Simulation in Endoscopy.

Abraham Z Cheloff, Seth A Gross, Suraj Pai, Sheryl A Pfeil

Journal: Gastrointestinal endoscopy clinics of North America 2026;36(3):537-545

PMID: 42373160

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Abstract

Endoscopy training traditionally relies on patient-based apprenticeship, which can limit exposure, feedback, and patient safety. Simulation offers a safe, reproducible environment for skill development, with mechanical, virtual reality, and hybrid systems providing increasing realism, procedural variety, and objective metrics. Evidence shows simulation enhances early skill acquisition, structured learning, and trainee confidence, though its superiority over patient-based training and predictive value for real-world outcomes remains under study. Barriers include cost, faculty expertise, and integration into curricula. Future work should focus on long-term skill retention, linking simulation performance to patient outcomes, and expanding accessible, cost-effective platforms.

Address: Department of Medicine, Division of Gastroenterology and Hepatology, NYU Langone Health, 550 1st Avenue, New York, NY 10016, USA. Electronic address: [email protected].; Department of Medicine, Division of Gastroenterology and Hepatology, NYU Langone Health, 550 1st Avenue, New York, NY 10016, USA.; Department of Internal Medicine, Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, Columbus, OH 43210, USA.

DOI: 10.1016/j.giec.2026.01.010

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MeSH Terms: Humans, Clinical Competence, Simulation Training, Endoscopy, Gastrointestinal, Virtual Reality, Computer Simulation