Participants will be able to:
- Interpret advanced endoscopic imaging to identify recurrent adenoma after an initial colon EMR
- Recognize the various methods available to endoscopically manage recurrent adenoma after an initial colon EMR
- Demonstrate advanced techniques for colon EMR complication management
- Compare and contrast clinical scenarios when patients should undergo EMR versus when patients should be referred for ESD or surgery
Course Requirements
The enrollment criteria described below is intended to give potential participants an idea of the basic skill levels expected of program participants, and the skills that are needed to successfully perform lower EMR. Enrollees should:
Have completed graduate medical education training and are in independent practice (Physicians currently enrolled in an advanced endoscopy fellowship program may attend, but only with a letter of support from their program director)
Prior to the skills-training component, enrollees will be required to complete several online components in sequence. You should plan a minimum of 8 hours to complete the pre-course work.
- Baseline Assessment: Used to measure your baseline knowledge in this area. It should take you no longer than 30 minutes to complete.
- Pre-Work: After completing the baseline assessment, pre-work in the form of literature, videos from ASGE's Endoscopic Learning Library (ELL) and guidelines are made available for your review.
- Interval Assessment: Following the online instructional components, you will then re-take the baseline assessment. It's important that you take the time to complete all the pre-course content before coming to ASGE IT&T in Downers Grove for the live course.
Then, you will attend the live course. On day two, you will demonstrate your skills to the course faculty through one-on-one skills assessment.
After the live course, you will return to the online system to take a final cognitive assessment. You will earn CME credit after passing this exam (80%). Passing both the cognitive assessment and the one-on-one skills assessment qualifies for MOC credit.
Adam W. Templeton, MD, FASGE
University of Washington
Seattle, WA
3:00 PM - 3:30 PM
EMR Essentials: Setting the Foundation for Success
Session Goal: Outline the foundational principles of effective EMR techniques, preparing participants for advanced concepts and hands-on practice with visuals and real-world cases to emphasize key points.
3:30 PM - 6:30 PM
Skill Check: Baseline EMR Assessment & Feedback
Session Goal: Provide an opportunity for participants to assess their current skills and receive feedback to target areas for improvement before the main course. Encourage participants to reflect on their own performance and identify growth areas for the upcoming hands-on sessions.
6:30 AM - 7:00 AM
Shuttle from The Westin to ASGE IT&T
6:30 AM - 7:30 AM
Registration, Breakfast and Exhibits
7:30 AM - 7:35 AM
Charting the Course: A Roadmap to Mastering Advanced EMR
Session Goal: Provide an overview of the course objectives and learning outcomes, encouraging participants to engage fully throughout the program. Brief speech highlighting the importance of mastering EMR techniques for patient outcomes.
7:35 AM - 8:00 AM
Know Your Limits: Triage Techniques for Advanced Colon EMR
Session Goal: Equip participants with the ability to assess cases for difficulty and determine when to attempt EMR or refer to ESD or surgery, including interactive case studies with audience participation to assess decision-making.
- Understanding what’s “easy” vs. “difficult” colon EMR
- How do I know if I’m doing well enough
- When should I be referring to ESD or surgery
8:00 AM - 8:30 AM
Eye of the Endoscopist: Polyp Recognition & Imaging Pearls
Session Goal: Enhance participants' visual recognition skills for polyp patterns and improve accuracy in identifying challenging lesions with high-resolution images and videos of difficult polyps for real-time discussion.
8:30 AM - 9:00 AM
Mastering the Unconventional: Advanced Techniques for Difficult Resections
Session Goal: Introduce advanced techniques, including cap-assisted EMR, tunneling, and underwater EMR, with hands-on demonstrations of each technique. Include video demonstrations of each followed by a brief hands-on simulation.
9:00 AM - 9:15 AM
Expert Insight: Q&A on Advanced Techniques
Session Goal: Provide an opportunity for participants to ask questions and gain further insight into the morning sessions.
9:30 AM - 10:20 AM
Crisis Control: Navigating Adverse Events During EMR
Session Goal: Teach participants how to handle adverse events like perforation, bleeding or incomplete resection in the middle of a procedure.
10:20 AM - 11:10 AM
Pathology Dilemmas: Navigating High-Risk Results
Session Goal: Guide participants through best practices in managing high-grade dysplasia (HGD) and invasive mucosal carcinoma (IMC) results, including the role of follow-up and additional intervention.
11:10 AM - 11:45 AM
Pathology Puzzles: Interactive Discussion on Challenging Cases
Session Goal: Create an interactive forum where participants discuss challenging pathology cases, gaining insights from both faculty and peers. Create possible small groups for discussions and then have each group present their conclusions.
