Practice management| Volume 88, ISSUE 2, P390-392, August 2018

Download started.


Integration of research into endoscopic practice

  • Richard A. Kozarek
    Reprint requests: Richard A. Kozarek, MD, FACG, FASGE, AGAF, FACP, Executive Director, Digestive Disease Institute, Virginia Mason Medical Center, Clinical Professor of Medicine, University of Washington, Seattle, Washington.
    Digestive Disease Institute, Virginia Mason Medical Center, and University of Washington, Seattle, Washington
    Search for articles by this author
      I work in an institution in which research is valued, but you do not need to do it to maintain a successful practice. Nor do you need to publish to move up the administrative food chain. Why then do members of our Digestive Disease Institute (DDI) have 138 active research projects as of this writing and routinely publish 50 to 100 peer-reviewed articles yearly? Admittedly, these are not all endoscopy-driven research projects. They include studies from other components of the DDI (GI surgeons, oncologists, pathologists, and interventional radiologists as well as, in our shop, an endocrinologist who is the director of our Nutritional Center of Excellence). Why as a group do we feel that research is vital to our viability in this age of market consolidation, narrow network insurance plans, and myriad consumer choices that were unavailable to patients even a few years ago? And how can you condense this broader issue of research within a parent institution into research within an endoscopic practice? In general, I believe most physicians understand that research is undertaken for a myriad of reasons, some altruistic, some practical. Expansion of our knowledge base to include better ways to understand, prevent, diagnose, or treat illness is clinically practical, and expansion of our basic science has the potential to kick the struts out of what we thought we knew leading to disruptive innovation. There are additional benefits for incorporating research into our clinical practice.


      DDI (Digestive Disease Institute), FDA (U.S. Food and Drug Administration), IRB (institutional review board), NIH (National Institutes of Health)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Gastrointestinal Endoscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Barclay R.L.
        • Vicari J.J.
        • Doughty A.S.
        • et al.
        Colonoscopic withdrawal times and adenoma detection during screening colonoscopy.
        N Engl J Med. 2006; 355: 2533-2541
        • Schutz S.M.
        • Abbott R.M.
        Grading ERCPs by degree of difficulty: a new concept to produce more meaningful outcome data.
        Gastrointest Endosc. 2000; 51: 535-539
        • Higa J.T.
        • Gluck M.
        • Ross A.S.
        Duodenoscope-associated bacterial infections: a review and update.
        Curr Treat Options Gastroenterol. 2016; 14: 185-193
        • Higa J.T.
        • Choe J.
        • Tombs D.
        • et al.
        Optimizing duodenoscope reprocessing: rigorous assessment of a culture and quarantine protocol.
        Gastrointest Endosc. 2018; 88: 223-229
        • Lin O.S.
        • La Selva D.
        • Kozarek R.A.
        • et al.
        One year experience with computer-assisted propofol sedation for colonoscopy.
        World J Gastroenterol. 2017; 23: 2964-2971
        • Lin O.S.
        • La Selva D.
        • Tombs D.
        • et al.
        Nurse administered propofol continuous infusion sedation (NAPCIS): a new paradigm for GI procedural sedation [abstract] Gastroenterol 2017;152:S1314.
        DDW. 2017; (Manuscript in process)
      1. Han D, Inamdar S, Lee CW, et al. Lumen apposing metal stents (LAMSs) for drainage of pancreatic and gallbladder collections: a meta-analysis. J Clin Gastroenterol. Epub 2017 Oct 9.