ASGE Peroral Endoscopic Myotomy (POEM) Pearls to Practice: LIVE and Virtual | July 2022-Setting Up POEM Referral Practices

Video Transcription

Video Summary

In the video, Dennis Yang discusses the process of setting up a POEM (Peroral Endoscopic Myotomy) practice based on his personal experience. He highlights key points including obtaining institutional support, training, developing a team, getting referrals, setting up the endoscopy unit, and following up with patients. He emphasizes the importance of demonstrating the need for POEM at the institution and obtaining administrative support. Yang also discusses the training process for POEM, recommending hands-on experience and keeping track of training records. He emphasizes the significance of credentialing and privileging and advises keeping track of training attendance certificates. He advises against immediately performing procedures after being credentialed, instead recommending the establishment of a team and buy-in from colleagues. Yang also discusses establishing a referral system and the importance of communication and support for referring physicians. He emphasizes the need for thorough evaluation of patients pre and post-procedure, including making sure all required tests have been done and educating patients about expectations and follow-up care. Yang also discusses issues related to billing and coding and the importance of anticipating billing problems. In a separate section of the video, Mingming Zhu from Kaiser Permanente shares her experience in setting up a POEM practice at Kaiser Permanente in West Los Angeles. She discusses the advantages and challenges of working within an integrated healthcare system and the steps they took to set up their program, including building a business case for POEM, obtaining equipment, and establishing a referral system. She emphasizes the importance of teamwork and collaboration with other physicians and the need for ongoing learning and mentorship.

Asset Subtitle

Yang and Ming Xu

Keywords

POEM practice

institutional support

training

team development

referrals

endoscopy unit setup

patient follow-up