COVID-19 and the challenges faced by gastroenterology trainees: time for capsule endoscopy training?

Conley, Thomas; Fiske, Janice; Townsend, Tristan; Collins, Paul; Bond, Ashley

doi:10.1136/flgastro-2020-101704

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…This may be explained by restrictive infection control measures in public institutions that has led to workflow saturation; public sector gastroenterologists reported a backlog of cases that this study was unable to quantify and similar experiences with workflow saturation have been reported by gastroenterologists in the UK. 21,22 On the contrary, reduced workloads were frequently reported by private sector gastroenterologists, even in countries with a predominant private health-care sector like the Philippines. In our data, this reduction was demonstrable in the weekly working hours, endoscopy volumes, and inpatient volumes, but not in outpatient clinic volumes (Fig.…”

Section: Discussionmentioning

confidence: 99%

The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed‐methods study

Ong

et al. 2021

J of Gastro and Hepatol

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Background and Aim:The coronavirus disease 2019 pandemic has impacted gastroenterology practices worldwide; however, its protracted effects within Southeast Asia were unknown. The primary aim of the study was to determine the impact of the pandemic on clinical demands including burnout among gastroenterologists within the region. The secondary aim was to identify risk factors for burnout and determine regional stressors. Methods: This was a mixed-methods study. Gastroenterologists were surveyed electronically between September 1 and December 7, 2020, via gastroenterology and endoscopy societies of Brunei, Indonesia, Malaysia, Philippines, Singapore, and Thailand. Quantitative and qualitative data were collected. The 22-item Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to detect burnout. Quantitative data were non-parametric; non-parametric methods were used for statistical comparisons. Logistic regression was used to determine risk factors for burnout. Content analysis method was used to analyze qualitative data. Ethical approval was obtained. Results: A total of 73.0% reported that they were still significantly affected by the pandemic. Of these, 40.5% reported increased workload and 59.5% decreased workload. Statistically significant differences in weekly working hours, endoscopy, and inpatient volumes were present. No differences were observed in outpatient volumes, likely because of telemedicine. Burnout was common; however, 50.1% of gastroenterologists were unaware of or did not have access to mental health support. This, as well as depression, being a trainee, and public sector work, increased burnout risk significantly. Conclusion:The effects of the pandemic are multifaceted, and burnout is common among Southeast Asian gastroenterologists. Safeguards for mental health are suboptimal, and improvements are urgently needed.

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Section: Discussionmentioning

confidence: 99%

The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed‐methods study

Ong

et al. 2021

J of Gastro and Hepatol

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“…4 Finally, the impact of COVID-19 on conventional endoscopy services and training has further fuelled an interest in CE training. 6 These issues may therefore be addressed in part by formalising training and accreditation programmes in CE.…”

Section: Introductionmentioning

confidence: 99%

Training pathway for small bowel capsule endoscopy in the UK

Tai

Parker

Sidhu

et al. 2021

Frontline Gastroenterol

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The demand for small bowel (SB) capsule endoscopy (CE) is increasing in the UK. However, there remains a wide variation in the number of CE procedures performed in different centres. Across the UK there is a lack of a clear training pathway or certification process. A standardised national Joint Advisory Group (JAG) on Gastrointestinal Endoscopy approved a 1-year training and accreditation programme accessible to all professional groups that may wish to train in SB CE. Structured training is delivered using JAG-accredited CE courses and an electronic learning module. Prior to setting a knowledge-based assessment, a minimum of 50 SB CE cases are recommended to be read in tandem with a trainer at a local centre, with proficiency documented using Direct Observation of Procedural Skill (DOPS) assessments.

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“…This is illustrated in the novel Capsule Endoscopy Training Network developed by Conley and colleagues and described in this issue. 6 Their programme provides a training platform for 'hands-on' video reading which allows discussion and feedback in a 'COVID-compliant' manner using videoconferencing software. At a time when training has taken a back seat to safe service delivery, this is a model which enables trainees to acquire experience and build expertise quickly, an innovation which could be adopted nationally.…”

mentioning

confidence: 99%

COVID-19: impetus to the adoption of capsule endoscopy as a primary diagnostic tool?

McAlindon

2021

Frontline Gastroenterol

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COVID-19 and the challenges faced by gastroenterology trainees: time for capsule endoscopy training?

Cited by 3 publications

References 10 publications

The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed‐methods study

The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed‐methods study

Training pathway for small bowel capsule endoscopy in the UK

COVID-19: impetus to the adoption of capsule endoscopy as a primary diagnostic tool?

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