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The traction method enables the operator to proceed with submucosal dissection procedures. In cases with small lesions, snaring can be used, as well as knife dissection. Understanding the features of each endoscopic instrument and technique is essential because appropriate selection and usage contribute to successful and safe ESD procedures.Chaplains frequently serve on ethics committees, as ethics consultants, and as Institutional Review Board (IR members in hospitals. However, little is known about how Clinical Pastoral Education (CPE