SYLLABUS DIPLOMA IN ENDOSCOPY TECHNOLOGY

COURSE CURRICULUM: ANATOMY & PHYSIOLOGY: 1st Year Paper I ANATOMY & PHYSIOLOGY. Paper II PATHOLOGY AND MICROBIOLOGY FOR GIT. Paper III PHYSICS OF ENDOSCOPIC INSTRUMENTS & ITS MAINTENANCE. Paper IV PREPRATION FOR ENDOSCOPIC PROCEDURE. Paper V ENDOSCOPY OT ADMINISTRATION. 2nd Year Paper VI PATIENT CARE Paper VII Basic Endoscopic procedure Paper VIII Advanced Endoscopic procedure Paper IX Endoscopy OT administration, design, documentation, medico legal, record keeping. The cells, tissues of the body. The cell: Structure, multiplication. Tissue: Types, structure, characteristics, functions. Epithelium: Simple, Compound. Connective: Areolar, adipose, fibrous, elastic, Cartilage, blood and bone. Muscle: Striated (Voluntary), Smooth (Involuntary, Cardiac). Nervous tissue. Fibrous tissue. Cell regeneration. Membranes: Mucous, Serous, Synovial. Musculoskeletal System. The Respiratory System: a. Organs: Position and structure. b. Nose and nasal cavities. c. Functions: respiratory, Olfactory. d. Pharynx. e. Larynx: Functions - respiratory, vocal. f. Trachea, Bronchi, lungs: lobes, lobules, pleura. Respiratory functions: External and internal respiration, common terms relating to disease and conditions of the system. Anatomy of the esophagus, stomach, duodenum, small bowel. Anatomy of abdomen, omentum, colon, rectum and anal canal. Physiology & Mechanism of stomach and intestinal secretion. Function of stomach, duodenum and gallbladder. Physiology & function of liver, spleen, colon and rectum. Physiology of defecation. PAPER II PATHOLOGY AND MICROBIOLOGY FOR GIT: General lectures on micro-organisms- classification/ shapes/ Sterilisation and asepsis. Infection- source of infection, spread of infection, various pathogenic bacteria, viruses and diseases caused by them (gastritis, enteritis, enterocolitis, colitis, etc) Pathology - General- cell injury and adaptation, inflammation and repair, fluid and hemodynamic derangement in vomiting and diarrhoea. Pathology of the gastrointestinal tract and genital system. IBS, IBD, koch's abdomen. Common Diseases of Upper Gi Tract, Dysphagia, Achalasia, cancer of the esophagus, Diverticulae, volvulus, bleeding lesions of the esophagus (Varices, Mallorie Weiss, tear). Polyps of stomach, gastric cancer, duodenal ulcers, bleeding lesions, Helicobacter pyrorie infection and Antral gastritis. Common diseases of the colon, cancer colon, polyps, diverticulae, granulomatous colitis, Ulcerative colitis, Crohn's Disease, Functional diseases, benign strictures of the colon, Diseases of Billiary tract, Stones Tumors, Gall Bladder stone and Cancer sequelae. Pancreatic diseases needing the ERCP procedure; PAPER III - PHYSICS OF ENDOSCOPIC INSTRUMENTS & ITS MAINTENANCE: Layout of Endoscopy theatre. Principle & Working of GI Scope, Principle & Working of Colonoscopy. Principle & Working of Bronchoscope, Principle & Working of esophagoscope. Principle & Working of Fibre optic laryngoscope, sinoscope, basic laparoscope. Use, care, & maintenance of the common types of Instruments, needles, suture and ligatures used in operation theatre. Parts of endoscopy unit - forward viewing, single channel and double channel endoscopy and specific instruments used in endoscopic and colonoscopy procedures. Bio hazards and safety in medical devices. Basics of Video endoscopy Instrumentation, Mechanics, Magnification etc. C-Arm Image Intensifier. PAPER IV PREPRATION FOR ENDOSCOPIC PROCEDURE: cleanliness and sterilization of ER/ operation theatre and annexes. Fumigation, Asepsis in endoscopy room. Fumigation continued. Principles of sterilization, modes of sterilization including autoclaving, Pressure sterilization, boiling, dry heat, gas chemical sterilization, Gamma ray sterilization. ER/OT table including emergency lighting etc. Instructions for endoscopist and others to scrub up and drape for operation. Method of holding out cap, mask, gown and gloves for endoscopist and others and handling of sterilized articles. washing, cleaning, testing and repairing of gloves and sorting them out for packing and sterilization. Preparation of dressings, swabs and pads, packing of drums and sterilization. Use, care, and sterilisation of the common types of instruments, needles, suture and ligatures used in operation theatre. Procedure for sending specimen for biopsy and fluid for culture. Identification of instruments for common Endoscopic procedures operations and examinations, such as: GI Scopy, colonoscopy, Bronchoscopy, esophagoscopy, Fibre optic laryngoscopy, sinoscopy, basic laparoscopy. Setting up of tray/ trolleys for various endoscopic procedures/ surgeries. Assisting the scrub surgeon. Scrubbing, gloving & gowning. Laying tables for endoscopic operations. Endoscopy OT stores - Indenting, storekeeping, accounting and Inventory Management. PAPER V: Preparation of table for various diagnostic and therapeutic procedures. PAPER VI PATIENT CARE: Patient Preparation