finally, the authors discuss areas of unmet needs in teaching and learning for capsule endoscopy. in this review we have aggregated publications that have addressed capsule training and competency and have drawn conclusions on the current status of skills training in this emerging subspecialty. postgate et al were the first to assess the impact of structured, hands-on training in capsule endoscopy. seventeen participants were asked to review a series of capsule endoscopy cases before and after receiving instruction, based on the 2005 recommendations of the american society of gastrointestinal endoscopy (asge). the guideline recommended that capsule endoscopy training should be considered independent of other endoscopic procedures, that performance metrics are required to demonstrate competence, and that continuing education and assessment should be a requirement to maintain practitioner privileges.
in the united kingdom, training in capsule endoscopy is not mandatory. in japan, the 2nd generation of colon capsule endoscopy was approved in 2013 and the japanese association for capsule endoscopy developed an electronic learning platform for capsule endoscopy (elcee). the authors concluded that elcce and ccat provide appropriate metric to substantiate a satisfactory level of competence in colon capsule endoscopy. the survey indicated that during their three year fellowship, most programs required trainees to complete training in capsule endoscopy and around 80% of gi fellows graduated with credentials to undertake independent capsule endoscopy. future research should focus on the capsule endoscopy learning curve, curriculum development, quality assurance and strategies for certification.
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