EGD (Gastroscopy) and Colonoscopy Course Description

Course Credits: Earn up to 23.25 AMA PRA Category 1 Credit(s)™ and AAFP Prescribed Credits.

Course Price: $2,495

EGD (Gastroscopy) and Colonoscopy is a three-day course.

EGD is an important diagnostic and therapeutic procedure for the evaluation and management of upper gastrointestinal conditions. Primary care physicians with appropriate training and privileges can incorporate EGD into their clinical practice, providing patients with timely access to diagnostic and therapeutic care. This course will provide practical instruction for physicians interested in developing or strengthening their EGD skills in an office, hospital, or procedural setting. Proper patient selection, indications and contraindications, sedation, equipment, safety considerations, and procedural techniques will be reviewed. Video demonstrations will reinforce lecture content, and teaching models will provide hands-on experience using the gastroscope.

Colonoscopy plays an important role in colorectal cancer screening and the diagnosis and management of lower gastrointestinal conditions. Primary care physicians with appropriate training and privileges may perform colonoscopy as part of comprehensive patient care. This course will review current colorectal cancer screening recommendations as well as indications and contraindications for colonoscopy, patient preparation and selection, equipment, sedation, procedural techniques, and recognition of normal and abnormal findings. Learners will have dedicated hands-on time to practice colonoscopy techniques using procedural models. Credentialing and privileging considerations will also be addressed.

The course is also designed to meet the educational needs of physicians who are already performing EGD and colonoscopy and want to strengthen their diagnostic and technical skills. More advanced techniques, including biopsy, polypectomy, submucosal injection, tissue marking, management of bleeding lesions, and recognition of unusual pathology, will be discussed and demonstrated. Challenging cases and clinical considerations will provide opportunities to apply knowledge to procedural decision-making. Hands-on practice using models will reinforce techniques and help learners build confidence in safely and effectively incorporating gastrointestinal endoscopy into patient care.

Hands-on and Demonstrated Procedures and Topics

  • EGD techniques
  • Colonoscopy insertion and procedural techniques
  • Advanced colonoscopy techniques
  • Patient preparation and selection
  • Sedation and patient monitoring
  • Equipment selection, care, and scope reprocessing
  • Biopsy and polypectomy techniques
  • Snare techniques
  • Submucosal injection and tissue marking/tattooing
  • Management of submucosal lesions
  • Hemorrhage control
  • Enteral feeding tube placement
  • Esophageal dilation
  • Recognition of normal and abnormal pathology
  • Credentialing and privileging
  • Coding and reimbursement considerations

By the end of this educational activity, learners should be better able to:

  • Identify appropriate indications, contraindications, and patient selection criteria for EGD and colonoscopy, including colorectal cancer screening and surveillance.
  • Apply appropriate patient preparation, informed consent, sedation, monitoring, and safety practices for upper and lower GI endoscopy.
  • Identify normal upper and lower gastrointestinal anatomy and differentiate normal from abnormal endoscopic findings.
  • Perform fundamental endoscope insertion, navigation, and manipulation techniques for EGD and colonoscopy.
  • Perform endoscopic biopsy and polypectomy techniques using appropriate instruments and procedural methods.
  • Apply advanced endoscopic techniques, including snare use, submucosal injection, tissue marking, and endoscopic hemorrhage control.
  • Describe and apply appropriate techniques for the evaluation and management of esophageal strictures, enteral feeding tube placement, gastrointestinal lesions, and other common upper and lower GI conditions.
  • Recognize and manage potential complications associated with EGD and colonoscopy.
  • Apply appropriate procedures for the handling, cleaning, disinfection, and maintenance of endoscopic equipment.
  • Interpret endoscopic and pathologic findings to guide diagnosis, treatment, and appropriate screening or surveillance recommendations.
  • Apply current requirements and strategies for obtaining and maintaining appropriate training, competency, privileges, and credentials for upper and lower GI endoscopy.
  • Apply appropriate documentation, coding, and reimbursement principles for upper and lower GI endoscopic procedures.
2027 Course Accreditation

The Texas Academy of Family Physicians designates this live activity for a maximum of 23.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

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, and Complications

  • Identify appropriate indications and contraindications for EGD based on patient presentation and clinical findings.
  • Recognize potential complications associated with EGD and appropriate strategies for prevention and management.

EGD Technique and Normal Findings

  • Identify normal anatomy of the upper gastrointestinal tract and nasopharynx during EGD.
  • Describe appropriate techniques for endoscope insertion, navigation, 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 endoscope insertion, navigation, and manipulation techniques using procedural models.
  • Demonstrate appropriate scope handling and positioning techniques during simulated EGD procedures.

12 – 1 p.m. – Lunch

1 – 3 p.m. – 2 CME Credits
EGD Pearls, Technique, Enteral Feeding Tube, and Esophageal Dilatation

  • Apply appropriate techniques for EGD scope manipulation, enteral feeding tube placement, and esophageal dilation using procedural models.
  • Identify appropriate indications and techniques for the management of esophageal strictures.
  • Describe appropriate techniques for using EGD to facilitate enteral feeding tube placement.

3 – 3:15 p.m. – Break

3:15 – 5:15 p.m. – 2 CME Credits
Pathology of Esophagus, Stomach, Duodenum; Post-test Pathology Identification

  • Differentiate normal from abnormal endoscopic findings involving the esophagus, stomach, and duodenum.
  • Interpret common upper GI pathologic findings identified during EGD.
  • Apply appropriate techniques for endoscopic biopsy and H. pylori urease testing.
  • Recognize potential complications of EGD and appropriate management strategies.
  • Apply advanced endoscopic techniques, including snare use, submucosal injection, tissue marking, and hemorrhage control.

