNP cord-267229-hdnzs9o6 225 36 : : : cord-267229-hdnzs9o6 225 37 standardizing standardize VBG cord-267229-hdnzs9o6 225 38 methods method NNS cord-267229-hdnzs9o6 225 39 to to TO cord-267229-hdnzs9o6 225 40 assess assess VB cord-267229-hdnzs9o6 225 41 competence competence NN cord-267229-hdnzs9o6 225 42 Direct direct JJ cord-267229-hdnzs9o6 225 43 observation observation NN cord-267229-hdnzs9o6 225 44 of of IN cord-267229-hdnzs9o6 225 45 procedural procedural JJ cord-267229-hdnzs9o6 225 46 skills skill NNS cord-267229-hdnzs9o6 225 47 ( ( -LRB- cord-267229-hdnzs9o6 225 48 DOPS DOPS NNP cord-267229-hdnzs9o6 225 49 ) ) -RRB- cord-267229-hdnzs9o6 225 50 assessment assessment NN cord-267229-hdnzs9o6 225 51 in in IN cord-267229-hdnzs9o6 225 52 diagnostic diagnostic JJ cord-267229-hdnzs9o6 225 53 gastroscopy gastroscopy NN cord-267229-hdnzs9o6 225 54 : : : cord-267229-hdnzs9o6 225 55 nationwide nationwide JJ cord-267229-hdnzs9o6 225 56 evidence evidence NN cord-267229-hdnzs9o6 225 57 of of IN cord-267229-hdnzs9o6 225 58 validity validity NN cord-267229-hdnzs9o6 225 59 and and CC cord-267229-hdnzs9o6 225 60 competency competency NN cord-267229-hdnzs9o6 225 61 development development NN cord-267229-hdnzs9o6 225 62 during during IN cord-267229-hdnzs9o6 225 63 training training NN cord-267229-hdnzs9o6 225 64 Colonoscopy Colonoscopy NNP cord-267229-hdnzs9o6 225 65 Direct direct JJ cord-267229-hdnzs9o6 225 66 Observation observation NN cord-267229-hdnzs9o6 225 67 of of IN cord-267229-hdnzs9o6 225 68 Procedural Procedural NNP cord-267229-hdnzs9o6 225 69 Skills Skills NNPS cord-267229-hdnzs9o6 225 70 Assessment Assessment NNP cord-267229-hdnzs9o6 225 71 Tool Tool NNP cord-267229-hdnzs9o6 225 72 for for IN cord-267229-hdnzs9o6 225 73 Evaluating Evaluating NNP cord-267229-hdnzs9o6 225 74 Competency Competency NNP cord-267229-hdnzs9o6 225 75 During during IN cord-267229-hdnzs9o6 225 76 Training Training NNP cord-267229-hdnzs9o6 225 77 Endoscopic Endoscopic NNP cord-267229-hdnzs9o6 225 78 Submucosal Submucosal NNP cord-267229-hdnzs9o6 225 79 Dissection dissection NN cord-267229-hdnzs9o6 225 80 for for IN cord-267229-hdnzs9o6 225 81 Barrett Barrett NNP cord-267229-hdnzs9o6 225 82 's 's POS cord-267229-hdnzs9o6 225 83 Esophagus esophagus NN cord-267229-hdnzs9o6 225 84 and and CC cord-267229-hdnzs9o6 225 85 Colorectal colorectal JJ cord-267229-hdnzs9o6 225 86 Neoplasia neoplasia NN cord-267229-hdnzs9o6 225 87 How how WRB cord-267229-hdnzs9o6 225 88 to to TO cord-267229-hdnzs9o6 225 89 master master VB cord-267229-hdnzs9o6 225 90 endoscopic endoscopic NNP cord-267229-hdnzs9o6 225 91 submucosal submucosal VB cord-267229-hdnzs9o6 225 92 dissection dissection NN cord-267229-hdnzs9o6 225 93 in in IN cord-267229-hdnzs9o6 225 94 the the DT cord-267229-hdnzs9o6 225 95 USA USA NNP cord-267229-hdnzs9o6 225 96 Curriculum Curriculum NNP cord-267229-hdnzs9o6 225 97 for for IN cord-267229-hdnzs9o6 225 98 endoscopic endoscopic JJ cord-267229-hdnzs9o6 225 99 submucosal submucosal NN cord-267229-hdnzs9o6 225 100 dissection dissection NN cord-267229-hdnzs9o6 225 101 training training NN cord-267229-hdnzs9o6 225 102 in in IN cord-267229-hdnzs9o6 225 103 Europe Europe NNP cord-267229-hdnzs9o6 225 104 : : : cord-267229-hdnzs9o6 225 105 European European NNP cord-267229-hdnzs9o6 225 106 Society Society NNP cord-267229-hdnzs9o6 225 107 of of IN cord-267229-hdnzs9o6 225 108 Gastrointestinal Gastrointestinal NNP cord-267229-hdnzs9o6 225 109 Endoscopy Endoscopy NNP cord-267229-hdnzs9o6 225 110 ( ( -LRB- cord-267229-hdnzs9o6 225 111 ESGE