Endoscopic simulators

Simulators have been shown to improve colonoscopy skills in the clinical setting for the initial phases of training, but their long-term benefit is uncertain. They also improve hemostasis skills, but transfer of these skills to the clinical setting has not yet been demonstrated. A computerized EUS simulator is now available, but studies on its use have not yet been published. More randomized trials are needed to assess the role of simulation in endoscopy training programs. In the future, it is conceivable that simulators might be used to assess the competence of trainees graduating from fellowship or residency programs or of those applying for hospital privileges. Furthermore, it could be envisioned that simulation could be used to "train the trainers" or even to evaluate the skills of the trainer. However, additional research is necessary to determine whether simulators can be used in these capacities. © 2011 American Society for Gastrointestinal Endoscopy.