1:00 PM - 5:00 PM
Hands-On Mastery: Advanced EMR Techniques in Action (ASGE Bioskills Lab)
Session Goal: Allow participants to apply advanced techniques in a lab setting, fostering confidence and competence in handling challenging EMR cases. Faculty should provide individualized feedback and create a hands-on debriefing after each technique.
5:00 PM - 6:00 PM
Endoscopy Unplugged: Networking Reception with Faculty
Session Goal: Facilitate networking opportunities and informal discussions between participants and expert faculty members. Encourage faculty to share their own challenges and success stories in EMR during the reception.
5:30 PM - 5:45 PM
Shuttle Drop-Off from ASGE IT&T to The Westin
6:30 AM - 7:00 AM
Shuttle from The Westin to ASGE IT&T
7:30 AM - 9:30 AM
Group A: Proficiency Lab - Advanced Skills Assessment
Session Goal: Assess participants' proficiency in EMR techniques, with targeted feedback on areas for improvement. Offer feedback and mentorship during the lab assessment.
7:30 AM - 9:30 AM
Group B: Mastering Real-World EMR - Tackling Complex Cases
Session Goal: Provide participants with real-world scenarios involving difficult polyps and challenging EMR situations. Discuss preparation, tools, and techniques, with a focus on teaching participants to navigate complications and optimize outcomes.
- Poorly lifting polyp (index)
- Large, non-granular lesion that’s hard to grab (index)
- Polyp at a difficult location (IC valve, AO, flexure, diverticulum) (index)
- Fibrotic polyp (Tattoo placed within the polyp) (index)
- Recurrent adenoma after initial EMR (follow-up)
*Each clinical scenario will cover the following:
- Preparation (Patient and lab)
- Tools
- Technique (Cold snare, underwater and avulsion)
10:00 AM - 12:00 PM
Group A: Mastering Real-World EMR - Tackling Complex Cases
Session Goal: Provide participants with real-world scenarios involving difficult polyps and challenging EMR situations. Discuss preparation, tools, and techniques, with a focus on teaching participants to navigate complications and optimize outcomes.
- Poorly lifting polyp (index)
- Large, non-granular lesion that’s hard to grab (index)
- Polyp at a difficult location (IC valve, AO, flexure, diverticulum) (index)
- Fibrotic polyp (Tattoo placed within the polyp) (index)
- Recurrent adenoma after initial EMR (follow-up)
*Each clinical scenario will cover the following:
- Preparation (Patient and lab)
- Tools
- Technique (Cold snare, underwater and avulsion)
10:00 AM - 12:00 PM
Group B: Proficiency Lab: Advanced Skills Assessment
Session Goal: Assess participants' proficiency in EMR techniques, with targeted feedback on areas for improvement. Offer feedback and mentorship during the lab assessment.
12:00 PM - 12:15 PM
Grab Box Lunch (Go to auditorium)
ALL Participants (Groups A & B)
12:15 PM - 1:15 PM
Takeaway Insights: Reflecting on Learning & Looking Ahead
Session Goal: Summarize key takeaways from the workshop, offering participants final guidance as they prepare to implement their new skills in clinical practice. Conduct a short reflection exercise where participants share their key insights and how they plan to apply them in practice.
Registration Fees
Physician participants are welcome to bring their nurse or GI tech to accompany them throughout the course and training but are required to provide a minimum registration fee to cover course breaks, lunch and reception functions (see below chart for prices).
| In-Person |
|---|
| ASGE Physician Member | $3,300 |
| Physician Non-Member | $3,900 |
| Accompanying a Physician Member | $80 |
| Accompanying a Non-Member | $120 |
- Register online
- Call 630-573-0600 Monday through Friday 9:00 am-5:00 pm CT to register by phone
- If you would like to submit a check, please make it payable to ASGE and mail to:
American Society for Gastrointestinal Endoscopy
P.O. Box 809055, Chicago, IL 60680-9055
Attention: STAR Lower EMR
View ASGE’s Policies and Procedures for information on Cancellation & Refunds.
Hotel Accommodations
Participants who require lodging are encouraged to book a room at:
The Westin Chicago Lombard
70 Yorktown Center
Lombard, IL 60148
Phone: 630-719-8000
More details to come.
Continuing Medical Education
The American Society for Gastrointestinal Endoscopy (ASGE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ASGE designates this blended learning activity for a maximum of 23 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Maintenance of Certification
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participants to earn up to 23 Medical Knowledge and Practice Assessment MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
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