One of the challenges of the current era is ensuring that endoscopic training is accomplished effectively in the face of multiple competing demands. As health care delivery evolves, with rising patient complexity and increasing productivity requirements, there is mounting pressure on the time available for training in the clinical setting. The practice of endoscopy itself continues to expand to include increasingly complex procedures (eg, therapeutic endoscopic ultrasound, endoscopic submucosal dissection, and peroral endoscopic myotomy) that require dedicated endoscopy training. The rapid pace of progress in the field of endoscopy means that the demand for endoscopy training is not limited to the formal period of training, but instead spans the spectrum to include physicians already in practice. In light of recent advances in our understanding of endoscopy training, this review will serve to highlight the current state of affairs with respect to endoscopic training and how we can consider approaching these challenges.

当前时代的挑战之一是确保面对多种竞争需求，有效地完成内窥镜训练。随着医疗保健服务的发展，随着患者复杂性的提高和生产率要求的提高，可用于临床环境培训的时间越来越大。内窥镜检查本身的实践不断扩展，以包括需要专门的内窥镜检查培训的越来越复杂的程序（例如，治疗性内窥镜超声检查，内窥镜黏膜下剥离术和经口内镜下肌切开术）。内窥镜领域的快速发展意味着对内窥镜训练的需求不仅限于正式训练时期，而是跨越了整个范围，以包括已经在实践中的医生。