Training non-physicians to do endoscopy: Feasibility, effectiveness and cost-effectiveness

Best Pract Res Clin Gastroenterol. 2016 Jun;30(3):389-96. doi: 10.1016/j.bpg.2016.04.006. Epub 2016 May 4.

Abstract

Colorectal cancer (CRC) is one of the most common cancers in women and men worldwide. Training non-physicians including nurses, nurse practitioners, and physician assistants to perform endoscopy can provide the opportunity to expand access to CRC screening as demand for endoscopic procedures continues to grow. A formal program, incorporating didactic instruction and hands-on practice in addition to oversight, is required to train non-physicians to perform endoscopy as safely and effectively as physicians. Additionally, the context in which the non-physician endoscopy program is organized will dictate key program characteristics including remuneration, participant recruitment and professional and legal considerations. This review explores the evidence in support of non-physician based endoscopy, potential challenges in implementing non-physician endoscopy and requirements for a high-quality program to support training and implementation.

Keywords: Colorectal cancer screening; Endoscopy; Non-physician.

Publication types

  • Review

MeSH terms

  • Colorectal Neoplasms / prevention & control
  • Cost-Benefit Analysis*
  • Early Detection of Cancer
  • Endoscopy, Gastrointestinal / economics*
  • Endoscopy, Gastrointestinal / education*
  • Feasibility Studies
  • Health Personnel / education*
  • Humans
  • Program Evaluation