ESGE NNP cord-267229-hdnzs9o6 225 112 ) ) -RRB- cord-267229-hdnzs9o6 226 1 Position Position NNP cord-267229-hdnzs9o6 226 2 Statement Statement NNP cord-267229-hdnzs9o6 226 3 Training Training NNP cord-267229-hdnzs9o6 226 4 for for IN cord-267229-hdnzs9o6 226 5 complex complex JJ cord-267229-hdnzs9o6 226 6 endoscopic endoscopic JJ cord-267229-hdnzs9o6 226 7 procedures procedure NNS cord-267229-hdnzs9o6 226 8 : : : cord-267229-hdnzs9o6 226 9 how how WRB cord-267229-hdnzs9o6 226 10 to to TO cord-267229-hdnzs9o6 226 11 incorporate incorporate VB cord-267229-hdnzs9o6 226 12 endoscopic endoscopic JJ cord-267229-hdnzs9o6 226 13 submucosal submucosal NN cord-267229-hdnzs9o6 226 14 dissection dissection NN cord-267229-hdnzs9o6 226 15 skills skill NNS cord-267229-hdnzs9o6 226 16 in in IN cord-267229-hdnzs9o6 226 17 the the DT cord-267229-hdnzs9o6 226 18 West West NNP cord-267229-hdnzs9o6 226 19 ? ? . cord-267229-hdnzs9o6 227 1 Training train VBG cord-267229-hdnzs9o6 227 2 in in IN cord-267229-hdnzs9o6 227 3 endoscopic endoscopic JJ cord-267229-hdnzs9o6 227 4 submucosal submucosal NNP cord-267229-hdnzs9o6 227 5 dissection dissection NN cord-267229-hdnzs9o6 228 1 Learning learn VBG cord-267229-hdnzs9o6 228 2 colorectal colorectal JJ cord-267229-hdnzs9o6 228 3 endoscopic endoscopic NNS cord-267229-hdnzs9o6 228 4 submucosal submucosal NN cord-267229-hdnzs9o6 228 5 dissection dissection NN cord-267229-hdnzs9o6 228 6 : : : cord-267229-hdnzs9o6 229 1 a a DT cord-267229-hdnzs9o6 229 2 prospective prospective JJ cord-267229-hdnzs9o6 229 3 learning learning NN cord-267229-hdnzs9o6 229 4 curve curve NN cord-267229-hdnzs9o6 229 5 study study NN cord-267229-hdnzs9o6 229 6 using use VBG cord-267229-hdnzs9o6 229 7 a a DT cord-267229-hdnzs9o6 229 8 novel novel JJ cord-267229-hdnzs9o6 229 9 ex ex FW cord-267229-hdnzs9o6 229 10 vivo vivo NN cord-267229-hdnzs9o6 229 11 simulator simulator NN cord-267229-hdnzs9o6 229 12 Training Training NNP cord-267229-hdnzs9o6 229 13 on on IN cord-267229-hdnzs9o6 229 14 an an DT cord-267229-hdnzs9o6 229 15 ex ex FW cord-267229-hdnzs9o6 229 16 vivo vivo NN cord-267229-hdnzs9o6 229 17 animal animal NN cord-267229-hdnzs9o6 229 18 model model NN cord-267229-hdnzs9o6 229 19 improves improve VBZ cord-267229-hdnzs9o6 229 20 endoscopic endoscopic NN cord-267229-hdnzs9o6 229 21 skills skill NNS cord-267229-hdnzs9o6 229 22 : : : cord-267229-hdnzs9o6 229 23 a a DT cord-267229-hdnzs9o6 229 24 randomized randomized JJ cord-267229-hdnzs9o6 229 25 , , , cord-267229-hdnzs9o6 229 26 single single JJ cord-267229-hdnzs9o6 229 27 - - HYPH cord-267229-hdnzs9o6 229 28 blind blind JJ cord-267229-hdnzs9o6 229 29 study study NN cord-267229-hdnzs9o6 229 30 Peroral Peroral NNP cord-267229-hdnzs9o6 229 31 endoscopic endoscopic JJ cord-267229-hdnzs9o6 229 32 myotomy myotomy NN cord-267229-hdnzs9o6 229 33 ( ( -LRB- cord-267229-hdnzs9o6 229 34 POEM poem NN cord-267229-hdnzs9o6 229 35 ) ) -RRB- cord-267229-hdnzs9o6 229 36 for for IN cord-267229-hdnzs9o6 229 37 esophageal esophageal JJ cord-267229-hdnzs9o6 229 38 achalasia achalasia NNP cord-267229-hdnzs9o6 230 1 Peroral Peroral NNP cord-267229-hdnzs9o6 230 2 endoscopic endoscopic NNS cord-267229-hdnzs9o6 230 3 myotomy myotomy NN cord-267229-hdnzs9o6 230 4 : : : cord-267229-hdnzs9o6 231 1 a a DT cord-267229-hdnzs9o6 231 2 meta meta JJ cord-267229-hdnzs9o6 231 3 - - HYPH cord-267229-hdnzs9o6 231 4 analysis analysis NN cord-267229-hdnzs9o6 231 5 Safety safety NN cord-267229-hdnzs9o6 231 6 and and CC cord-267229-hdnzs9o6 231 7 efficacy efficacy NN cord-267229-hdnzs9o6 