Endoscopic mucosal resection (EMR) for the Upper GI Tract is defined as the use of various snares, cautery and injection/lifting technique in the resection of large mucosal lesions of the stomach and small bowel (non-ampullary).
Skills to be Covered
- Band Ligator and Cap-Assisted Lesion Resection
- Clipping EMR/Closure
- Communication Skills
- Lesion Recognition
- Perforation Management
- Piecemeal Resection of Flat Lesions
- Submucosal Injection Techniques
After successfully completing all the components of this program, participants should be able to:
- Describe the morphology of large or complex mucosal lesions of the stomach and small bowel (excluding Barrett’s and ampullary lesions) and assess their endoscopic appearance for resectability
- Appropriately select and demonstrate the use of various techniques in the endoscopic mucosal resection (including Cap and Band ligator-assisted EMR) of these lesions
- Demonstrate the use of appropriate accessories for the management of complications
- Select appropriate surveillance intervals based on current guidelines
Participants will earn the Upper 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.
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 Upper 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.
All enrollees will be provided a transcript detailing the completed curriculum, earned CME and assessment of performance in Upper GI EMR skills.
Participants who pass both assessment components will receive a Certificate of Completion in Upper 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.
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 firstname.lastname@example.org.
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 UpperGI EMR STAR Certificate Program Fees
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
(US Only; international 00 +1.630.673.0600).
Continuing Medical Education
The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
ASGE designates the Upper GI EMR educational session for a maximum of 22 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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.
Maintenance of Certification
Successful completion of this CME activity enables the participant to earn up to 22 MOC points 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.