This on-demand course is a recording of this highly popular course developed by ASGE to educate physicians and non-physician staff of endoscopy units on how to translate quality and safety concepts into everyday practice. The content of the course is dynamic, addressing the fundamentals of quality and safe practice as well as emerging trends and evidence. Participants of the course will advance their knowledge of endoscopy unit quality and safety. They will also be prepared to apply for the ASGE Endoscopy Unit Recognition Program or be able to renew their current participation.

Target Audience
Practicing gastrointestinal endoscopists and surgeons, medical directors, nurse managers, unit managers and allied professionals interested in advancing their knowledge in endoscopy unit quality and safety.

Units interested in applying for the ASGE Endoscopy Unit Recognition Program (EURP) or renewing their ASGE EURP Certificate are encouraged to send both a physician and a non-physician manager to the course. Program eligibility criteria require completion of this course by at least one unit representative within one year prior to program application for newly applying units and within one year prior to recognition expiration for renewing units.

Agenda
Topics covered in this course:

• What Constitutes a High-Quality Endoscopy Unit?
• Quality Indicators for Colonoscopy
• Advanced Endoscopy and Upper GI Bleeding Quality Indicators
• Round Table Discussion: Challenges to Establishing and Maintaining a High-Quality Endoscopy Unit
• Improving Bowel Preparation in Your Endoscopy Unit
• Endoscopy and Sedation: Adhering to Quality and Patient Safety
• Improving Efficiency in the Endoscopy Unit
• Infection Control in Endoscopy: Updates and Challenges
• Infection Control in Endoscopy: Nuts and Bolts
• Infection Control Q&A
• How to be Prepared and Successful for Endoscopy Unit Survey Accreditation
• Enhancing the Employee Experience, Maintatining Staff Morale and Managing a Disruptive Staff Member
• Improving the Patient Experience
• Round Table Discussion: Creating a Quality Culture

The recorded presentations will be available after July 1, 2019.

Upon completion of this educational activity, participants will be able to:

• Identify ways to define and measure quality in endoscopy
• Describe techniques to make endoscopy more efficient while maintaining safety
• Describe methods to improve patient satisfaction in endoscopy, including improved doctor-patient communication
• Recognize the potential sources of infection from contact with various body fluids, their transmissibility during gastrointestinal endoscopy, and their susceptibility to potential disinfectants
• Specify measures for improving unit quality, including training and credentialing for new procedures, quality assurance programs, sedation and monitoring, and unit accreditation and re-accreditation

V. Raman Muthusamy, MD, FASGE
UCLA Medical Center Program
Los Angeles, CA

V. Raman Muthusamy, MD is currently a professor of clinical medicine at the David Geffen School of Medicine at UCLA and director of endoscopy for the UCLA Health System. He completed his undergraduate work at Stanford University and went to medical school at the University of Washington School of Medicine, where he graduated with Honors. His residency was undertaken at Duke University Medical Center where he served as assistant chief resident and traveled abroad to study evidence-based medicine under Dr. David Sackett at Oxford University. He completed his fellowship in gastroenterology at the University of California San Francisco before undertaking his advanced endoscopy fellowship at the University of California Irvine which he completed in 2001. His clinical research interests focus on the evaluation of existing and new endoscopic technologies for the diagnosis and treatment of digestive disorders. They include endoscopic ablative techniques for Barrett's esophagus with dysplasia and early esophageal adenocarcinoma, clinical applications of endoscopic ultrasound (EUS) with a particular focus on EUS-guided tissue acquisition, assessment of new endolumenal stents, endoscopic retrograde cholangiopancreatography (ERCP) with a particular interest in cholangioscopy and stent patency, and endoscopic mucosal resection (EMR).

Eun Ji Shin, MD
Johns Hopkins University
Baltimore, MD

Dr. Eun Ji Shin is an Associate Professor of Medicine at the Johns Hopkins University School of Medicine. She is the Director of Endoscopic Ultrasound Program, Director of the Advanced Endoscopy Fellowship Program and the co-Director of the Gastroenterology Fellowship Program. Dr. Shin graduated summa cum laude from Harvard University with B.A. in Biology. She received her M.D. degree from Duke University School of Medicine and her Ph.D. degree from the Johns Hopkins Bloomberg School of Public Health. Dr. Shin completed her internal medicine residency, Gastroenterology fellowship and advanced therapeutic endoscopy fellowship at Johns Hopkins. Dr. Shin has clinical and research interests in GI malignancy, Barrett’s esophagus, pancreato-biliary disease, and advanced endoscopy, including ERCP and EUS.

Because all browsers continually roll out new versions and updates, it is not always practical to point to a particular browser as "better" than another. Because browsers are free, you can easily shift from one to another for various purposes. Whatever browser you are using, here are some tips for better streaming and viewing of ASGE videos:

1. Close other applications and browser tabs. This decreases the load on memory so your computer or other device can focus on streaming.
2. Use a 5 GHz frequency if your router supports it. The common 2.4 GHz frequency is used by household appliances, so is more crowded. Avoiding it is like getting into the carpool lane on a freeway: smoother sailing.
3. Use Ethernet instead of Wi-Fi if possible but GI LEAP is built with Wi-Fi in mind. 
4. Monitor your internet connection. If your ISP has promised you 5MBps and you are getting only 1MBps, it's time for a phone call to your internet provider to sort that out.

Windows Requirements: 
Operating system: Windows 7+ 
Browser: Internet Explorer 8+, Firefox 10+, Google Chrome 10+ 
Internet connection: DSL, cable modem, or other high-speed connection 
Flash: Adobe® Flash® Player 12+ 

Macintosh Requirements: 
Operating system: Mac OS X 10.6.8+ 
Browser: Mozilla Firefox 10+, Safari 5+, Google Chrome 10+ 
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+

For technical difficulties or questions related to content or CME credits, please contact ASGE between the hours of 8:30 AM and 5:00 PM (CST) at 1-866-353-2743 or email education@asge.org.