ABPS GI Endoscopy study plan

Map the endoscopic landmark sequence from the upper esophageal sphincter through the duodenal second portion, and label each landmark (Z-line, incisura, angularis, major/minor papilla, duodenal sweep) on a hand-drawn diagram.

Contrast the endoscopic appearance, expected location, and initial management of the ten highest-yield upper GI findings: erosive esophagitis, Barrett esophagus, gastric and duodenal ulcer, esophageal and gastric varices, malignancy, celiac disease, esophageal candidiasis, angiodysplasia, Dieulafoy lesion, and subepithelial mass.

Assemble a pre-procedural assessment checklist that captures indication and alternatives, anticoagulant and antiplatelet hold intervals, antibiotic prophylaxis indications, ASA physical status, and airway risk stratification.

Write a plain-language consent script for EGD that states the indication, the alternatives, and the five most frequent or most serious risks, and rehearse it aloud until it can be delivered without notes.

Grade bowel preparation quality using a validated scale and state the corrective action for each grade, including which patients should be rescheduled.

Compare recommended screening and surveillance intervals across FIT, stool DNA, colonoscopy, and CT colonography, and justify each interval from the underlying evidence.

Differentiate cold snare, hot snare, and piecemeal EMR by lesion size, morphology, and complication profile, and select the appropriate technique for ten described polyps.

Classify bleeding lesions by Forrest class and match each to rebleeding risk and to the preferred hemostatic method among epinephrine injection, through-the-scope clips, thermal therapy, band ligation, and hemostatic powder.

Sequence the time-to-endoscopy targets for non-variceal upper GI bleeding, variceal hemorrhage, and lower GI bleeding, and defend each target.

Order the steps of a therapeutic ERCP from cannulation strategy through sphincterotomy, stone extraction, and stent placement, and name the failure point at which each alternative technique is substituted.

Select plastic versus covered versus uncovered metal stents for benign and malignant biliary strictures, and justify each choice by patency, migration risk, and removability.

Implement a post-ERCP pancreatitis prevention bundle that specifies hydration, rectal NSAID timing, and stent prophylaxis for high-risk patients.

Distinguish radial from linear echoendoscope indications, and describe the FNA versus FNB needle choice and technique for pancreatic mass sampling.

Stage esophageal and pancreatic malignancy by EUS T and N criteria, and outline EUS-guided drainage of pancreatic fluid collections.

Define the sedation continuum from minimal to general anesthesia and identify the point at which a patient has inadvertently progressed to a deeper level.

Calculate weight-based dosing ranges and redosing intervals for midazolam, fentanyl, and propofol, and state the reversal agent, dose, and onset for each reversible agent.

Integrate pulse oximetry, capnography, and blood pressure monitoring into a timed intra-procedure monitoring routine, and specify the response to each alarm trigger.

Rehearse airway rescue for an obstructed, desaturating sedated patient, including repositioning, suction, oral airway, and bag-mask ventilation.

Re-derive the hemostasis decisions from week 2 while accounting for the sedated, potentially unstable bleeding patient.

Compare video capsule endoscopy, device-assisted enteroscopy, and intraoperative enteroscopy by indication, depth of insertion, and diagnostic yield for obscure GI bleeding.

Apply the patency capsule algorithm before capsule endoscopy in patients with known or suspected stricture, and state the retention management pathway.

Contrast ESD, POEM, and transmural or bariatric-endoscopic interventions by indication, closure technique, and major complication profile.

Re-audit the week 1 upper GI findings list and identify the three diagnoses most often missed on withdrawal, then describe the inspection routine that prevents each miss.

Sequence every step of endoscope reprocessing from bedside pre-cleaning through drying and storage, and name the specific failure mode that occurs when any single step is shortened.

Explain why duodenoscopes carry elevated transmission risk and describe the mitigation hierarchy, including elevator cleaning, double high-level disinfection, culture surveillance, and single-use components.

Distinguish cleaning from high-level disinfection from sterilization, and state which endoscope accessories require each.

Select personal protective equipment and spill response actions for a reprocessing room exposure, and identify the reporting chain for a suspected device-related infection.

Build a complication matrix that pairs recognition cues with immediate and definitive management for perforation, post-polypectomy bleeding, post-polypectomy syndrome, sedation-related events, and post-ERCP pancreatitis.

Draft a procedure note that satisfies documentation standards for indication, extent of examination, findings, interventions, specimens, complications, and disposition.

Compute and interpret the core quality metrics of adenoma detection rate, cecal intubation rate, withdrawal time, and adequate preparation rate against benchmark thresholds.

Outline the practice-management essentials of credentialing, privileging, informed consent documentation, and adverse-event reporting.

Sit a full-length, timed, closed-book simulated examination under test-day conditions with no reference material.

Categorize every incorrect answer by root cause, distinguishing knowledge gap from misread question from faulty reasoning, and rank the gaps by frequency.

Re-teach the three weakest domains from primary sources and rewrite the corresponding week's deliverable from memory.

Run a spaced-repetition pass over all flagged flashcards and retire only those recalled correctly on two consecutive passes.