SPEECH THERAPY AND REHABILITATION: Edited by Jo Patterson and H. Fiona RobinsonEnhancing the learning and supervision framework for training in flexible endoscopic evaluation of swallowingRobinson, H. Fiona Author Information Ear Nose and Throat Department, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, UK Correspondence to H. Fiona Robinson, DipST, MSc, PGCert Med Ed, FRCSLT, Ear Nose and Throat Department, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK. Tel: +44 1159249924; e-mail: [email protected] Current Opinion in Otolaryngology & Head and Neck Surgery 29(3):p 204-212, June 2021. | DOI: 10.1097/MOO.0000000000000718 Buy Metrics Abstract Purpose of review This article reviews the literature on the development of competency-based training and assessment in endoscopy, comparing gastrointestinal endoscopy and flexible endoscopic evaluation of swallowing (FEES). The discussion focusses on how a robust and explicit learning framework can be translated to the delivery of training in FEES to optimize trainee outcomes and supervisor skill. Recent findings Specialist Speech and Language Therapists (SLT) carry out FEES to inform the diagnosis and management of swallowing and voice disorders. Taught courses are generally followed by local workplace-based supervised practice to attain the competencies identified in the relevant professional guidelines. However, the curriculum for the workplace-based FEES training lacks a learning and assessment framework and little direction for the workplace-based supervisor. In gastrointestinal endoscopy training, this previously led to less than optimal outcomes for trainees and patients and so new models of training were developed. Summary A new learning framework for FEES underpinned by medical pedagogy has shown early promise in supporting the acquisition of competence. Incorporating a new FEES-specific systematic assessment, the framework provides direction for the supervisor and evidence of trainee progression, which subsequently enhances supervisor confidence to determine trainee competence. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.