for different endoscopic examination. Special Precaution in handling patients with sepsis, blood borne infection - Hep.B, HCV, HIV etc. cleaning and disinfection of the articles and endoscopes(with special reference to HIV, HBV & HCV ) Terminal disinfection of endoscopy room. Preparation of patient including transfer & positioning of the patient. Elective and emergency procedures. Observation & monitoring the patient in recovery room. PAPER VII Basic Endoscopic procedures: Assisting the endoscopist in various endoscopic and colonoscopic procedures like: Hemorrhoids, ligation, piles, internal, femoral, paraumbilical Abdominal laparotomy. Laparoscopy: cholecystectomy, appendicectomy. Vagotomy and pyloroplasty, duodenotomy, ileostomy, Colostomy. Appendicectomy. Colonoscopy - Endoscopy. Diagnostic endoscopic procedure- giving oral anaesthetic agent. Diagnostic colonoscopic procedure- Assisting the anesthesiologist for induction of anaesthesia and positioning the patient. Biopsy, Injection Sclerotherapy. Gastric Biopsy. Basics of Laparoscopy, Instrumentation, Technique. Introduction to rigid scope, mechanics etc. common Laparoscopic procedures, appendix, cholecystectomy etc. PAPER VIII - Advanced Endoscopic procedure: Assisting the endoscopist in various endoscopic and colonoscopic procedures like Introduction to ERCP suite. Management: Organisation of Hospital - Organisation of ERCP Room; Single and Multiple units - Elective and emergency. Principles of Surgical Asepsis and ERCP Room: - preparation of tables, equipments, instruments for the procedure - care of ERCP room - before, during & after the procedure - special precaution in handling patients with sepsis, blood borne infection - Hep.B, HCV, HIV etc - cleaning and disinfection of the articles and ERCP room (with special reference to HIV, HBV & HCV). ERCP Room equipments, Instruments and Maintenance: Basic ERCP unit - side viewing, side channel, endoscope etc. Documentation - patient details, nature of diagnostic and therapeutic procedures - various sphincterotomes, guide wires, balloon dilators, stents, lithotripsy, etc - various types of stents- plastic and metal. Diagnostic ERCP procedures - preparation of patient including transfer & positioning of the patient. Assisting the anesthesiologist for induction of anaesthesia and positioning the patient. Assisting the endoscopist in various diagnostic ERCP procedures. Therapeutic ERCP procedures - Assisting endoscopist for CBD stone removal, CBD and CHD stricture management, metal stent placement, getting tissue biopsy etc, Pancreatic stent placement. Maintaining patient safety and comfort in ERCP room: prevention of physical, electrical, chemical injuries/hazards to patient - Maintenance of interpersonal relationship. Pancreatectomy, Drainage of pancreatic cyst (pseudocyst), Resections of Small Bowel, Sigmoid colon and rectum: Hemi & total Colectomy; Colostomy: Closure of colostomy, Rectopexy & abdominoperineal resection, Drainage of abscess(es) in the region of the liver, Hepatic Resection, liver transplant, Splenectomy; L-R Shunt, Esophageal Varices, Gastric Varices, Indications of Treatment of Bleeding lesions in the esophagus. Glue Injection and EVL. Gastric Polyp resection, Percutaneous Endoscopic Gastrostomy. Percutaneous Jejunostomy. Dilatation of strictures of esophagus, Balloon, bougies, CRE Balloons ETC. Basic ERCP Procedure, premedication, position, stone retrieval and placement of stent, removal of stones form PD and CBD. Gastroduodental stenting. Double balloon enteroscopy, capsule endoscopy, Different types of capsules. colonoscopic Polypectomy colonic dilatation of strictures by Balloon. Placement of Expansile stents in colo-rectum. Emergency de-rotation of colon in sigmoid volvulus. Advanced Lap Surgery. Lap Liver resections etc. Therapeutic endoscopic and colonoscopic procedure- initial resuscitation of the patient- knowing about EVL and EST and assisting the endoscopist. assisting the endoscopist in endoscopic and colonoscopic polypectomy, APC and FB removal. Maintaining Patient Safety and comfort in ER: prevention of physical, electrical, chemical injuries/hazards to patient - Maintenance of interpersonal relationship, orientation to legal & ethical issues involved in endoscopic room technique. Paper IX - Endoscopy OT administration, design, documentation, medico legal, record keeping, I1: organization of Hospital - organization of Endoscopy rooms - Single and Multiple theatre units - Elective and emergency endoscopies, ambulatory surgery. Admission & Transfer procedure; maintenance of operative records. Communication and health team-patient relationship, Methods of Effective Communication, Attending skills, Rapport building, empathy, etc. Effective Management, need for scientific managements, delegation, Supervision. Assignments_Individual and team function. Human relations, public relations, planning of courses block. Ethical and legal issues in endoscopy and anesthesia.