| Learn best by performing endoscopy (vs. observation, didactics) |
“I learn by actually doing it…when you first start there are 10000 things you're trying to remember. For them to go through the whole thing and for you to just watch doesn't help. You have to do it.” “I think just repetitive, muscle memory, and doing it over and over again.” “…learning colonoscopy just takes a lot of procedures at the end of the day.”
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| Self-identified procedure-related goals and milestones (e.g. cecal intubation) |
“…inherently everybody will set their own milestones…it would be helpful if attending gastroenterologists let us know that at six months, we should be able to reach these milestones…” “As far as initially learning upper endoscopy…I learned in terms of milestones: intubating the esophagus…getting past the pylorus…getting into D2…I think it’s a very step-wise process.”
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| Graduated learning and independence |
“Now when I do my colonoscopy… I'm not just trying to find the lumen… I'm actually looking for flat polyps…” |
| Diversified training from attending gastroenterologists (variably beneficial) |
“Lots of variability between the attending gastroenterologists and for the most part, I think it's on them; it's their limitations and inability to explain themselves better.” “…getting past the sigmoid, or the various flexures…they all require different maneuvers and different techniques. I think [I learned] by just having different attending gastroenterologists gives you different points on how to get into those.”
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| Desire for more endoscopy curriculum |
“I think putting in milestones and having evaluations every few months is at least a start in the right direction.” “I think it would be helpful to have a standardized curriculum…but everyone learns endoscopy at a different rate…it would have to be flexible.”
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| Attending gastroenterologists would benefit from instruction on teaching |
“…having a curriculum designed for attending gastroenterologists to say 'hey, these are pearls of knowledge that you should be giving first years; these are key points you should be giving second years', and making that standardized.” “…they didn’t learn in a structured way. They don’t know how to teach in a structured way. They need help to structure what they’re saying and give more targeted feedback.”
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