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  • Title: Training and Competency in Sedation Practice in Gastrointestinal Endoscopy.
    Author: Da B, Buxbaum J.
    Journal: Gastrointest Endosc Clin N Am; 2016 Jul; 26(3):443-62. PubMed ID: 27372769.
    Abstract:
    The practice of endoscopic sedation requires a thorough understanding of preprocedural assessment, sedation pharmacology, intraprocedure monitoring, adverse event management, and postprocedural care. The training process has become increasingly standardized and entails knowledge and practice-based components. The use of propofol in particular requires a higher level of structured training owing to its narrow therapeutic window. Simulation has increased opportunities for practice-based training in a controlled environment. After completion of training, the endoscopist must demonstrate competence in theoretical understanding and technical ability to administer sedation. Although individual institutions have certification processes, there is a lack of validated, standardized methods to confirm competence.
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