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ASGE 2023 Masterclass EUS: Principles, Best Practi ...
Ahmad_SET UP AN EUS PRACTICE
Ahmad_SET UP AN EUS PRACTICE
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Pdf Summary
Setting up an EUS (Endoscopic Ultrasound) practice involves several stages: planning and strategy, implementation, program evaluation, and maintenance. During the planning stage, the objectives of the program need to be established, such as diversifying offerings, targeting specific populations, and expanding the regional cancer network. An internal evaluation team consisting of stakeholders from various departments should be formed to oversee the program. The physical footprint of the practice should also be considered, with factors like cost, efficiency, and access playing a role in deciding between an ambulatory surgery center (ASC) or a hospital-based practice.<br /><br />Capital costs are a significant consideration, including equipment like processors, scopes, and accessories. The number of scopes needed and the expected number of procedures should be determined, along with whether to purchase new or refurbished equipment. Training and credentialing should be provided for endosonographers and other staff members, with a required number of supervised procedures for competency. Spread the word about the new practice through various marketing efforts, such as social media, newsletters, and medical staff meetings.<br /><br />Program evaluation and maintenance involve monitoring quality indicators, such as staging all GI cancers with the appropriate TNM staging system and assessing the diagnostic rates and sensitivity of EUS-guided FNA for pancreatic masses. Metrics should be developed to measure the return on investment (ROI) and project growth. Overall, detailed planning, adherence to quality indicators, training of personnel, and monitoring the financial landscape are crucial for a successful EUS practice.
Keywords
EUS practice
Endoscopic Ultrasound
planning and strategy
implementation
program evaluation
capital costs
equipment
training
marketing efforts
ROI
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