Lower GI EMR STAR Certificate Program

Dates: February 9 - 10, 2019

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The Lower GI EMR STAR Certificate Program is designed to specifically teach core knowledge and motor skills in lower EMR through case-based video sessions and intensive, standardized hands-on training. 

The ASGE STAR Certificate Program is an assessment-based curriculum that provides standardized, evidence-based education, training and assessment in specific endoscopy skills. Through this program, you can acquire the knowledge and skills you need to confidently perform this advanced technique, demonstrate your qualifications and proficiency in performing EMR, expand your endoscopic skills to meet the need for EMR in your practice, and offer better patient care.

Certificate of Completion will be awarded to those participants who meet the passing standard for both post-test and the assessment components. Enrollees will be invited to bring one tech or nurse to train with them for no additional registration fee.

Enrollment Criteria, Learning Objectives & Skills Covered

Enrollment Criteria

The enrollment criteria in intended to give potential participants an idea of the basic skill levels expected of program participants, and the skills that are needed to successfully perform Lower GI EMR. Enrollees should have:

  • A minimum of two years in practice post-fellowship
  • Performed at least 500 colonoscopies independently, and currently performing colonoscopy as part of daily practice
  • Proficiency in basic polypectomy, hemostasis, and injection techniques 

Learning Objectives

After successfully completing all the components of this program, participants should be able to:

  • Describe the morphology of colonic polyps and assess their endoscopic appearance for respectability
  • Appropriately select and demonstrate the use of various snares, cautery and injection/lifting technique in EMR of "large, complex or high-risk" colonic polyps (e.g., >20 mm, difficult location, with depression or significant nodularity)
  • Demonstrate the use of appropriate accessories for both polyp retrieval and adverse event management
  • Select appropriate surveillance intervals based on current guidelines

Skills to be Covered

  • Lesion Recognition
  • Submucosal Injection Techniques
  • Piecemeal and Snare Resection
  • Polyp Retrieval
  • Polypectomy Site Treatment
  • Tattooing
  • Perforation and Adverse Event Management
  • Communication Skills
Course Directors & Faculty

Course Directors

Robert Sedlack_crop

Robert E. Sedlack, MD, MHPE, FASGE          
Associate Professor of Medicine
Mayo Clinic
Rochester, MN


Kevin Waschke, MD, CM, FRCPC, FASGE
Director of Endoscopy, Associate Professor
McGill University Health Center
Montreal, Quebec, Canada

Invited Faculty

Brintha K. Enestvedt, MD, MBA
University Professional Services
Portland, OR

Rajesh Keswani, MD
Northwestern Medical Faculty Foundation
Chicago, IL

Heiko Pohl, MD
VA Medical Center
White River Junction, VT

Keith L. Obstein, MD, MPH, FASGE
Vanderbilt University Medical Center
Nashville, TN

Anoop Prabhu, MD
Regents of the University of Michigan
Ann Arbor, MI

Jeffrey L. Tokar, MD, FASGE
Fox Chase Cancer Center
Philadelphia, PA

Cynthia Yoshida, MD
University of Virginia Health System
Charlottesville, VA

Program Components
Participants will earn the Lower GI EMR STAR Certificate of Completion by completing several components sequentially over the course of three to six months. ASGE estimates that completion of the online activities will require approximately 10 total hours to complete. Course registrants will receive continued access to the online course materials after completion of the live course.

Online Curriculum

Prior to the skills-training component, enrollees will be required to complete several online components in sequence:

Baseline pre-test. This test will provide the enrollee an initial assessment of their knowledge.
Literature. Participants will read and review guidelines, technology reviews and key articles.
Instructional videos. Participants will view instructional videos from faculty and the ASGE Endoscopic Learning Library (ELL).
Re-take pre-test. Enrollees will re-take the pre-test following the online instructional components. Participants will receive automatic feedback and references after completing the exam.

Participants will earn CME credit at the completion of the online curriculum.

Course and Assessment 

The course is designed to specifically teach standardized knowledge and motor skills in Lower GI EMR. Enrollees will participate in a half-day of detailed case-based video sessions and a half-day of intensive, standardized, hands-on training preparing for the skills assessment (3 participants per station). On the second day, participants will complete a post-test, as well as a live one-on-one skills assessment. Participants will be provided feedback about their performance after the course. CME credit can be earned for both online and live components.

Course Follow-up

All enrollees will be provided a transcript detailing the completed curriculum, earned CME and assessment of performance in Lower GI EMR skills.
Participants who pass both assessment components will receive a Certificate of Completion in Lower GI EMR.

Participants who do not pass the cognitive exam or the skills assessment will be provided with information on the specific areas in which they did not succeed and options for further training and/or retesting.

Important Note

Opportunities for retesting may be available at DDW. We do not guarantee date or availability of re-training or re-testing until the next iteration of this program. For details, contact ASGE at education@asge.org.

