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Diagnostic Endosonography pp 1–69Cite as

Acquiring and Improving Skills in Diagnostic Endosonography

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Abstract

The premise of this book is to make the reader better at endosonographic diagnosis. This process is iterative and never stops. The inside of the colon is at first amazing to the novice endoscopist but soon routine takes over. Indeed, the number of new features or diagnostic challenges the trainee will encounter trails off fast. Not so in endosonography. There is always something new to learn, and the more you know, the more you will see. This is a spiral staircase with the following repeating steps: concrete experience, observation and reflection, formation of abstract concepts, and testing in new situations [1]. In this introductory chapter we begin with a discussion of cognitive biases, which not only lead to wrong diagnoses but also impede learning. After a look at artifacts, we briefly review anatomic features that often are neglected and then make a pitch for the better use of Doppler studies. Some regional anatomy will be reviewed in subsequent organ-specific chapters. Furthermore, we review image retrieval web sites that are useful for decision support, lectures, and publications, and identify textbooks and journals of interest. Finally, we discuss the future of fine-needle aspiration (FNA) biopsy, the cornerstone of diagnostic endosonography.

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Authors and Affiliations

  1. Attending Physician VA Medical Center, George Washington University School of Medicine, Washington, DC, USA

    Klaus Gottlieb MD, MS, MBA (Clinical Professor of Medicine)

  2. Chief Gastroenterology Section VA Medical Center, Georgetown University School of Medicine, Washington, DC, USA

    Gustavo Marino MD (Assistant Professor of Medicine)

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  1. Klaus Gottlieb MD, MS, MBA
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  2. Gustavo Marino MD
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Gottlieb, K., Marino, G. (2014). Acquiring and Improving Skills in Diagnostic Endosonography. In: Diagnostic Endosonography. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39118-7_1

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