The Path Forward: Assessing a Pilot Competency-Based Curriculum on Disorders of Gut-Brain Interaction for Gastroenterology Trainees.

Abstract

There is the lack of representation of disorders of gut-brain interaction in postgraduate curricula in both Europe and the United States, resulting in a knowledge gap and discomfort of general gastroenterologists in managing these highly prevalent conditions. We report findings from a pilot competency-based curriculum focused on principles of managing DGBI across six U.S. adult fellowship programs with no pre-existing curricula and found that a didactic based curriculum can significantly improve medical knowledge; however, there was no significant change in attitudes towards patients with DGBI. This mini review contextualizes these findings and highlights practical challenges surrounding DGBI content integration during gastroenterology training. We propose future initiatives such as scalable curricula on a national level that consciously focus on the intentional cultivation of the attitudes and skills to improve patient outcomes as well as separate initiatives to ensure continuous faculty development.