Saturday, February 9, 2019
 7:00 – 7:05 am   Welcome & Agenda Review
 Robert E. Sedlack, MD, MHPE, FASGE, Kevin Waschke, MD
 7:00 – 7:30 am  Pre-Procedure/Tools of the Trade
 Cynthia Yoshida, MD
 7:30 – 8:00 am   Indication/Lesion Recognition
 Heiko Pohl, MD
 Group A  
 8:00 – 8:45 am  Submucosal Injection 
 Brintha K. Enestvedt, MD, MBA
 8:45 – 9:45 am  EMR Techniques 
 Rajesh Keswani, MD
 8:45 – 10:00 am  BREAK & EXHIBITS
 10:00 – 11:00 am  Polypectomy Prevention/Treatment of Adverse Events
 Keith L. Obstein, MD, MPH, FASGE
 11:00 am – 12:00 pm  Post-Polypectomy Steps/Tattoo, Retrieval and Follow-up
 Jeffrey Tokar, MD
 12:00 – 1:00 pm  Joint Luncheon Groups A & B - Conference Room A
 1:00 – 5:00 pm   Hands-on Training in the Bio-Skills Lab
 Group B  
 8:00 am – 12:00 pm  Hands-on Training in the Bio-Skills Lab
 12:00 – 1:00 pm  Joint Luncheon Groups A & B - Conference Room A
 1:00 – 1:45 pm   Submucosal Injection 
 Brintha K. Enestvedt, MD, MBA
 1:45 – 2:45 pm  EMR Techniques
Rajesh Keswani, MD
 3:00 – 4:00 pm  Polypectomy Prevention/Treatment of Adverse Events
Keith L. Obstein, MD, MPH, FASGE
 4:00 – 5:00 pm   Post-Polypectomy Steps/Tattoo, Retrieval and Follow-up 
Jeffrey Tokar, MD
 All Groups Reconvene   




Sunday, February 10, 2019

STAR Lower EMR Hands-on Assessment-Bio-Skills Lab
7:008:00 am Group A
8:009:00 am Group B
9:0010:00 am Group C
10:0011:00 am Group D
11:00 am12:00 pm Group E

The assessment should take about 45 minutes and afterwards nurse/technician assistants will be excused and participants will receive feedback from the assessor.

Cognitive Post-Assessment

Your course participation is not complete until you have taken the online Cognitive Assessment with a score of 80% or better.  Attendees are encouraged to bring your tablets or laptops to complete the test while waiting for your assessment in the IT&T Center Auditorium (computers will not be provided).  Seating and wireless internet will be available to access the test. You will have 30 days after the course to complete the Cognitive Assessment, if not taken within this time frame you may not receive the Certificate of Completion for the STAR Lower EMR program.  You will gain access to the Cognitive Assessment after completing all pre-requisite online course components and attending the course on Sunday, February 10, 2019.


Registration fee includes access to online curriculum and attendance at course sessions, and includes breakfast, lunch and refreshments.  Upon registration, you will receive access to the online curriculum (usually made available 4-6 months prior to the live course).

Maximum physician capacity: 40 participants

Registration fee includes the opportunity to bring one (1) nurse or technician to train alongside you for no additional fee.

2019 Lower GI EMR STAR Certificate Program Fees

Physician Members:     


Physician Non-Members:     



NOT AN ASGE MEMBER? Save even more when you join ASGE prior to registering for the course. Join today!

Call ASGE Customer Service toll-free at (866) 353-2743
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Continuing Medical Education

The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

ASGE designates the Lower GI EMR educational sessions for a maximum of 23 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Maintenance of Certification Points

Successful completion of this CME activity enables the participant to earn up to 23 MOC points (13 points for the online curriculum and 10 points for the live course) in the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.


ASGE requires all individuals who are in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial entity producing health-care related products and/or services. Disclosures are made in written form prior to the start of the educational activity and any potential conflicts of interest that exist are resolved prior to the start of the activity through the ASGE Conflict of Interest Resolution Policy Process. All disclosures are made available and communicated to the learner prior to the activity starting. 


Educational programming through the ASGE Institute for Training and Technology  is supported, in part, by the ASGE Foundation. To donate visit www.asge.org.


Industry representatives interested in attending this course must contact Vanita Jordan Moore, Senior Manager, Sales and Business Development (phone: 630-570-5625; email: vmoore@asge.org) or Linda kay Tyler, Senior Director of Sales and Business Development (phone: 630-570-5601; email: ltyler@asge.org). In compliance with ACCME guidelines, industry representatives may not participate in hands-on training or ask questions during a CME course.

Photography Waiver: ASGE periodically takes photographs and/or video during our educational courses and events, and reproduces them in ASGE educational, news or promotional material, whether in print, electronic or other media, including the ASGE website. By participating in this course, you grant the right to use your name and photograph for such purposes to ASGE. All postings become the property of ASGE.