231 8 of of IN cord-267229-hdnzs9o6 231 9 POEM poem NN cord-267229-hdnzs9o6 231 10 for for IN cord-267229-hdnzs9o6 231 11 treatment treatment NN cord-267229-hdnzs9o6 231 12 of of IN cord-267229-hdnzs9o6 231 13 achalasia achalasia NNP cord-267229-hdnzs9o6 231 14 : : : cord-267229-hdnzs9o6 231 15 a a DT cord-267229-hdnzs9o6 231 16 systematic systematic JJ cord-267229-hdnzs9o6 231 17 review review NN cord-267229-hdnzs9o6 231 18 of of IN cord-267229-hdnzs9o6 231 19 the the DT cord-267229-hdnzs9o6 231 20 literature literature NN cord-267229-hdnzs9o6 231 21 Per per IN cord-267229-hdnzs9o6 231 22 - - HYPH cord-267229-hdnzs9o6 231 23 oral oral JJ cord-267229-hdnzs9o6 231 24 endoscopic endoscopic NNS cord-267229-hdnzs9o6 231 25 myotomy myotomy NNP cord-267229-hdnzs9o6 231 26 white white JJ cord-267229-hdnzs9o6 231 27 paper paper NN cord-267229-hdnzs9o6 231 28 summary summary NN cord-267229-hdnzs9o6 231 29 Training Training NNP cord-267229-hdnzs9o6 231 30 pathways pathway NNS cord-267229-hdnzs9o6 231 31 and and CC cord-267229-hdnzs9o6 231 32 competency competency NN cord-267229-hdnzs9o6 231 33 assessment assessment NN cord-267229-hdnzs9o6 231 34 in in IN cord-267229-hdnzs9o6 231 35 peroral peroral JJ cord-267229-hdnzs9o6 231 36 endoscopic endoscopic JJ cord-267229-hdnzs9o6 231 37 myotomy myotomy NN cord-267229-hdnzs9o6 231 38 ( ( -LRB- cord-267229-hdnzs9o6 231 39 POEM poem NN cord-267229-hdnzs9o6 231 40 ) ) -RRB- cord-267229-hdnzs9o6 232 1 Clinical clinical JJ cord-267229-hdnzs9o6 232 2 practice practice NN cord-267229-hdnzs9o6 232 3 guidelines guideline NNS cord-267229-hdnzs9o6 232 4 for for IN cord-267229-hdnzs9o6 232 5 peroral peroral JJ cord-267229-hdnzs9o6 232 6 endoscopic endoscopic JJ cord-267229-hdnzs9o6 232 7 myotomy myotomy NN cord-267229-hdnzs9o6 233 1 The the DT cord-267229-hdnzs9o6 233 2 Per per IN cord-267229-hdnzs9o6 233 3 Oral oral JJ cord-267229-hdnzs9o6 233 4 Endoscopic Endoscopic NNP cord-267229-hdnzs9o6 233 5 Myotomy Myotomy NNP cord-267229-hdnzs9o6 233 6 ( ( -LRB- cord-267229-hdnzs9o6 233 7 POEM poem NN cord-267229-hdnzs9o6 233 8 ) ) -RRB- cord-267229-hdnzs9o6 234 1 technique technique NN cord-267229-hdnzs9o6 234 2 : : : cord-267229-hdnzs9o6 235 1 how how WRB cord-267229-hdnzs9o6 235 2 many many JJ cord-267229-hdnzs9o6 235 3 preclinical preclinical JJ cord-267229-hdnzs9o6 235 4 procedures procedure NNS cord-267229-hdnzs9o6 235 5 are be VBP cord-267229-hdnzs9o6 235 6 needed need VBN cord-267229-hdnzs9o6 235 7 to to TO cord-267229-hdnzs9o6 235 8 master master VB cord-267229-hdnzs9o6 235 9 it -PRON- PRP cord-267229-hdnzs9o6 235 10 ? ? . cord-267229-hdnzs9o6 236 1 Analysis analysis NN cord-267229-hdnzs9o6 236 2 of of IN cord-267229-hdnzs9o6 236 3 a a DT cord-267229-hdnzs9o6 236 4 learning learning NN cord-267229-hdnzs9o6 236 5 curve curve NN cord-267229-hdnzs9o6 236 6 and and CC cord-267229-hdnzs9o6 236 7 predictors predictor NNS cord-267229-hdnzs9o6 236 8 of of IN cord-267229-hdnzs9o6 236 9 intraoperative intraoperative JJ cord-267229-hdnzs9o6 236 10 difficulty difficulty NN cord-267229-hdnzs9o6 236 11 for for IN cord-267229-hdnzs9o6 236 12 peroral peroral JJ cord-267229-hdnzs9o6 236 13 esophageal esophageal JJ cord-267229-hdnzs9o6 236 14 myotomy myotomy NN cord-267229-hdnzs9o6 236 15 ( ( -LRB- cord-267229-hdnzs9o6 236 16 POEM poem NN cord-267229-hdnzs9o6 236 17 ) ) -RRB- cord-267229-hdnzs9o6 237 1 Learning learn VBG cord-267229-hdnzs9o6 237 2 curve curve NN cord-267229-hdnzs9o6 237 3 for for IN cord-267229-hdnzs9o6 237 4 peroral peroral JJ cord-267229-hdnzs9o6 237 5 endoscopic