Training and Competency in Sedation Practice in Gastrointestinal Endoscopy

Ben Da, James Buxbaum

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations


The practice of endoscopic sedation requires a thorough understanding of preprocedural assessment, sedation pharmacology, intraprocedure monitoring, adverse event management, and postprocedural care. The training process has become increasingly standardized and entails knowledge and practice-based components. The use of propofol in particular requires a higher level of structured training owing to its narrow therapeutic window. Simulation has increased opportunities for practice-based training in a controlled environment. After completion of training, the endoscopist must demonstrate competence in theoretical understanding and technical ability to administer sedation. Although individual institutions have certification processes, there is a lack of validated, standardized methods to confirm competence.

Original languageEnglish
Pages (from-to)443-462
Number of pages20
JournalGastrointestinal Endoscopy Clinics of North America
Issue number3
StatePublished - 1 Jul 2016
Externally publishedYes


  • Conscious sedation
  • Curriculum
  • Deep sedation
  • Education
  • Endoscopy
  • Gastrointestinal
  • Graduate
  • Medical


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