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, and control of bleeding.
- Discuss and demonstrate techniques for the use of snares, saline injections, 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.
2025 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 09/12/2025 to 09/14/2025. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Learn more about our accreditation.
7:30 – 8 a.m.
- Registration and breakfast
Day One - EGD
8 – 10 a.m. — 2 CME credits
EGD introduction, indications, contraindications, complications
- Detail the indications and contraindications for EGD procedures.
EGD technique and normal findings
- Recognize the normal anatomy of the UGI tract and nasopharynx.
- Perform the mechanical aspects of endoscope insertion and manipulation during EGD.
10 – 10:15 a.m. – Break
10:15 a.m. – 12 p.m. — 1.75 CME credits
Hands-on with EGD scope using models
- Perform the mechanical aspects of endoscope insertion and manipulation during EGD.
12 – 1 p.m. — Lunch
1 – 3 p.m. — 2 CME credits
EGD pearls, technique, enteral feeding tube, esophageal dilatation
- Practice hands-on with EGD scope, enteral feeding tube, and esophageal dilatation.
- Discuss the management of esophageal strictures.
- Describe the technique for using EGD to place an enteral feeding tube.
3 – 3:15 p.m. — Break
3:15 – 5:15 p.m. — 2 CME credits
Pathology of esophagus, stomach, duodenum; Post-test pathology identification
- Review the pathology of the esophagus, stomach, and duodenum.
- Discuss post-test pathology identification.
- Discuss and demonstrate techniques for the biopsy of lesions and H. pylori urease testing.
- List complications of EGD and describe how to deal with them.
- Perform more advanced EGD techniques, including snare, submucosal injection, tattooing, and hemorrhage control.
Update of upper GI diseases
- Review various upper GI diseases and symptoms, including GERD, ulcers, Barrett’s Esophagus, chronic cough, and GI bleeding.
Day 2 – EGD and Colonoscopy
8 – 10 a.m. — 2 CME credits
Introduction to colonoscopy
- Discuss the indications and contraindications for colonoscopy procedures.
- Review basic epidemiological and clinical presentation of colorectal cancer and the role of colonoscopy in screening and surveillance.
Equipment needed for EGD and colonoscopy, cleaning the scopes
- Discuss handling, cleaning, and disinfection of equipment used in EGD and colonoscopy.
Patient preparation
- Discuss bowel preparation for colonoscopy and the process of obtaining informed consent.
Biopsy and polypectomy techniques
- Demonstrate and discuss proper techniques for upper and lower GI 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
- Demonstrate and discuss proper techniques for colon intubation, biopsy, polypectomy, and control of bleeding.
- Review the diagnosis of polypectomy – benign vs. dysplastic vs. cancer.
- Remove adenomas and prevent colon cancer and death.
- Guide future screening or surveillance.
Submucosal injection, tissue marking
- Discuss how and when to perform submucosal injections, depending on the lesions' features and endoscopic resection technique, to prevent associated adverse events.
- Discuss how tattooing is a secure method for precisely defining a site within the colon and marking lesions found in the colon prior to surgery.
Management of submucosal lesions
- Utilize evidence-based practice to diagnose and manage submucosal lesions of the gastrointestinal tract.
12 – 1 p.m. — Lunch
1 – 3 p.m. — 2 CME credits
Control of bleeding, hands-on
- Demonstrate and discuss proper techniques to control bleeding in the lower GI tract.
3 – 3:15 p.m. — Break
3:15 – 5:15 p.m. — 2 CME credits
Sedation
- Discuss the proper use of sedation and monitoring for upper and lower GI endoscopy.
Privileges/Credentialing
- Implement strategies for obtaining privileges and credentials for upper and lower GI endoscopy.
Reimbursement
- Discuss coding practices and reimbursement patterns for upper and lower GI endoscopy.
Day 3 – Colonoscopy
8 - 10 a.m. — 2 CME credits
Colonoscopy screening indications – average risk and high risk
- Review basic epidemiological and clinical presentation of colorectal cancer and the role of colonoscopy in screening and surveillance.
- Discuss the guidelines for indications for colonoscopy procedures.
Colonoscopy diagnostic and therapeutic indications
- Discuss guidelines for using colonoscopy for diagnostic and therapeutic indications in patients.
Colonoscopy contraindications and complications
- Discuss the contraindications and potential complications of colonoscopy procedures.
Colonoscopy insertion and technique
- Discuss proper colonoscopy procedure insertion and techniques.
10 – 10:15 a.m. — Break
10:15 a.m. – 12 p.m. — 1.75 CME credits
Hands-on practice of colonoscopy with models
- Practice hands-on colonoscopy techniques with colon models.
12 – 1 p.m. — Lunch
1 – 3 p.m. — 2 CME credits
Colonoscopy insertion and advanced techniques, hands-on practice
- Discuss proper colonoscopy procedure insertion and techniques hands-on using models.
- Demonstrate and discuss proper techniques for colon intubation, biopsy, polypectomy, and control of bleeding.
- Discuss and demonstrate techniques for the use of snares, saline injections, and tattooing.
- Discuss the proper use of sedation and monitoring.
- Discuss the proper use of sedation and monitoring for colonoscopy patients.
3 – 3:15 p.m. — Break
3:15 – 5:15 p.m. — 2 CME credits
Endoscopy features of colon pathology
- Evaluate basic endoscopic findings, including recognition of normal and abnormal colon pathology.
Endoscopic issues with inflammatory bowel disease
- Discuss the valuable role of endoscopy in the diagnosis and treatment of inflammatory bowel disease.
- Review contraindications of endoscopy in patients with inflammatory bowel disease.
Hands-on: biopsy, snare, submucosal injection, tattoo, hemorrhage control
- Discuss and demonstrate techniques for the use of snares, saline injections, and tattooing.
TOTAL CME CREDITS: 23.25