endoscopic JJ cord-267229-hdnzs9o6 237 6 myotomy myotomy NN cord-267229-hdnzs9o6 238 1 Peroral peroral JJ cord-267229-hdnzs9o6 238 2 endoscopic endoscopic JJ cord-267229-hdnzs9o6 238 3 esophageal esophageal JJ cord-267229-hdnzs9o6 238 4 myotomy myotomy NN cord-267229-hdnzs9o6 238 5 : : : cord-267229-hdnzs9o6 238 6 defining define VBG cord-267229-hdnzs9o6 238 7 the the DT cord-267229-hdnzs9o6 238 8 learning learn VBG cord-267229-hdnzs9o6 238 9 cuve cuve NNP cord-267229-hdnzs9o6 239 1 The the DT cord-267229-hdnzs9o6 239 2 light light NN cord-267229-hdnzs9o6 239 3 at at IN cord-267229-hdnzs9o6 239 4 the the DT cord-267229-hdnzs9o6 239 5 end end NN cord-267229-hdnzs9o6 239 6 of of IN cord-267229-hdnzs9o6 239 7 the the DT cord-267229-hdnzs9o6 239 8 tunnel tunnel NN cord-267229-hdnzs9o6 239 9 : : : cord-267229-hdnzs9o6 239 10 a a DT cord-267229-hdnzs9o6 239 11 single single JJ cord-267229-hdnzs9o6 239 12 - - HYPH cord-267229-hdnzs9o6 239 13 operator operator NN cord-267229-hdnzs9o6 239 14 learning learning NN cord-267229-hdnzs9o6 239 15 curve curve NN cord-267229-hdnzs9o6 239 16 analysis analysis NN cord-267229-hdnzs9o6 239 17 for for IN cord-267229-hdnzs9o6 239 18 peroral peroral JJ cord-267229-hdnzs9o6 239 19 endoscopic endoscopic NNP cord-267229-hdnzs9o6 239 20 myotomy myotomy NN cord-267229-hdnzs9o6 239 21 Comprehensive comprehensive JJ cord-267229-hdnzs9o6 239 22 evaluation evaluation NN cord-267229-hdnzs9o6 239 23 of of IN cord-267229-hdnzs9o6 239 24 the the DT cord-267229-hdnzs9o6 239 25 learning learning NN cord-267229-hdnzs9o6 239 26 curve curve NN cord-267229-hdnzs9o6 239 27 for for IN cord-267229-hdnzs9o6 239 28 peroral peroral JJ cord-267229-hdnzs9o6 239 29 endoscopic endoscopic JJ cord-267229-hdnzs9o6 239 30 myotomy myotomy NN cord-267229-hdnzs9o6 240 1 Endoscopic endoscopic JJ cord-267229-hdnzs9o6 240 2 Bariatric Bariatric NNP cord-267229-hdnzs9o6 240 3 Therapies Therapies NNP cord-267229-hdnzs9o6 240 4 Endosocpic Endosocpic NNP cord-267229-hdnzs9o6 240 5 Bariatric Bariatric NNP cord-267229-hdnzs9o6 240 6 and and CC cord-267229-hdnzs9o6 240 7 Metabolic Metabolic NNP cord-267229-hdnzs9o6 240 8 Therapies Therapies NNPS cord-267229-hdnzs9o6 240 9 : : : cord-267229-hdnzs9o6 241 1 New new JJ cord-267229-hdnzs9o6 241 2 and and CC cord-267229-hdnzs9o6 241 3 Emerging Emerging NNP cord-267229-hdnzs9o6 241 4 Technologies Technologies NNPS cord-267229-hdnzs9o6 241 5 ASGE ASGE NNP cord-267229-hdnzs9o6 241 6 position position NN cord-267229-hdnzs9o6 241 7 statement statement NN cord-267229-hdnzs9o6 241 8 on on IN cord-267229-hdnzs9o6 241 9 endoscopic endoscopic JJ cord-267229-hdnzs9o6 241 10 bariatric bariatric JJ cord-267229-hdnzs9o6 241 11 therapies therapy NNS cord-267229-hdnzs9o6 241 12 in in IN cord-267229-hdnzs9o6 241 13 clinical clinical JJ cord-267229-hdnzs9o6 241 14 practice practice NN cord-267229-hdnzs9o6 242 1 A a DT cord-267229-hdnzs9o6 242 2 pathway pathway NN cord-267229-hdnzs9o6 242 3 to to IN cord-267229-hdnzs9o6 242 4 endoscopic endoscopic JJ cord-267229-hdnzs9o6 242 5 bariatric bariatric JJ cord-267229-hdnzs9o6 242 6 therapies therapy NNS cord-267229-hdnzs9o6 243 1 Endoscopic endoscopic JJ cord-267229-hdnzs9o6 243 2 bariatric bariatric JJ cord-267229-hdnzs9o6 243 3 therapies therapy NNS cord-267229-hdnzs9o6 243 4 for for IN cord-267229-hdnzs9o6 243 5 treating treat VBG cord-267229-hdnzs9o6 243 6 obesity obesity NN cord-267229-hdnzs9o6 243 7 : : : cord-267229-hdnzs9o6 244 1 a a DT cord-267229-hdnzs9o6 244 2 learning learning NN cord-267229-hdnzs9o6 244 3 curve curve NN cord-267229-hdnzs9o6 