Update of Upper GI Diseases

  • Evaluate common upper GI diseases and clinical presentations, including GERD, peptic ulcer disease, Barrett's esophagus, chronic cough associated with upper GI disease, and GI bleeding.
  • Apply endoscopic findings to the evaluation and management of common upper GI conditions.

Day Two – EGD and Colonoscopy

8 – 10 a.m. – 2 CME Credits
Introduction to Colonoscopy

  • Identify appropriate indications and contraindications for colonoscopy.
  • Describe the role of colonoscopy in colorectal cancer screening and surveillance based on patient risk and clinical presentation.

Equipment Needed for EGD and Colonoscopy; Cleaning the Scopes

  • Identify equipment and supplies necessary to safely perform EGD and colonoscopy.
  • Apply appropriate procedures for handling, cleaning, and disinfecting endoscopic equipment.

Patient Preparation

  • Select appropriate bowel preparation strategies for colonoscopy.
  • Apply appropriate informed consent and pre-procedure patient preparation practices for GI endoscopy.

Biopsy and Polypectomy Techniques

  • Select appropriate biopsy and polypectomy techniques based on lesion characteristics and location.
  • Apply appropriate techniques for obtaining tissue and removing polyps during upper and lower GI endoscopy.

10 – 10:15 a.m. – Break

10:15 a.m. – 12 p.m. – 1.75 CME Credits
Hands-on: Biopsy and Polypectomy

  • Perform biopsy and polypectomy techniques using endoscopic equipment and procedural models.
  • Select appropriate polypectomy techniques based on polyp characteristics.
  • Apply pathologic findings following polypectomy to guide subsequent management and surveillance.
  • Apply appropriate screening and surveillance recommendations following identification and removal of colorectal lesions.

Submucosal Injection, Tissue Marking

  • Perform appropriate submucosal injection techniques based on lesion characteristics and planned endoscopic intervention.
  • Apply appropriate tissue-marking techniques to facilitate identification of colorectal lesions for subsequent endoscopic or surgical management.

Management of Submucosal Lesions

  • Identify common submucosal lesions of the gastrointestinal tract and determine appropriate evaluation and management strategies.

12 – 1 p.m. – Lunch

1 – 3 p.m. – 2 CME Credits
Control of Bleeding, Hands-on

  • Identify common sources and presentations of gastrointestinal bleeding encountered during endoscopy.
  • Perform appropriate endoscopic techniques for the control of GI bleeding using procedural models.

3 – 3:15 p.m. – Break

3:15 – 5:15 p.m. – 2 CME Credits
Sedation

  • Apply appropriate sedation, patient monitoring, and safety practices for upper and lower GI endoscopy.
  • Recognize and respond appropriately to complications associated with procedural sedation.

Privileges and Credentialing

  • Identify training and competency requirements for obtaining and maintaining privileges and credentials for upper and lower GI endoscopy.
  • Develop strategies for documenting competency when seeking endoscopic privileges.

Reimbursement

  • Apply appropriate documentation and coding principles for upper and lower GI endoscopic procedures.
  • Identify factors affecting reimbursement for commonly performed GI endoscopic services.

Day Three – Colonoscopy

8 – 10 a.m. – 2 CME Credits
Colonoscopy Screening Indications – Average Risk and High Risk

  • Identify appropriate colorectal cancer screening and surveillance recommendations based on patient age, history, and risk factors.
  • Determine appropriate indications and intervals for colonoscopy in average-risk and high-risk patients.

Colonoscopy Diagnostic and Therapeutic Indications

  • Identify appropriate diagnostic and therapeutic indications for colonoscopy based on patient presentation and clinical findings.

Colonoscopy Contraindications and Complications

  • Identify contraindications to colonoscopy and factors that may increase procedural risk.
  • Recognize potential complications associated with colonoscopy and appropriate strategies for prevention and management.

Colonoscopy Insertion and Technique

  • Describe appropriate techniques for colonoscope insertion, advancement, navigation, and withdrawal.

10 – 10:15 a.m. – Break

10:15 a.m. – 12 p.m. – 1.75 CME Credits
Hands-on Practice of Colonoscopy with Procedural Models

  • Perform colonoscope insertion, advancement, navigation, and withdrawal techniques using procedural models.
  • Demonstrate appropriate scope manipulation and positioning techniques during simulated colonoscopy.

12 – 1 p.m. – Lunch

1 – 3 p.m. – 2 CME Credits
Colonoscopy Insertion and Advanced Techniques, Hands-on Practice

  • Perform colonoscope insertion, advancement, navigation, and withdrawal using procedural models.
  • Perform colon intubation, biopsy, polypectomy, and hemorrhage-control techniques using endoscopic equipment and procedural models.
  • Apply appropriate techniques for snare use, submucosal injection, and tissue marking.
  • Apply appropriate patient monitoring and safety practices during colonoscopy.

3 – 3:15 p.m. – Break

3:15 – 5:15 p.m. – 2 CME Credits
Endoscopic Features of Colon Pathology

  • Differentiate normal from abnormal endoscopic findings in the colon.
  • Interpret common colon pathology encountered during colonoscopy and apply findings to patient management.

Endoscopic Issues with Inflammatory Bowel Disease

  • Describe the role of endoscopy in the diagnosis, assessment, and management of inflammatory bowel disease.
  • Identify circumstances in which endoscopy may be contraindicated or require additional precautions in patients with inflammatory bowel disease.

Hands-on: Biopsy, Snare, Submucosal Injection, Tattooing, Hemorrhage Control

  • Perform biopsy, snare, submucosal injection, tissue-marking, and hemorrhage-control techniques using endoscopic equipment and procedural models.
  • Select appropriate therapeutic techniques based on lesion characteristics and simulated clinical findings.

TOTAL CME CREDITS: 23.25

There are currently no dates available for this course