Table 4.
The teaching of key informationin about endoscopy
| Navigate the sigmoid colon like climbing a spiral staircase (use rotary movements). |
| Use the Bolster Technique (applying abdominal pressure during upper endoscopy) to visualize Schatzki rings.11 |
| Keep a short scope to stay off the esophageal or intestinal wall. |
| If the scope is taken from fellow, provide an explanation why, and try to return the scope when the impediment is resolved. |
| Navigate the transverse colon like playing a trombone (repeated insertions and withdrawals). |
| Use the pinkie finger to hold the flexible portion of the colonosope at the entry point, stabilizing position (the Pinkie Maneuver).12 |
| When taking esophageal biopsies, open the forceps in the stomach and then withdraw towards the lesion. |
| Air is your enemy going in, but air is your friend going out. |
| Focus on one take-home lesson for fellow for each endoscopy case or session. |
| Do not go into a puddle: suction from above and keep your view. |
| Going around the hepatic flexure is like climbing a ladder… keep the rungs of the ladder in view at all times and keep yourself off the mucosa as you climb your way up. |