244 4 for for IN cord-267229-hdnzs9o6 244 5 gastroenterologists gastroenterologist NNS cord-267229-hdnzs9o6 244 6 Endoscopic Endoscopic NNP cord-267229-hdnzs9o6 244 7 sleeve sleeve NN cord-267229-hdnzs9o6 244 8 gastroplasty gastroplasty NNP cord-267229-hdnzs9o6 244 9 : : : cord-267229-hdnzs9o6 245 1 the the DT cord-267229-hdnzs9o6 245 2 learning learning NN cord-267229-hdnzs9o6 245 3 curve curve NN cord-267229-hdnzs9o6 246 1 A a DT cord-267229-hdnzs9o6 246 2 single single JJ cord-267229-hdnzs9o6 246 3 - - HYPH cord-267229-hdnzs9o6 246 4 operator operator NN cord-267229-hdnzs9o6 246 5 learning learning NN cord-267229-hdnzs9o6 246 6 curve curve NN cord-267229-hdnzs9o6 246 7 analysis analysis NN cord-267229-hdnzs9o6 246 8 for for IN cord-267229-hdnzs9o6 246 9 the the DT cord-267229-hdnzs9o6 246 10 endoscopic endoscopic NNP cord-267229-hdnzs9o6 246 11 sleeve sleeve NN cord-267229-hdnzs9o6 246 12 gastroplasty gastroplasty NNP cord-267229-hdnzs9o6 246 13 Variation Variation NNP cord-267229-hdnzs9o6 246 14 in in IN cord-267229-hdnzs9o6 246 15 learning learn VBG cord-267229-hdnzs9o6 246 16 curves curve NNS cord-267229-hdnzs9o6 246 17 and and CC cord-267229-hdnzs9o6 246 18 competence competence NN cord-267229-hdnzs9o6 246 19 for for IN cord-267229-hdnzs9o6 246 20 ERCP ERCP NNP cord-267229-hdnzs9o6 246 21 among among IN cord-267229-hdnzs9o6 246 22 advanced advanced JJ cord-267229-hdnzs9o6 246 23 endoscopy endoscopy NN cord-267229-hdnzs9o6 246 24 trainees trainee NNS cord-267229-hdnzs9o6 246 25 by by IN cord-267229-hdnzs9o6 246 26 using use VBG cord-267229-hdnzs9o6 246 27 cumulative cumulative JJ cord-267229-hdnzs9o6 246 28 sum sum NN cord-267229-hdnzs9o6 246 29 analysis analysis NN cord-267229-hdnzs9o6 247 1 A a DT cord-267229-hdnzs9o6 247 2 prospective prospective JJ cord-267229-hdnzs9o6 247 3 multicenter multicenter JJ cord-267229-hdnzs9o6 247 4 study study NN cord-267229-hdnzs9o6 247 5 evaluating evaluate VBG cord-267229-hdnzs9o6 247 6 learning learn VBG cord-267229-hdnzs9o6 247 7 curves curve NNS cord-267229-hdnzs9o6 247 8 and and CC cord-267229-hdnzs9o6 247 9 competence competence NN cord-267229-hdnzs9o6 247 10 in in IN cord-267229-hdnzs9o6 247 11 endoscopic endoscopic JJ cord-267229-hdnzs9o6 247 12 ultrasound ultrasound NN cord-267229-hdnzs9o6 247 13 and and CC cord-267229-hdnzs9o6 247 14 endoscopic endoscopic JJ cord-267229-hdnzs9o6 247 15 retrograde retrograde JJ cord-267229-hdnzs9o6 247 16 cholangioapncreatography cholangioapncreatography NN cord-267229-hdnzs9o6 247 17 among among IN cord-267229-hdnzs9o6 247 18 advanced advanced JJ cord-267229-hdnzs9o6 247 19 endoscopy endoscopy NN cord-267229-hdnzs9o6 247 20 trainees trainee NNS cord-267229-hdnzs9o6 247 21 : : : cord-267229-hdnzs9o6 247 22 the the DT cord-267229-hdnzs9o6 247 23 Rapid Rapid NNP cord-267229-hdnzs9o6 247 24 Assessment Assessment NNP cord-267229-hdnzs9o6 247 25 of of IN cord-267229-hdnzs9o6 247 26 Trainee Trainee NNP cord-267229-hdnzs9o6 247 27 Endoscopy Endoscopy NNP cord-267229-hdnzs9o6 247 28 Skills Skills NNP cord-267229-hdnzs9o6 247 29 ( ( -LRB- cord-267229-hdnzs9o6 247 30 RATES rate NNS cord-267229-hdnzs9o6 247 31 ) ) -RRB- cord-267229-hdnzs9o6 247 32 study study NN cord-267229-hdnzs9o6 247 33 Setting set VBG cord-267229-hdnzs9o6 247 34 minimum minimum NN cord-267229-hdnzs9o6 247 35 standards standard NNS cord-267229-hdnzs9o6 247 36 for for IN cord-267229-hdnzs9o6 247 37 training training NN cord-267229-hdnzs9o6 247 38 in in IN cord-267229-hdnzs9o6 247 39 EUS eus NN cord-267229-hdnzs9o6 247 40 and and CC