Lower GI EMR STAR Certificate Program

Dates: February 8, 2020

2020 Lower GI EMR STAR web banner

This program has sold-out. To be placed on a waitlist, please send an email or call 630.573.0600 between 8:30 AM to 5:00 PM CST.

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Endoscopic Mucosal Resection (EMR) has emerged as one of the most important advancements in GI over the last 10 years.  Perfecting your EMR skills with ASGE expert faculty can enhance your practice for those patients who have benign lesions greater than 20mm in size. 

The ASGE EMR STAR Certificate Program for Lower GI provides endoscopists the opportunity to practice their technique, gain confidence while receiving guidance from faculty and document readiness to perform EMR independently.  ASGE’s STAR program begins by participating in self-directed educational modules in GI Leap, responding to prompted questions that highlight a number of knowledge pearls, followed by hands-on training and interactive lectures during the scheduled course.  To have an optimal educational experience, one should allow sufficient time prior to the course to complete the self-directed modules in GI Leap.

Highlights in this program include the use of various snares, cautery and injection/lifting techniques in the resection of large, complex or high-risk colonic polyps.  Discussion with underwater EMR technique will also be included. The morphology of colon polyps and the various classification resources (e.g. Paris classification, Kudos, NICE ) will serve as a useful clinical framework in your practice. The hands-on portion of the course is designed to be learner centric, allowing each participant to perfect their EMR skills with expert ASGE faculty.  Learn from ASGE on the established treatment standards for polyp removal, minimizing complication rates and shorten procedure times by perfecting your endoscopic mucosal resection technique.


  1. Colorectal cancer screening and endoscopic polyp resection can reduce mortality from colorectal cancer and are now recommended by many national guidelines.
  2. Snare polypectomy and endoscopic mucosal resection (EMR) are the established treatment standards for polyp removal.
  3. The advantages of perfecting one’s EMR is shorter procedure time and minimized complication rates, especially for larger lesions that cannot be removed en bloc.

Enrollment Criteria, Skills Covered & Learning Objectives

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

Upon completion of this educational activity, participants will be able to:

  • Describe the morphology of colonic polyps and assess their endoscopic appearance for resectability
  • Appropriately select and demonstrate the use of various snares, cautery and injection/lifting technique in the endoscopic mucosal resection 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 and Faculty

Course Directors

headshot_sedlackRobert E. Sedlack, MD, MHPE, FASGE
Mayo Clinic
Rochester, MN


headshot_waschkeKevin A. Waschke, MD, CM, FRCPC, FASGE
McGill University Health Center
Montreal, CANADA

Invited Faculty

Aziz Aadam, MD
Northwestern Medical Faculty Foundation
Chicago, IL

Christopher Chapman, MD
University of Chicago
Chicago, IL

Neil Gupta, MD, MPH, FASGE
Loyola University Health System
Maywood, IL

Laith Jamil, MD, FASGE
William Beaumont Hospital
Royal Oak, MI

Rajesh Keswani, MD
Northwestern Medical Faculty Foundation
Chicago, IL

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

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

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.

STAR Certificate Program: Endoscopic Mucosal Resection - Lower GI

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Saturday, February 9, 2020

7:00 – 7:05 am
Welcome & Agenda Overview
Course Directors
Robert E. Sedlack, MD, MHPE, FASGE
Kevin Waschke, MD
7:00 – 7:30 am
Pre-Procedure / Tools of the Trade  
7:30 – 8:00 am
Indication / Lesion Recognition
Group A
8:00 – 8:45 am
Submucosal Injection
8:45 – 9:45 am
EMR Techniques

9:45 – 10:00 am
10:00 – 11:00 am
Polypectomy Prevention / Treatment of Adverse Events
11:00 am – 12:00 pm
Post-Polypectomy Steps / Tattoo, Retrieval and Follow-up
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  
1:45 – 2:45 pm
EMR Techniques  
2:45 – 3:00 pm
3:00 – 4:00 pm
Polypectomy Prevention / Treatment of Adverse Events
4:00 – 5:00 pm
Post-Polypectomy Steps / Tattoo, Retrieval and Follow-up
All Groups Reconvene
5:00 – 5:45 pm

Sunday, February 9, 2020
Please use your breakfast vouchers on Sunday at the Marriott Hotel (7:00 – 11:00 am)
No breakfast will be provided at the IT & T Center on Sunday

STAR Lower EMR Hands-on Assessment- Bio-Skills Lab

7:00 8:00 am               Group A

8:00 9:00 am               Group B

9:00 10:00 am             Group C

10:00 11:00 am           Group D

11:00 am – 12:00 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 9, 2020.


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.

2020 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
(US Only; international 00 +1.630.673.0600).

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Additional Information

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.