38 WORLD GASTROENTEROLOGY NEWS SEPTEMBER 2015 Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events Upskilling in Colonoscopy Adam Boutall Colorectal Surgeon Groote Schuur Hospital, University of Cape Town South Africa Colonoscopy up-skilling has been identified as an area that needs to be developed in South Africa. Following a Train the Trainers in Wolverhamp-ton in June 2014 we felt that the time was right to attempt to develop capacity to run an up-skilling course in South Africa. Surgical Innovations was approached to help fund a course which would enable us to run similar up-skilling courses in South Africa. From the outset Surgical Innovations embraced the project and very gener-ously, in partnership with Olympus UK, offered to sponsor the costs of the course. The concept was that expert UK faculty would come to South Africa to present and run a 3 day back to back colonoscopy up-skilling and Train the Trainers course for a South African faculty. The South African faculty would in turn present and run a 1 day up-skilling course for a selected group of local delegates, under the super-vision of the UK faculty. With the help of the WGO and the BSG, Drs. Brian McKaig, John Silcock and Mark Feeney agreed to be our expert UK faculty along with Sister Liz Hicks who provided nursing leadership. The South African faculty consisted of Dion Levin, Adam Boutall, Claire Warden, None Ramonate, Adam Mo-hammed, Damon Bizos and Brendan Bebbington, with Sandie Thomson making it all come together. Wednes-day to Friday of the course involved the South African faculty undertaking an up-skilling course in conjunction with a Train the Trainers in Colonos-copy. The course was very intense and hugely enriching for the local faculty, leaving us with a degree of confidence that we may be able to deliver an adequate up-skilling course on the Monday. Over the weekend the in-ternational faculty had to endure two “braais”, a super rugby game, a trip to Robben Island and of course a guided walk up Table Mountain. Monday dawned with a number of fresh faces as we prepared to deliver our inaugural colonoscopy up-skilling course under the watchful eye of the international faculty. Our delegates included Maseelan Naidoo and VG Naidoofrom Durban along with surgical and medical GI Fellows from Groote Schuur and Tygerberg Hospi-tal respectively. The up–skilling course outline en-tails an hour and a half of small group teaching sessions followed by hands on colonoscopy training. While a delegate performs colonoscopy under guidance by a faculty member in the endoscopy room, a digital visual and audio link to the seminar room allows the rest of the delegates an opportuni-ty to observe and learn from the expe-rience. A member of faculty stationed in the seminar room guides discussion and questions, allowing for real time learning to take place without disrupt-ing the colonoscopy. The up-skilling course lasts one day allowing each del-egate to perform 2 colonoscopies and observe another 10. After overcom-ing the initial discomfort of having 6 delegates and members of faculty observing and critiquing the delegate performing a colonoscopy, it soon becomes apparent that all delegates have similar gaps in knowledge. This facilitates a significant opportunity for accelerated learning. Although not part of the one day up-skilling course per se, the Tuesday of the overall course was dedicated to all aspects of advanced polypectomy. Adam Boutall and Dion Levin.
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