Pediatric endoscopy training and ongoing assessment

Walsh, Catharine M.; Ee, Looi C.; Thomson, Mike; Lightdale, Jenifer R.

doi:10.1002/9781119423492.ch5

Cited by 1 publication

(1 citation statement)

References 47 publications

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“…Several Societies recommend a “competency threshold” for the number of procedures during PGHN training, ranging from 100 23 to 130 24 for upper endoscopies and from 50 23 to 275 24 for ileo-colonoscopies. Apart from the volume of interventions, the intensity of training and the absence of interruptions in training 25 , the use of training aids such as simulation 26 , the quality of teaching and feedback received, and a trainee's innate skills are all factors that influence the acquisition of the technical, cognitive, and integrative skills required for a more effective diagnostic, management, and therapeutic approach 27 28 . Recently, a comprehensive pediatric-specific endoscopy curriculum has been proposed that incorporates the best evidence in endoscopy skills training and a competency-based training model 2 .…”

Section: Discussionmentioning

confidence: 99%

Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019

et al. 2022

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Background and study aims The ability to perform endoscopy procedures safely and effectively is a key aspect of quality clinical care in Pediatric Gastroenterology, Hepatology and Nutrition (PGHN). The aim of this survey, which was part of a global survey on PGHN training in Europe, was to assess endoscopy training opportunities provided across Europe. Methods Responses to standardized questions related to endoscopy training were collected from training centers across Europe through the presidents/representatives of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition National Societies from June 2016 to December 2019. Results A total of 100 training centers from 19 countries participated in the survey. In 57 centers, the endoscopy suit was attached to the PGHN center, while in 23, pediatric endoscopies were performed in adult endoscopy facilities. Ninety percent of centers reported the availability of specialized endoscopy nurses and 96 % of pediatric anesthetists. Pediatric endoscopies were performed by PGHN specialists in 55 centers, while 31 centers reported the involvement of an adult endoscopist and 14 of a pediatric surgeon. Dividing the number of procedures performed at the training center by the number of trainees, ≤ 20 upper, lower, or therapeutic endoscopies per trainee per year were reported by 0 %, 23 %, and 56 % of centers, respectively, whereas ≤ 5 wireless capsule endoscopies per trainee per year by 75 %. Only one country (United Kingdom) required separate certification of competency in endoscopy. Conclusions Differences and deficiencies in infrastructure, staffing, and procedural volume, as well as in endoscopy competency assessment and certification, were identified among European PGHN training centers limiting training opportunities in pediatric endoscopy.

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