cord-267229-hdnzs9o6 247 41 ERCP ERCP NNP cord-267229-hdnzs9o6 247 42 : : : cord-267229-hdnzs9o6 247 43 results result NNS cord-267229-hdnzs9o6 247 44 from from IN cord-267229-hdnzs9o6 247 45 a a DT cord-267229-hdnzs9o6 247 46 prospective prospective JJ cord-267229-hdnzs9o6 247 47 multicenter multicenter JJ cord-267229-hdnzs9o6 247 48 study study NN cord-267229-hdnzs9o6 247 49 evaluating evaluate VBG cord-267229-hdnzs9o6 247 50 learning learn VBG cord-267229-hdnzs9o6 247 51 curves curve NNS cord-267229-hdnzs9o6 247 52 and and CC cord-267229-hdnzs9o6 247 53 competence competence NN cord-267229-hdnzs9o6 247 54 among among IN cord-267229-hdnzs9o6 247 55 advanced advanced JJ cord-267229-hdnzs9o6 247 56 endoscopy endoscopy NN cord-267229-hdnzs9o6 247 57 trainees trainee NNS cord-267229-hdnzs9o6 248 1 The the DT cord-267229-hdnzs9o6 248 2 national national JJ cord-267229-hdnzs9o6 248 3 colonoscopy colonoscopy NN cord-267229-hdnzs9o6 248 4 audit audit NN cord-267229-hdnzs9o6 248 5 : : : cord-267229-hdnzs9o6 248 6 a a DT cord-267229-hdnzs9o6 248 7 nationwide nationwide JJ cord-267229-hdnzs9o6 248 8 assessment assessment NN cord-267229-hdnzs9o6 248 9 of of IN cord-267229-hdnzs9o6 248 10 the the DT cord-267229-hdnzs9o6 248 11 quality quality NN cord-267229-hdnzs9o6 248 12 and and CC cord-267229-hdnzs9o6 248 13 safety safety NN cord-267229-hdnzs9o6 248 14 of of IN cord-267229-hdnzs9o6 248 15 colonoscopy colonoscopy NN cord-267229-hdnzs9o6 248 16 in in IN cord-267229-hdnzs9o6 248 17 the the DT cord-267229-hdnzs9o6 248 18 UK UK NNP cord-267229-hdnzs9o6 248 19 Quality Quality NNP cord-267229-hdnzs9o6 248 20 improvements improvement NNS cord-267229-hdnzs9o6 248 21 in in IN cord-267229-hdnzs9o6 248 22 endoscopy endoscopy NN cord-267229-hdnzs9o6 248 23 in in IN cord-267229-hdnzs9o6 248 24 England England NNP cord-267229-hdnzs9o6 248 25 Training Training NNP cord-267229-hdnzs9o6 248 26 the the DT cord-267229-hdnzs9o6 248 27 gastrointestinal gastrointestinal JJ cord-267229-hdnzs9o6 248 28 endoscopy endoscopy NN cord-267229-hdnzs9o6 248 29 trainer trainer NN cord-267229-hdnzs9o6 248 30 Leadership leadership NN cord-267229-hdnzs9o6 248 31 training training NN cord-267229-hdnzs9o6 248 32 to to TO cord-267229-hdnzs9o6 248 33 improve improve VB cord-267229-hdnzs9o6 248 34 adenoma adenoma NN cord-267229-hdnzs9o6 248 35 detection detection NN cord-267229-hdnzs9o6 248 36 rate rate NN cord-267229-hdnzs9o6 248 37 in in IN cord-267229-hdnzs9o6 248 38 screening screen VBG cord-267229-hdnzs9o6 248 39 colonoscopy colonoscopy NN cord-267229-hdnzs9o6 248 40 : : : cord-267229-hdnzs9o6 248 41 a a DT cord-267229-hdnzs9o6 248 42 randomized randomized JJ cord-267229-hdnzs9o6 248 43 trial trial NN cord-267229-hdnzs9o6 248 44 ASGE asge JJ cord-267229-hdnzs9o6 248 45 principles principle NNS cord-267229-hdnzs9o6 248 46 of of IN cord-267229-hdnzs9o6 248 47 endoscopic endoscopic NNS cord-267229-hdnzs9o6 248 48 training train VBG cord-267229-hdnzs9o6 248 49 Virtual virtual JJ cord-267229-hdnzs9o6 248 50 reality reality NN cord-267229-hdnzs9o6 248 51 simulation simulation NN cord-267229-hdnzs9o6 248 52 training training NN cord-267229-hdnzs9o6 248 53 for for IN cord-267229-hdnzs9o6 248 54 health health NN cord-267229-hdnzs9o6 248 55 professions profession NNS cord-267229-hdnzs9o6 248 56 trainees trainee NNS cord-267229-hdnzs9o6 248 57 in in IN cord-267229-hdnzs9o6 248 58 gastrointestinal gastrointestinal JJ cord-267229-hdnzs9o6 248 59 endoscopy endoscopy NN cord-267229-hdnzs9o6 249 1 The the DT cord-267229-hdnzs9o6 249 2 learning learning NN