Train the Endoscopy Trainers — Day 1, Colonoscopy

What's in this Day 1 recording

The full broadcast feed from Day 1 of the TTT 2026 course at UZ Gent, cut into a structured catch-up library of 12 sessions: seven live colonoscopy cases across three rooms, two peer-discussion round-tables that surfaced during the day, John Anderson's whole-day competency-framework recap, and the closing group reflections.

The thing that is different about this course is not the procedures. It is the loop: trainer→trainee feedback uses the recorded video; super-trainer→trainer feedback critiques the use of the video. That is the skill we are teaching. You see that loop run seven times in one day.

Faculty

• Super trainers (observe the trainer, not the trainee): Prof Roland Valori (Gloucestershire), Dr John Anderson (Gloucestershire).
• Trainers: Dr Manmeet Matharoo (St Mark's), Dr Nick Church (NHS Lothian), Dr Pieter Jan (Belgium), Dr Elizabeth Bird-Lieberman (Oxford).
• Trainees: Adam (Canadian fellow, UZ Gent), Luigi Tuccillo (Italian fellow, UZ Gent), Cecilia (Italian resident).
• Course director: Dr David Tate (UZ Gent) — deliberately hands-off on Day 1 ("today I am totally backed out of it") to let the day's training delivery speak for itself.

What's in the catch-up

• Opening & framing. Roland and John frame the course; each faculty member names what they want to work on.
• Case 1 — FOBT-positive (Adam / Manmeet / Roland). Smooth case; debrief drills ergonomics, retroflex technique, polyp characterisation pace.
• Case 2 — 50yo screening (Luigi / Nick / John). PASE (problem-solution-execution) framework introduced; textbook N-spiral loop resolution.
• Case 3 — Diverticular screening (Cecilia / Pieter Jan / Roland). Basic-level trainer training; Roland deconstructs missed instruction opportunities.
• Case 4 — SC2 scar follow-up (Adam / Beth / John). Awake, French-speaking patient. Includes John's mid-case redirect to an underwater scar view.
• Peer discussion — Buy-in. Why trainees don't buy in; engineering buy-in with PASE; the performance-dip warning.
• Case 5 — Awake-patient SC after ESD (Luigi / Manmeet / Roland) — afternoon exemplar. Source of "I just pause you", "you're doing it unconsciously", the four-axis time-out, awake-patient communication. The cleanest training case of the day.
• Peer discussion — Training levels & polypectomy upskilling. Who should train; the "shared list" approach; Oxford specialist-list model.
• Case 6 — Awake lipoma case (Adam / Beth / John) — includes safety review. Patient-safety incident: unwinding an external loop with hook on at splenic. John spots missed ischaemic patches in the cecum. Critical teaching block.
• Case 7 — Awake screening (Cecilia / Beth / Roland). Cecilia's second case; introduces the "facilitated tip-steering" lesson — she never touched the left-right wheel in the left colon across either of her cases.
• John's competency framework recap. Preparation → Training → Feedback structure on the whiteboard. The conceptual through-line of the whole day.
• Group reflections & day close. Take-homes from every trainee and trainer; preview of Day 2 (therapeutic endoscopy).

The day's headline

The three rooms ran independently. The two morning rooms missed most of the in-room training framework the pre-course webinar named. The afternoon room modelled them. Same framework, same day, two outcomes — projected side by side, the contrast reads itself. That contrast is the headline of Day 1.

Pre-course webinar

The 1 June pre-course webinar (purchased separately, €30, free with Pro) sets up the conscious-competence framework, training language, and the video-as-tool methodology used throughout this day. Recommended companion viewing.

Access

• Pro members — catch-up access included with back-catalogue.
• Non-Pro — €150 one-off purchase grants full access to all 12 sessions.

What you will leave with

• A repeatable structure for using continuous video to coach colonoscopy trainees, watched run seven times in one day.
• The four-axis time-out (hands · trainee · patient · scope), modelled live by Manmeet in Case 5.
• The PASE (problem-solution-execution) decision-analysis frame and ten in-the-moment variations from the afternoon exemplar.
• An honest pattern-recognition library — what training looks like when the framework is being skipped, and what it looks like when it is being baked into every case.