Training the gastroenterologist of the future: The Gastroenterology Core Curriculum

Ryen, Rebecca; Friedman, Lawrence M.; Gress, Frank G.; Kaplan, Lee M.; Katz, Philip O.; Ouyang, Ann; Richter, Joel E.; Rosen, Hugo R.; Sherman, K.E.; Feldman, Mark; Lee, Sum P.; Banks, Peter F.; Boland, C. Richard; Ahnen, Dennis J.; Burt, Randall W.; Itzkowitz, Steven H.; Bass, Nathan M.; Brown, Russell D.; Stevens, Peter D.; Klein, Samuel J.; Aranda-Michel, Jamie; Buchman, Alan L.; Floch, Martin H.; Heizer, William D.; Winter, Harland S.; Scharschmidt, Bruce F.; Brenner, David A.; Hoofnagle, Jay H.; Hulley, Stephen B.; Lieberman, David A.; Peura, David A.; Benya, Richard V.; McGuigan, James E.; Rao, Mrinalini C.; Sternini, Catia; Valentine, John F.; Hall, Karen E.; Bashar, Attar M; Holt, Peter R.; Lee, Makau; Prather, Charlene M.; Proctor, Deborah D.; Anderson, James M.; Fisher, Rose Marie L.; Wolf, Jacqueline L.

doi:10.1053/gast.2003.50160

Cited by 43 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The American Association for the Study of Liver Disease recommended a minimum of 40 LBs under supervision [ 17 ], while NASPGHAN recommended a minimum of 20 LBs performed independently, of which half should be in infants and children aged <3 years [ 18 ]. A similar number of LBs was also recommended by the American Gastroenterology Association in “Training the Gastroenterologist for the Future” [ 19 ]. A minimum number of 50 procedures was recommended by the British and Irish Committee on Higher Medical Training [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Training in pediatric hepatology across Europe: a survey of the National Societies Network (2016-2019) of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition

Papadopoulou¹

2022

aog

View full text Add to dashboard Cite

Background The widely recognized burden of liver diseases makes training in pediatric hepatology (PH) imperative. The aim of this survey, which was part of a global survey on training in pediatric gastroenterology, hepatology and nutrition (PGHN) across Europe, was to assess the PH and liver transplantation (LT) infrastructure, staff and training programs in PGHN training centers. Method Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Network of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) from June 2016 to December 2019. Results A total of 100 PGHN training centers participated in the survey (14/100 were national referral centers in PH and/or LT). Dedicated PH clinics were available in 75%, but LT clinics in only 11%. Dedicated beds for PGHN inpatients were available in 47/95 (49%) centers. Full-time or part-time specialists for PH care were available in 31/45 (69%) and 11/36 (31%) centers, respectively. Liver biopsies (LB) were performed in 93% of centers by: a PGHN specialist (35%); an interventional radiologist (26%); a pediatric surgeon (4%); or a combination of them (35%). Dividing the annual number of LBs in the centers performing LBs by the number of trainees gave a median (range) of 10 (1-125) per trainee. Transient elastography was available in 60/92 (65%) of centers. Conclusions The survey highlighted the differences and shortcomings in PH training across Europe. ESPGHAN should take initiatives together with National Societies to ensure the acquisition of PH knowledge and skills according to the ESPGHAN curriculum. An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic-Hepatology-training-paper.pdf

show abstract

Section: Discussionmentioning

confidence: 99%

Training in pediatric hepatology across Europe: a survey of the National Societies Network (2016-2019) of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition

Papadopoulou¹

2022

aog

View full text Add to dashboard Cite

show abstract

“…The exposure of the trainees to endoscopy varies considerably amongst training centers, and is woefully inadequate in many, which can lead to barriers in obtaining adequate experience. For endoscopies, the ‘“competence threshold” endoscopy numbers recommended by ESPGHAN [ 5 ], NASPGHAN [ 4 ] and the American Society for Gastrointestinal Endoscopy for adult specialists [ 11 ] ranges from 100-130 [ 11 ] upper endoscopies and from 50 [ 5 ] to 275 [ 11 ] ileo-colonoscopies. Although the minimum numbers are achieved in many PGHN training centers in Europe, the estimation that trainees perform only ~30% of the endoscopies performed at a training center, reported recently in a survey published in abstract form [ 12 ], suggests that a considerable number of trainees may receive suboptimal procedural training.…”

Section: Discussionmentioning

confidence: 99%

Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019

Papadopoulou¹

2022

aog

View full text Add to dashboard Cite

Background This survey evaluated the effects of the recognition of pediatric gastroenterology, hepatology and nutrition (PGHN) on European PGHN training centers. Method Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Network of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition, from June 2016 to December 2019. Results A total of 100 training centers from 19 countries participated in the survey: 55 from 12 countries where PGHN is formally recognized (Group 1) and 45 from 7 countries where it is not (Group 2). Training centers in Group 2 were less likely to have an integrated endoscopy suite, a written training curriculum and a training lead (P=0.059, P<0.001 and P=0.012, respectively). Trainees in Group 2 were less likely to be exposed to an adequate number of diagnostic endoscopies, while no differences were found in relation to liver biopsies. Half of the training centers in both Groups do not have dedicated beds for PGHN patients, while in 64% and 58%, respectively, trainees do not participate in on-call programs for PGHN emergencies. Research training is mandatory in 26% of the centers. The duration of training, as well as the assessment and accreditation policies, vary between countries. Conclusions This study has revealed significant discrepancies and gaps in infrastructure and training programs, training leadership, and assessment of training and certification across European training centers in PGHN. Strategies to support the recognition of PGHN and to standardize and improve training conditions should be developed and implemented. An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic_AG-6496.pdf

show abstract

“…The American Gastroenterological Association (AGA) encourages trainees to master physiological characteristics such as bile component and bile flow regulation, gallbladder and bile duct movement regulation, and anatomical knowledge and exocrine and endocrine function of the pancreas [ 6 ].…”

Section: Anatomy and Physiology Of The Pancreas And Biliary Tractmentioning

confidence: 99%

Training in Endoscopy: Endoscopic Retrograde Cholangiopancreatography

Kim

2017

Clin Endosc

View full text Add to dashboard Cite

Endoscopic retrograde cholangiopancreatography (ERCP) is a key endoscopy skill used to diagnose and treat pancreatobiliary diseases. However, its diagnostic use is decreasing in favor of other less invasive methods such as magnetic resonance cholangiopancreatography and endoscopic ultrasound. Alternatively, its use has become more important in the therapeutic area. ERCP trainees must know the anatomy and physiology of the pancreatobiliary system, several key basic skills, and complications of a successful procedure. This article briefly introduces basic ERCP knowledge, techniques, numbers necessary to achieve competency, and complications for new ERCP operators.

show abstract

Training the gastroenterologist of the future: The Gastroenterology Core Curriculum

Cited by 43 publications

References 0 publications

Training in pediatric hepatology across Europe: a survey of the National Societies Network (2016-2019) of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition

Training in pediatric hepatology across Europe: a survey of the National Societies Network (2016-2019) of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition

Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019

Training in Endoscopy: Endoscopic Retrograde Cholangiopancreatography

Contact Info

Product

Resources

About