How to raise the interest for neurogastroenterology among young gastroenterologists?

Melchior, Chloé; Nuzzo, Alexandre; Keszthelyi, Dániel

doi:10.1002/ueg2.12174

Cited by 13 publications

(20 citation statements)

References 33 publications

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“…It is perceived by young doctors as less prestigious than endoscopy, inflammatory bowel disease, hepatology, or GI cancer. Remuneration for clinical practice and funding for research in neurogastroenterology are low compared to the other fields 18,23 . Many DGBI patients are seen as posing difficult challenges to their provider, who may perceive their relationship with these patients as frustrating and not professionally satisfying.…”

Section: Discussionmentioning

confidence: 99%

“…These concerns have also been echoed by gastroenterology trainees across Australia, Europe, and the United States, and are likely to resonate across the globe. 16 , 17 , 18 A recent survey of gastroenterology trainees within the United States reported that (a) ∼50% have sometimes witnessed dismissive attitudes from their attendings and peers towards patients with DGBI, (b) ∼21% felt frustrated or burnt out when seeing patients with DGBI, (c) ∼40% preferred not to see a patient with DGBI, and (d) ∼27% felt uncomfortable titrating neuromodulators. 19 A lack of familiarity can lead to incorrect diagnosis and management, and perhaps a perception that these disorders lack importance, culminating in suboptimal care.…”

Section: Discussionmentioning

confidence: 99%

“…Remuneration for clinical practice and funding for research in neurogastroenterology are low compared to the other fields. 18 , 23 Many DGBI patients are seen as posing difficult challenges to their provider, who may perceive their relationship with these patients as frustrating and not professionally satisfying. This further diminishes the incentive to specialize in this field.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, it The inadequate provision of medical education and training seen in the field of neurogastroenterology may be associated with the relatively low adoption of this speciality as a career choice. [16][17][18] It is perceived by young doctors as less prestigious than endoscopy, inflammatory bowel disease, hepatology, or GI cancer. Remuneration for clinical practice and funding for research in neurogastroenterology are low compared to the other fields.…”

Section: Teaching Of Dgbi Within the British Medical Education Systemmentioning

confidence: 99%

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Disorders of gut‐brain interaction: Highly prevalent and burdensome yet under‐taught within medical education

et al. 2022

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Background and Objective: To determine the population prevalence and associated health impairment of disorders of gut-brain interaction (DGBI) across Great Britain, and the emphasis placed upon them within medical education.Methods: An Internet-based cross-sectional health survey was completed by 1906 general population adults across Great Britain without self-reported organic GI disease. The survey enquired for demographics, symptom-based criteria for Rome IV DGBI, healthcare use, non-GI somatic symptoms, and quality of life. As a separate analysis, we evaluated which DGBI are considered core knowledge at undergraduate medical school level and post-graduate specialization level for Gastroenterologists and General Practitioners. Results:The overall prevalence of DGBI across Great Britain was 37%, being similar for England (37%), Scotland (33%), and Wales (36%); p = 0.66. There was no difference between English regions (range 33%-43%, p = 0.26). The prevalence of DGBI was highest in those aged 18-40 years (40%), then 40-64 years (37%), and least amongst those ≥65 years (29%); p < 0.001. The most common DGBI were bowel disorders (30%), followed by gastroduodenal (10.5%), anorectal (8.1%) and oesophageal disorders (6.2%). Individuals with DGBI were significantly more likely than those without DGBI to have increased GI-related healthcare visits, medication use, surgical interventions, non-GI somatic symptoms, and reduced quality of life. One-in-three people with DGBI had multiple GI organ regions involved and this correlated with increased health impairment (p < 0.001).The only DGBI mentioned across all medical training curricula is irritable bowel syndrome, while the General Practitioner and Gastroenterology Curricula also recognise the outdated term non-ulcer dyspepsia (as opposed to functional dyspepsia). The 2010 Gastroenterology Curriculum also includes functional constipation and disordered defecation, with the incoming 2022 iteration adding inThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Teaching Of Dgbi Within the British Medical Education Systemmentioning

confidence: 99%

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Disorders of gut‐brain interaction: Highly prevalent and burdensome yet under‐taught within medical education

et al. 2022

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“…After agreeing on my stay for one year, starting in summer 2020, we started looking for funding. Unfortunately, neurogastroenterology is not the most recognized field in our specialty and it would have been much easier to find funds for an internship in other subspecialties such as Oncology, Endoscopy or Inflammatory Bowel Disease 5 . In France, there was only one grant I could apply for, from the French Society of Gastroenterology, unfortunately, I got a negative answer.…”

Section: Ueg Research Fellowship 2020—chloé's Experiencementioning

confidence: 99%