Endoscopic submucosal dissection (ESD) is a technique for endoscopic resection oflesions and is used in many cases,
including gastrointestinal cancers. However, ESD training has the following problems Time and effort required for
preparation and training, which can be a burden for busy doctor. In addition, there are cases in which the training is not
integrated as part of the endoscopist's hospital duties, so there is a need to develop a proactive and easy system to enable
busy doctors to continue ESD training on a daily basis. Therefore, in this study, we developed and verified an ESD training
system that endoscopists can implement without spending time, resources, and money. The system consists of a game
interface that can be operated in the same way as an endoscope and a game designed for ESD training. After the system
was developed, two groups of doctors, one with extensive ESD experience and the other with limited ESD experience,
were divided into two groups for the same validation. As a result, it was verified that the system allows training during free
time in the office without time and effort for preparation, and that the gamification element of the system makes the
training fun and continuous.
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