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Physician / Medical Doctor (MD)
Endoscopy

Physicians in endoscopy

Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.

Confirmed by professionals
Research-based, not yet confirmed by professionals
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Countries with evidence
DE, AT, CH
Evidence records
12
Price per hour, Germany (net)*
226
to
323
€
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Overview

Endoscopy of the digestive tract is a core component of specialist training in internal medicine and gastroenterology. Physicians there perform examinations of the oesophagus, stomach and duodenum as well as colonoscopies, complemented by endoscopic ultrasound, small-bowel endoscopy and interventions on the bile and pancreatic ducts. Therapeutically, they stop bleeding, treat varices, remove polyps, place stents or feeding tubes and dilate strictures. Sedation and monitoring of patients during endoscopy are part of their competence. Emergency endoscopic procedures, for example for acute gastrointestinal bleeding, are as much part of the specialty as colorectal cancer screening. For treatment decisions they work together with surgery, radiology and tumour boards.

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Profession by country

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Germany
 
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Austria
 
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Switzerland
 

Fields of use and typical tasks

Gastroenterology

Evidence from: DE, AT, CH

  • Perform diagnostic endoscopies: gastroscopy, colonoscopy, capsule endoscopy, single-balloon enteroscopy, chromo- and magnification endoscopy
  • Perform endoscopic ultrasound, ERCP, PTCD and contrast-enhanced ultrasound
  • Remove polyps, perform mucosal resections, remove foreign bodies, dilate strictures and stop bleeding
  • Place stents and drains, puncture cysts and perform necrosectomies
  • Place PEG and PEJ tubes
  • Perform function tests: 24-hour pH monitoring, high-resolution manometry, impedance measurement and breath tests

Pulmonology (bronchoscopy)

Evidence from: DE, AT, CH

  • Perform flexible and rigid bronchoscopies for diagnosis and treatment, including in children from infancy
  • Perform endobronchial ultrasound and take targeted tissue samples with it
  • Treat airways interventionally: laser therapy, bronchial dilatation and stent placement
  • Perform endoscopic lung volume reduction in emphysema using valves and coils
  • Perform thoracoscopies, pleural punctures and drainages, apply intrapleural lysis therapy and indwelling pleural catheters
  • Perform endoscopically guided percutaneous tracheostomies

Urology (endourology)

Evidence from: DE, AT, CH

  • Perform ureterorenoscopies with stone fragmentation, including laser lithotripsy
  • Perform percutaneous nephrolithotripsy and place percutaneous nephrostomies
  • Perform transurethral resections of the prostate and of bladder tumours
  • Perform internal ureterotomies and urethrotomies for strictures
  • Perform extracorporeal shock wave lithotripsy
  • Perform urodynamic and video urodynamic studies

Specializations

Who they work with

  • Endoscopy nurses and medical assistants
  • Surgeons
  • Radiologists
  • Emergency department and intensive care physicians

Frequently asked questions

Who assists physicians during endoscopy?

Nurses or medical assistants prepare examinations, assist and handle follow-up. In the example of one facility they also take on sedation with monitoring, documentation and device handling.

Which procedures dominate the training?

Examinations of the oesophagus, stomach and duodenum and colonoscopies, each with the highest guideline number, followed by endoscopic ultrasound, therapeutic procedures and sedations.

Are there emergency endoscopies outside regular working hours?

Acute gastrointestinal bleeding is among the emergencies of the specialty. In the example of one facility there is round-the-clock endoscopy on-call cover for emergencies from the emergency department, intensive care and other wards.

Which devices does the group use besides endoscopes?

Ultrasound devices including contrast-enhanced ultrasound, elastography and miniprobes, as well as devices for breath tests and function tests such as manometry and pH monitoring.

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