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Residents and fellows have the opportunity to learn hands-on about endoscopic procedures with our endoscopy simulator. Modules on upper and lower endoscopy (including ERCP), bronchoscopy and airway management are available. This simulator is a realistic, computer-based system which allows residents and fellows the opportunity to master both the motor and cognitive skills necessary to perform these advanced procedures. The simulator uses real-time computer graphics, including anatomic models developed from actual patient data and a robotic interface device, where force is transmitted through a flexible scope to provide tactile sensations mimicking the actual feel of a procedure.