Current Pediatric Endoscopy Training Situation in the Asia-Pacific Region: A Collaborative Survey by the Asian Pan-Pacific Society for Pediatric Gastroenterology, Hepatology and Nutrition Endoscopy Scientific Subcommittee
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Purpose: To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement. Methods: A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024. Results: A total of 57 medical centers in 12 countries offering formal Pediatric Gastroenterology training programs participated in this regional survey. More than 75% of the centers had an average case load of <10 cases per week for both diagnostic and therapeutic endoscopies. Only 36% of the study programs employed competency-based outcomes for program development, whereas nearly half (48%) used volume-based curricula. Foreign body retrieval, polypectomy, percutaneous endoscopic gastrostomy, and esophageal variceal hemostasis, that is, sclerotherapy or band ligation (endoscopic variceal sclerotherapy and endoscopic variceal ligation), comprised the top four priorities that the trainees should acquire in the autonomous stage (unconscious) of competence. Regarding the learning environment, only 31.5% provided formal hands-on workshops/simulation training. The direct observation of procedural skills was the most commonly used assessment method. The application of a quality assurance (QA) system in both educational and patient care (Pediatric Endoscopy Quality Improvement Network) aspects was present in only 28% and 17% of the centers, respectively. Conclusion: Compared with Western academic societies, the limited availability of cases remains a major concern. To close this gap, simulation and adult endoscopy training are essential. The implementation of reliable and valid assessment tools and QA systems can lead to significant development in future programs.
Abstract
Purpose: To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement. Methods: A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024. Results: A total of 57 medical centers in 12 countries offering formal Pediatric Gastroenterology training programs participated in this regional survey. More than 75% of the centers had an average case load of <10 cases per week for both diagnostic and therapeutic endoscopies. Only 36% of the study programs employed competency-based outcomes for program development, whereas nearly half (48%) used volume-based curricula. Foreign body retrieval, polypectomy, percutaneous endoscopic gastrostomy, and esophageal variceal hemostasis, that is, sclerotherapy or band ligation (endoscopic variceal sclerotherapy and endoscopic variceal ligation), comprised the top four priorities that the trainees should acquire in the autonomous stage (unconscious) of competence. Regarding the learning environment, only 31.5% provided formal hands-on workshops/simulation training. The direct observation of procedural skills was the most commonly used assessment method. The application of a quality assurance (QA) system in both educational and patient care (Pediatric Endoscopy Quality Improvement Network) aspects was present in only 28% and 17% of the centers, respectively. Conclusion: Compared with Western academic societies, the limited availability of cases remains a major concern. To close this gap, simulation and adult endoscopy training are essential. The implementation of reliable and valid assessment tools and QA systems can lead to significant development in future programs.
참고문헌 (15)
- Lee WS, "Management and monitoring of pediatric inflammatory bowel disease in the Asia-Pacific region : a position paper by the Asian Pan-Pacific Society for Pediatric Gastroenterology, Hepatology, and Nutrition(APPSPGHAN)PIBD Working Group : surgical management, disease monitoring, and special considerations", J Gastroenterol Hepatol, 38, pp.510~522 (2023)
- van Rheenen PF, "The medical management of paediatric Crohn’s disease : an ECCO-ESPGHAN guideline update", J Crohn’s Colitis, 15, pp.171~194 (2021)
- Thomson M, "Paediatric gastrointestinal endoscopy : European Society for Paediatric Gastroenterology Hepatology and Nutrition and European Society of Gastrointestinal Endoscopy guidelines", J Pediatr Gastroenterol Nutr, 64, pp.133~153 (2017)
- Leichtner AM, "NASPGHAN guidelines for training in pediatric gastroenterology", J Pediatr Gastroenterol Nutr, 56(Suppl 1), pp.S1~8 (2013)
- Taylor JA, "The role of strategies in motor learning", Ann N Y Acad Sci, 1251, pp.1~12 (2012)
- Kuenzig ME, "Twenty-first century trends in the global epidemiology of pediatric-onset inflammatory bowel disease : systematic review", Gastroenterology, 162, pp.1147~1159 (2022)
- Maulahela H, "Simulation-based mastery learning in gastrointestinal endoscopy training", World J Gastrointest Endosc, 14, pp.512~523 (2022)
- Yodoshi T, "Pediatric endoscopy training in a community hospital in Japan", Pediatr Int, 62, pp.740~741 (2020)
- Powell DE, "Toward competency-based medical education", N Engl J Med, 378, pp.3~5 (2018)
- Scarallo L, "A journey towards pediatric gastrointestinal endoscopy and its training : a narrative review", Front Pediatr, 11, pp.1201593~ (2023)
- Walsh CM, "Training and assessment in pediatric endoscopy", Gastrointest Endosc Clin N Am, 26, pp.13~33 (2016)
- Patel SG, "Status of competency-based medical education in endoscopy training : a nationwide survey of US ACGME-accredited Gastroenterology training programs", Am J Gastroenterol, 110, pp.956~962 (2015)
- Zanchetti DJ, "Effective teaching of endoscopy : a qualitative study of the perceptions of gastroenterology fellows and attending gastroenterologists", Gastroenterol Rep(Oxf), 4, pp.125~130 (2016)
- Armstrong D, "Canadian Association of Gastroenterology consensus guidelines on safety and quality indicators in endoscopy", Can J Gastroenterol, 26, pp.17~31 (2012)
- Walsh CM, "Overview of the pediatric endoscopy quality improvement network quality standards and indicators for pediatric endoscopy : a joint NASPGHAN", ESPGHAN guideline, 2022, pp.74(Suppl 1), S3~15