Innovations in Advanced Endoscopy Training: Enhancing Skill Acquisition and Performance

Abstract

The educational landscape for advanced endoscopy trainees (AETs) continues to evolve alongside endoscopic innovations in diagnostics and therapeutics. As procedural complexity increases, educational strategies for AETs must adapt to support the development of cognitive, technical, and nontechnical skills. Effective skill acquisition requires a foundation of mastery learning, deliberate practice, feedback, and management of cognitive load, with attention to nontechnical competencies such as communication, teamwork, and situational awareness. To ensure that AETs are competent prior to independent practice, a range of educational interventions has been implemented. Current and emerging educational interventions help to ensure competency of AETs prior to independent practice. Established educational interventions, including audit and feedback, simulation-based training, video-based feedback, and online learning with feedback, have demonstrated value in enhancing skills acquisition and performance. Novel, emerging approaches, including artificial intelligence-assisted training, virtual and augmented reality, telemonitoring with remote supervision, and advanced data analytics with quality dashboards, offer personalized, adaptable, and scalable solutions tailored to trainee needs. Moving forward, priorities for AET educational interventions include cross-institutional collaboration, standardized training benchmarks, and the integration of informatics and technology to support competency-based performance and delivery of high-quality patient care.