Colonoscopy procedural skills and training for new beginners

Figure 8 Suggested algorithm for structured learning and training of colonoscopy in new beginners. ¹Technical skills include methods for handling the colonoscope and resolving the loops, the ability to perform the colonoscopic examination adequately and in a reasonable amount of time; ²Cognitive skills include the indications and contraindications of the colonoscopic examination, the identification and classification of lesions, clinical decision-making based on findings, and adequate reporting of the colonoscopy; ³Examination-related skills include risk assessment of the patient and the safe method of administration of sedatives and/or analgesics. CIR: Cecal intubation rate; ADR: Adenoma detection rate.