cord-267229-hdnzs9o6 249 3 curve curve NN cord-267229-hdnzs9o6 249 4 for for IN cord-267229-hdnzs9o6 249 5 a a DT cord-267229-hdnzs9o6 249 6 colonoscopy colonoscopy NN cord-267229-hdnzs9o6 249 7 simulator simulator NN cord-267229-hdnzs9o6 249 8 in in IN cord-267229-hdnzs9o6 249 9 the the DT cord-267229-hdnzs9o6 249 10 absence absence NN cord-267229-hdnzs9o6 249 11 of of IN cord-267229-hdnzs9o6 249 12 any any DT cord-267229-hdnzs9o6 249 13 feedback feedback NN cord-267229-hdnzs9o6 249 14 : : : cord-267229-hdnzs9o6 249 15 no no DT cord-267229-hdnzs9o6 249 16 feedback feedback NN cord-267229-hdnzs9o6 249 17 , , , cord-267229-hdnzs9o6 249 18 no no DT cord-267229-hdnzs9o6 249 19 learning learn VBG cord-267229-hdnzs9o6 249 20 Preservation preservation NN cord-267229-hdnzs9o6 249 21 and and CC cord-267229-hdnzs9o6 249 22 incorporation incorporation NN cord-267229-hdnzs9o6 249 23 of of IN cord-267229-hdnzs9o6 249 24 valuable valuable JJ cord-267229-hdnzs9o6 249 25 endoscopic endoscopic JJ cord-267229-hdnzs9o6 249 26 innovations innovation NNS cord-267229-hdnzs9o6 249 27 ( ( -LRB- cord-267229-hdnzs9o6 249 28 PIVI PIVI NNP cord-267229-hdnzs9o6 249 29 ) ) -RRB- cord-267229-hdnzs9o6 249 30 on on IN cord-267229-hdnzs9o6 249 31 the the DT cord-267229-hdnzs9o6 249 32 use use NN cord-267229-hdnzs9o6 249 33 of of IN cord-267229-hdnzs9o6 249 34 endoscopy endoscopy NN cord-267229-hdnzs9o6 249 35 simulators simulator NNS cord-267229-hdnzs9o6 249 36 for for IN cord-267229-hdnzs9o6 249 37 training training NN cord-267229-hdnzs9o6 249 38 and and CC cord-267229-hdnzs9o6 249 39 assessing assess VBG cord-267229-hdnzs9o6 249 40 skill skill NN cord-267229-hdnzs9o6 250 1 A a DT cord-267229-hdnzs9o6 250 2 prospective prospective JJ cord-267229-hdnzs9o6 250 3 comparison comparison NN cord-267229-hdnzs9o6 250 4 of of IN cord-267229-hdnzs9o6 250 5 live live JJ cord-267229-hdnzs9o6 250 6 and and CC cord-267229-hdnzs9o6 250 7 videobased videobased JJ cord-267229-hdnzs9o6 250 8 assessments assessment NNS cord-267229-hdnzs9o6 250 9 of of IN cord-267229-hdnzs9o6 250 10 colonoscopy colonoscopy NN cord-267229-hdnzs9o6 250 11 performance performance NN cord-267229-hdnzs9o6 250 12 Video video NN cord-267229-hdnzs9o6 250 13 - - HYPH cord-267229-hdnzs9o6 250 14 based base VBN cord-267229-hdnzs9o6 250 15 performance performance NN cord-267229-hdnzs9o6 250 16 assessment assessment NN cord-267229-hdnzs9o6 250 17 in in IN cord-267229-hdnzs9o6 250 18 endoscopy endoscopy NN cord-267229-hdnzs9o6 250 19 : : : cord-267229-hdnzs9o6 250 20 Moving move VBG cord-267229-hdnzs9o6 250 21 beyond beyond IN cord-267229-hdnzs9o6 250 22 " " `` cord-267229-hdnzs9o6 250 23 see see VB cord-267229-hdnzs9o6 250 24 one one CD cord-267229-hdnzs9o6 250 25 , , , cord-267229-hdnzs9o6 250 26 do do VB cord-267229-hdnzs9o6 250 27 one one CD cord-267229-hdnzs9o6 250 28 , , , cord-267229-hdnzs9o6 250 29 teach teach VB cord-267229-hdnzs9o6 250 30 one one CD cord-267229-hdnzs9o6 250 31 Gastrointestinal gastrointestinal JJ cord-267229-hdnzs9o6 250 32 endoscopy endoscopy NN cord-267229-hdnzs9o6 250 33 during during IN cord-267229-hdnzs9o6 250 34 the the DT cord-267229-hdnzs9o6 250 35 COVID-19 COVID-19 NNP cord-267229-hdnzs9o6 250 36 pandemic pandemic NN cord-267229-hdnzs9o6 250 37 : : : cord-267229-hdnzs9o6 250 38 an an DT cord-267229-hdnzs9o6 250 39 updated update VBN cord-267229-hdnzs9o6 250 40 review review NN cord-267229-hdnzs9o6 250 41 of of IN cord-267229-hdnzs9o6 250 42 guidelines guideline NNS cord-267229-hdnzs9o6 250 43 and and CC cord-267229-hdnzs9o6 250 44 statements