Training in Pediatric Gastrointestinal Endoscopy during Surgery Residency: Can Training Programs Currently Educate Proficient Pediatric Endoscopists? A Nationwide Assessment

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY
Giovanni Parente, Marco Di Mitri, T. Gargano, Mario Lima
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Abstract

Background: Technological advances in pediatric gastrointestinal (GI) endoscopy require highly specialized physicians. Therefore, proper training is fundamental. The aim of this study was to assess the level of competence of pediatric surgery residents to determine areas that should be addressed to design better training programs focused on pediatric GI endoscopy. Methods: An observational study was performed on all Italian pediatric surgery trainees that concluded the training program by the end of 2021, who were asked to answer a questionnaire about the quality of the GI endoscopy education received during their 5 years of residency. Results: 12 out 14 (86%) pediatric surgery trainees answered the questionnaire. A total of 50% (6/12) of the trainees declared they were interested in pediatric GI endoscopy, and 42% (5/12) said that they would be interested in dedicating themselves to this discipline in the future. Only 33% (4/12) of them were in a center equipped with endoscopy simulators. Among them, 17% (2/12) never took part in GI endoscopic procedures while working in centers in which GI endoscopy is performed exclusively by pediatric gastroenterologists, 25% (3/12) had never performed GI endoscopic procedures as a first operator and 17% (2/12) not even as assistant. Overall, 50% (6/12) were not satisfied with the level of education received and only 17% (2/12) declared that they felt confident enough to perform routine endoscopies alone. Conclusions: Our study highlights great inhomogeneity between different schools and some important failings. Better programs should be designed to educate proficient pediatric GI endoscopists.
外科住院医师期间的儿科胃肠内镜培训:目前的培训计划能否培养出熟练的儿科内镜医师?全国评估
背景:儿科胃肠道(GI)内窥镜检查的技术进步需要高度专业化的医生。因此,适当的培训是至关重要的。本研究的目的是评估儿科手术住院医师的能力水平,以确定应解决的领域,从而设计更好的以儿科胃肠镜为重点的培训计划。方法:对所有在2021年底前结束培训计划的意大利儿科手术受训人员进行了一项观察性研究,要求他们回答一份关于在住院5年期间接受胃肠道内窥镜检查教育质量的问卷。结果:14名儿科手术学员中有12名(86%)回答了问卷。共有50%(6/12)的受训者表示他们对儿科胃肠道内窥镜检查感兴趣,42%(5/12)的人表示他们有兴趣在未来致力于这一学科。只有33%(4/12)的患者在配备了内窥镜检查模拟器的中心。其中,17%(2/12)在儿童胃肠病学家专门进行胃肠道内镜检查的中心工作时从未参加过胃肠道内镜手术,25%(3/12)从未作为第一名操作员进行过胃肠道镜检查,17%(2/22)甚至没有作为助手进行过。总体而言,50%(6/12)的人对所接受的教育水平不满意,只有17%(2/12)表示他们有足够的信心单独进行常规内镜检查。结论:我们的研究强调了不同学校之间的巨大不均匀性和一些重要的失误。应该设计更好的项目来教育熟练的儿科胃肠道内窥镜医生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.50
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0.00%
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审稿时长
10 weeks
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