上消化道早癌诊断规范化培训在胃镜教学中的实践与思考

上消化道早癌筛查技能教学是目前内镜教学培训的空缺点和难点。本研究以来自基层已掌握基本胃镜操作技术的进修内镜医师为教学对象，建立了关于上消化道早癌诊断的规范化培训方案。培训周期共12周；教学内容包括理论培训、早癌意识培训、规范的胃镜操作技术、早期食管癌的内镜诊断、早期胃癌的内镜诊断，以及理论和技能结业考核；考核通过后进行早癌病例比赛。通过问卷调查，100%（15/15）的学员认为上消化道早癌诊断规范化培训用于提高上消化道早癌检出率是必要的，且能明显提高学员上消化道早癌的诊断水平。因此，本研究上消化道早癌诊断规范化培训流程总体设置合理，值得进一步推广。

Practice and thinking of standardized training on the diagnosis of early upper gastrointestinal cancer in gastroscopy teaching

Early upper gastrointestinal cancer screening skills teaching is the vacancy and difficulty of endoscopic teaching and training. In this study, a standardized training program was set up for endoscopic physicians who had mastered the basic gastroscopy techniques. The training period was 12 weeks, including theoretical training, early cancer awareness training, standardized gastroscopy operation technology, endoscopic diagnosis of early esophageal and gastric cancer, and theoretical and skill examination. After passing the examination, trainees can participate in early cancer case competition. According to questionnaire survey, 100%(15/15) of trainees thought that standardized training was necessary for improving the detection rate of early upper gastrointestinal cancer, and it could significantly improve the trainees'' diagnosis level. Therefore, the overall setting of the standardized training process for the diagnosis of early upper gastrointestinal cancer in our center is generally reasonable, which is worthy of further promotion.