Curriculum for neurogastroenterology and motility training: A report from the joint ANMS‐ESNM task force

Abstract

Although neurogastroenterology and motility (NGM) disorders are some of the most frequent disorders encountered by practicing gastroenterologists, a structured competency-based training curriculum developed by NGM experts is lacking. The American Neurogastroenterology and Motility Society (ANMS) and the European Society of Neurogastroenterology and Motility (ESNM) jointly evaluated the components of NGM training in North America and Europe. Eleven training domains were identified within NGM, consisting of functional gastrointestinal disorders, visceral hypersensitivity and pain pathways, motor disorders within anatomic areas (esophagus, stomach, small bowel and colon, anorectum), mucosal disorders (gastro-esophageal reflux disease, other mucosal disorders), consequences of systemic disease, consequences of therapy (surgery, endoscopic intervention, medications, other therapy), and transition of pediatric patients into adult practice. A 3-tiered training curriculum covering these domains is proposed here and endorsed by all NGM societies. Tier 1 NGM knowledge and training is expected of all gastroenterology trainees and practicing gastroenterologists. Tier 2 knowledge and training is appropriate for trainees who anticipate NGM disorder management and NGM function test interpretation being an important part of their careers, which may require competency assessment and credentialing of test interpretation skills. Tier 3 knowledge and training is undertaken by trainees interested in a dedicated NGM career and may be restricted to specific domains within the broad NGM field. The joint ANMS and ESNM task force anticipates that the NGM curriculum will streamline NGM training in North America and Europe and will lead to better identification of centers of excellence where Tier 2 and Tier 3 training can be accomplished.

Meeting the Motility Educational Requirements of the Gastroenterology Trainee in the 21st Century

“…New diagnostic tools such as high-resolution manometry, EndoFlip and ambulatory pH and impedance studies have improved the clinical assessment and therapies of diseases such as achalasia ( 7 ) and gastroesophageal reflux ( 8 ). Recently, the American Neurogastroenterology and Motility Society and the European Society of Neurogastroenterology and Motility issued a joint statement outlining a proposed curriculum for GI residency training ( 9 ). This report suggested a tiered approach based on career path of the trainee.…”

How to Set Up a Successful Motility Lab

“…As such, there is growing interest to standardize motility curricula for fellowship programs, and develop certification and credentialing processes for providers interpreting motility studies. 4 At present, societies including the American Neurogastroenterology and Motility Society, American Foregut Society, American College of Gastroenterology, and American Gastroenterological Association offer hands-on workshops on study interpretation.…”

Irritable bowel syndrome: from young to older age

“…The transition of care is an important topic that deserves to be analyzed, and guidelines should be established considering that IBS is a chronic, long-standing disorder that may start in childhood and continue into adulthood, and diagnostic criteria may differ between children and adults 38 . Understanding risk factors that have been discussed previously, such as early life events, the role of family and enteric infections is important for the adult health-care provider 9 .…”