Will Virtual Reality Simulators End the Credentialing Arms Race in Gastrointestinal Endoscopy or the Need for Family Physician Faculty With Endoscopic Skills?
1998; American Board of Family Medicine; Volume: 11; Issue: 6 Linguagem: Inglês
10.3122/jabfm.11.6.492
ISSN1558-7118
Autores Tópico(s)Surgical Simulation and Training
ResumoAll important ideas pass through three stages. First, they are ridiculed. Second, they are violently opposed. Third, they are accepted as being self-evident. - Schopenhauer Twenty years ago I stumbled upon an idea that changed my life. In a study of preventive medicine behaviors by family physicians, the introduction of a new procedural technology (flexible gastroin testinal endoscopy) markedly improved the long standing noncompliance of physicians and pa tients in the prevention of colorectal cancer. 1 ,2 The fiberoptic bundles of short colonoscopy and flexible sigmoidoscopy translated into a re producibly constant group of diagnostic advan tages. 3 Improved patient tolerance led to greater insertion depth and better diagnostic yield. Few, however, have commented on the process that led to displacement of old technology (rigid sigmoi doscopy) by a continuum of newer technologies (flexible sigmoidoscopy, endoscopic biopsy, and colonoscopy; and esophagogastroduodenoscopy [EGD]).4,5 Even fewer have described the lengthy technology transfer curve (30 years) and the em barrassing resistance of established physicians who were trying to protect the status quo. 6 - 8
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