Advancing from flexible sigmoidoscopy to colonoscopy in rural family practice.
Tenn Med
; 91(1): 21-6, 1998 Jan.
Article
em En
| MEDLINE
| ID: mdl-9439182
ABSTRACT
This paper describes the background, experience, training, and preceptorship of a rural family physician that culminated in provision of diagnostic and therapeutic colonoscopy to his patients. Initial training took place in a two-day continuing medical education course. Subsequent training consisted of one-on-one training in 11 colonoscopies and five polypectomies, correspondence, recommended readings, a one-on-one preceptorship, and telephone consultation. Training was provided by University of Tennessee faculty who were experts in the area of colonoscopy and polypectomy procedures. The outcomes of 250 consecutive colonoscopies performed by the rural family physician are documented here. Training requirements vary widely by professional organization and subspecialty. Some subspecialists have recommended as many as 100 supervised colonoscopies and 25 polypectomies as a minimum training requirement for hospital privileges. It is our contention that unnecessarily high training requirements add to educational costs and may restrict qualified rural physicians from providing these services.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colonoscopia
/
Serviços de Saúde Rural
/
Medicina de Família e Comunidade
/
Enteropatias
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Tenn Med
Ano de publicação:
1998
Tipo de documento:
Article