EGD is the diagnostic procedure of choice in many cases of upper GI disease. With the advent of smaller (ultrathin) fiber-optic endoscopes, office-based EGD can now be readily performed. If these procedures are performed in the office, reimbursement is usually higher. Primary care physicians nationwide are acquiring skills to perform these procedures and research has documented excellent quality of care. Patients can benefit from a rapid, accurate, cost-effective diagnosis. Learners will appreciate the practical pointers of getting started in the office or GI lab. Proper patient selection, sedation needs, and necessary equipment will be reviewed. Videos will reinforce lecture materials. Teaching models will provide “hands-on” experience in using the gastroscope.
EGD (Gastroscopy)
By the end of this education activity, participants should be better able to:
- Enumerate the indications and contraindications for EGD procedures.
- Discuss the proper use of sedation and monitoring
- Recognize the normal anatomy of the UGI tract and nasopharynx.
- Perform the mechanical aspects of endoscope insertion and manipulation during EGD.
- Interpret pathologic findings throughout the UGI tract and nasopharynx.
- Discuss and demonstrate techniques for the biopsy of lesions and H. pylori urease testing.
- Discuss management of esophageal strictures.
- Describe the technique for using EGD to place an enteral feeding tube.
- List complications of EGD and describe how to deal with them.
- Perform more advanced EGD techniques including snare, submucosal injection, tattooing, and hemorrhage control.
- Implement strategies for obtaining privileges and credentials.
- Discuss coding practices and reimbursement patterns for upper GI endoscopy.
Colonoscopy
By the end of this education activity, participants should be better able to:
- Review basic epidemiological and clinical presentation of colorectal cancer and the role of colonoscopy in screening and surveillance.
- Discuss the indications and contraindications for colonoscopy procedures.
- Discuss bowel preparation for colonoscopy and the process of obtaining informed consent.
- Discuss handling, cleaning, and disinfection of equipment used in colonoscopy.
- List the equipment needs and options for colonoscopy.
- Discuss the proper use of sedation and monitoring.
- Demonstrate and discuss proper techniques for colon intubation, biopsy, polypectomy, control of bleeding.
- Discuss and demonstrate techniques for use of snares, saline injection and tattooing.
- Evaluate basic endoscopic findings — recognition of normal and abnormal.
- Implement strategies for obtaining privileges and credentials.
- Discuss coding practices and reimbursement patterns for lower GI endoscopy.
2023 Course Accreditation
The Texas Academy of Family Physicians designates this live activity for a maximum of 23.25 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The AAFP has reviewed EGD (Gastroscopy) and Colonoscopy and deemed it acceptable for up to 23.25 Live AAFP Prescribed credits. Term of Approval is from 09/07/2023 to 09/09/2023. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Learn more about our accreditation.
Day One
8 - 10 a.m. — 2 CME credits
- EGD introduction and educational goals
- EGD indications, contraindications, complications
- EGD technique and normal findings (Part 1)
10 - 10:15 a.m. — Break
10:15 a.m. - 12 p.m. — 1.75 CME credits
- Hands on with EGD scope using models
12 - 1 p.m. — Lunch
1 - 3 p.m. — 2 CME credits
- EGD pearls
- EGD technique, enteral feeding tube, esophageal dilatation
- Hand on with EGD scope, enteral feeding tube, esophageal dilatation
3 - 3:15 p.m. — Break
3:15 - 5:15 p.m. — 2 CME credits
- Pathology of esophagus, stomach, duodenum
- Post-test pathology identification
- Update of upper GI diseases
Day Two
8 - 10 a.m. — 2 CME credits
- Introduction and educational goals for colonoscopy
- Equipment needed for EGD and colonoscopy, cleaning the endoscope
- Patient preparation
- Biopsy and polypectomy techniques
10 - 10:15 a.m. — Break
10:15 a.m. - 12 p.m. — 1.75 CME credits
- Hands-on – biopsy and polypectomy
- Submucosal injection, tissue marking
- Management of submucosal lesions
12 - 1 p.m. — Lunch
1 - 3 p.m. — 2 CME credits
- Control of bleeding, hands on
3 - 3:15 p.m. — Break
3:15 - 5:15 p.m. — 2 CME credits
- Sedation
- Privileges/Credentialing
- Reimbursement
Day Three
8 - 10 a.m. — 2 CME credits
- Colonoscopy screening Indications – average risk and high risk
- Colonoscopy diagnostic and therapeutic indications
- Colonoscopy contraindications and complications
- Colonoscopy insertion and technique
10 - 10:15 a.m. — Break
10:15 a.m. - 12 p.m. — 1.75 CME credits
- Hands-on practice with models
12 - 1 p.m. — Lunch
1 - 3 p.m. — 2 CME credits
- Colonoscopy insertion and advanced techniques, hands-on practice
3 - 3:15 p.m. — Break
3:15 - 5:15 p.m. — 2 CME credits
- Endoscopy features of colon pathology
- Endoscopic issues with inflammatory bowel disease
- Hands-on – biopsy, snare, submucosal injection, tattoo, hemorrhage control
TOTAL CME CREDITS: 23.25
There are currently no dates available for this course