statement NNS cord-267229-hdnzs9o6 250 45 from from IN cord-267229-hdnzs9o6 250 46 international international JJ cord-267229-hdnzs9o6 250 47 and and CC cord-267229-hdnzs9o6 250 48 national national JJ cord-267229-hdnzs9o6 250 49 societies society NNS cord-267229-hdnzs9o6 250 50 Introducing introduce VBG cord-267229-hdnzs9o6 250 51 POEM poem NN cord-267229-hdnzs9o6 250 52 in in IN cord-267229-hdnzs9o6 250 53 your -PRON- PRP$ cord-267229-hdnzs9o6 250 54 Institution institution NN cord-267229-hdnzs9o6 250 55 : : : cord-267229-hdnzs9o6 250 56 The the DT cord-267229-hdnzs9o6 250 57 Blueprint Blueprint NNP cord-267229-hdnzs9o6 250 58 for for IN cord-267229-hdnzs9o6 250 59 Launching launch VBG cord-267229-hdnzs9o6 250 60 a a DT cord-267229-hdnzs9o6 250 61 New New NNP cord-267229-hdnzs9o6 250 62 Program Program NNP cord-267229-hdnzs9o6 250 63 in in IN cord-267229-hdnzs9o6 251 1 the the DT cord-267229-hdnzs9o6 251 2 Endoscopy Endoscopy NNP cord-267229-hdnzs9o6 251 3 Suite Suite NNP cord-267229-hdnzs9o6 251 4 Stricter strict JJR cord-267229-hdnzs9o6 251 5 national national JJ cord-267229-hdnzs9o6 251 6 standards standard NNS cord-267229-hdnzs9o6 251 7 are be VBP cord-267229-hdnzs9o6 251 8 required require VBN cord-267229-hdnzs9o6 251 9 for for IN cord-267229-hdnzs9o6 251 10 credentialing credentialing NN cord-267229-hdnzs9o6 251 11 of of IN cord-267229-hdnzs9o6 251 12 endoscopic endoscopic JJ cord-267229-hdnzs9o6 251 13 - - HYPH cord-267229-hdnzs9o6 251 14 retrograde retrograde JJ cord-267229-hdnzs9o6 251 15 - - HYPH cord-267229-hdnzs9o6 251 16 cholangiopan cholangiopan NN cord-267229-hdnzs9o6 251 17 - - HYPH cord-267229-hdnzs9o6 251 18 creatography creatography NN cord-267229-hdnzs9o6 251 19 in in IN cord-267229-hdnzs9o6 251 20 the the DT cord-267229-hdnzs9o6 251 21 United United NNP cord-267229-hdnzs9o6 251 22 States States NNP cord-267229-hdnzs9o6 251 23 Table Table NNP cord-267229-hdnzs9o6 251 24 1 1 CD cord-267229-hdnzs9o6 251 25 . . . cord-267229-hdnzs9o6 252 1 Sample sample VB cord-267229-hdnzs9o6 252 2 classification classification NN cord-267229-hdnzs9o6 252 3 of of IN cord-267229-hdnzs9o6 252 4 endoscopic endoscopic JJ cord-267229-hdnzs9o6 252 5 procedures procedure NNS cord-267229-hdnzs9o6 252 6 as as IN cord-267229-hdnzs9o6 252 7 either either DT cord-267229-hdnzs9o6 252 8 " " `` cord-267229-hdnzs9o6 252 9 major major JJ cord-267229-hdnzs9o6 252 10 " " '' cord-267229-hdnzs9o6 252 11 or or CC cord-267229-hdnzs9o6 252 12 " " `` cord-267229-hdnzs9o6 252 13 minor minor JJ cord-267229-hdnzs9o6 252 14 " " '' cord-267229-hdnzs9o6 252 15 skills skill NNS cord-267229-hdnzs9o6 253 1 • • NNP cord-267229-hdnzs9o6 254 1 Radiofrequency radiofrequency NN cord-267229-hdnzs9o6 254 2 ablation ablation NN cord-267229-hdnzs9o6 254 3 of of IN cord-267229-hdnzs9o6 254 4 BE BE NNP cord-267229-hdnzs9o6 254 5 • • NNP cord-267229-hdnzs9o6 254 6 Endoscopic Endoscopic NNP cord-267229-hdnzs9o6 254 7 placement placement NN cord-267229-hdnzs9o6 254 8 of of IN cord-267229-hdnzs9o6 254 9 intra intra JJ cord-267229-hdnzs9o6 254 10 - - JJ cord-267229-hdnzs9o6 254 11 gastric gastric JJ cord-267229-hdnzs9o6 254 12 balloons balloon NNS cord-267229-hdnzs9o6 254 13 for for IN cord-267229-hdnzs9o6 254 14 weight weight NN cord-267229-hdnzs9o6 254 15 loss loss NN cord-267229-hdnzs9o6 255 1 • • NNP cord-267229-hdnzs9o6 256 1 Other other JJ cord-267229-hdnzs9o6 256 2 - - HYPH cord-267229-hdnzs9o6 256 3 the the DT cord-267229-hdnzs9o6 256 4 - - HYPH cord-267229-hdnzs9o6 256 5 scope scope NN cord-267229-hdnzs9o6 256 6 clip clip NN