Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019
Abstract 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 trai...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2022-10-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1898-1364 |
| _version_ | 1811182572660588544 |
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| author | Alexandra Papadopoulou Carmen Ribes-Koninckx Alastair Baker Maria Noni Eleni Koutri Maria-Vasiliki Karagianni Sue Protheroe Alfredo Guarino Emmanuel Mas Michael Wilschanski Enriqueta Roman Johanna Escher Raoul I. Furlano Carsten Posovszky Ilse Hoffman Jiri Bronsky Almuthe Christine Hauer Duska Tjesic-Drinkovic Maria Fotoulaki Rok Orel Vaidotas Urbonas Aydan Kansu Miglena Georgieva Mike Thomson |
| author_facet | Alexandra Papadopoulou Carmen Ribes-Koninckx Alastair Baker Maria Noni Eleni Koutri Maria-Vasiliki Karagianni Sue Protheroe Alfredo Guarino Emmanuel Mas Michael Wilschanski Enriqueta Roman Johanna Escher Raoul I. Furlano Carsten Posovszky Ilse Hoffman Jiri Bronsky Almuthe Christine Hauer Duska Tjesic-Drinkovic Maria Fotoulaki Rok Orel Vaidotas Urbonas Aydan Kansu Miglena Georgieva Mike Thomson |
| author_sort | Alexandra Papadopoulou |
| collection | DOAJ |
| description | Abstract
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. |
| first_indexed | 2024-04-11T09:34:03Z |
| format | Article |
| id | doaj.art-0ba07c8da7574066b9eb62451805a141 |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-04-11T09:34:03Z |
| publishDate | 2022-10-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-0ba07c8da7574066b9eb62451805a1412022-12-22T04:31:46ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362022-10-011010E1371E137910.1055/a-1898-1364Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019Alexandra Papadopoulou0Carmen Ribes-Koninckx1Alastair Baker2Maria Noni3Eleni Koutri4Maria-Vasiliki Karagianni5Sue Protheroe6Alfredo Guarino7Emmanuel Mas8Michael Wilschanski9Enriqueta Roman10Johanna Escher11Raoul I. Furlano12Carsten Posovszky13Ilse Hoffman14Jiri Bronsky15Almuthe Christine Hauer16Duska Tjesic-Drinkovic17Maria Fotoulaki18Rok Orel19Vaidotas Urbonas20Aydan Kansu21Miglena Georgieva22Mike Thomson23Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Childrenʼs Hospital Agia Sofia, Athens, GreecePediatric Gastroenterology Unit, La Fe University Hospital, Valencia, SpainPediatric Liver Center, Kingʼs College Hospital, London, United KingdomDivision of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Childrenʼs Hospital Agia Sofia, Athens, GreeceDivision of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Childrenʼs Hospital Agia Sofia, Athens, GreeceDivision of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Childrenʼs Hospital Agia Sofia, Athens, GreeceBirmingham Childrenʼs Hospital, NHS Foundation Trust, Birmingham, United KingdomDepartment of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, ItalyUnit of Gastroenterology, Hepatology, Nutrition, Diabetes, and Inborn Errors of Metabolism, Children Hospital, Toulouse University Hospital, Toulouse, FrancePediatric Gastroenterology Unit, Department of Pediatrics, Hadassah University Hospitals, Jerusalem, IsraelPediatric Gastroenterology Unit, University Hospital Puerta de Hierro-Majadahonda, Madrid, SpainDepartment of Pediatric Gastroenterology, Erasmus MC-Sophia Childrenʼs Hospital, Rotterdam, The NetherlandsDivision of Pediatric Gastroenterology and Nutrition, University Childrenʼs Hospital, Basel, SwitzerlandDepartment of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, GermanyDepartment of Pediatric Gastroenterology, Leuven University Hospital, Leuven, BelgiumDepartment of Pediatrics, University Hospital Motol, Prague, Czech RepublicDepartment of Pediatrics, Medical University of Graz, Graz, AustriaUniversity Hospital Center Zagreb – Division for Pediatric Gastroenterology, Hepatology and Nutrition & University of Zagreb School of Medicine, Zagreb, Croatia4th Department of Pediatrics, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Gastroenterology, Hepatology and Nutrition, Ljubljana University Childrenʼs Hospital, Ljubljana, SloveniaVilnius University Clinic of Childrenʼs Diseases, Vilnius, LithuaniaDivision of Pediatric Gastroenterology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey2nd Department of Pediatrics, Saint Marina University hospital, Varna, BulgariaSheffield Childrenʼs Hospital NHS Foundation Trust, Sheffield, United KingdomAbstract 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.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1898-1364 |
| spellingShingle | Alexandra Papadopoulou Carmen Ribes-Koninckx Alastair Baker Maria Noni Eleni Koutri Maria-Vasiliki Karagianni Sue Protheroe Alfredo Guarino Emmanuel Mas Michael Wilschanski Enriqueta Roman Johanna Escher Raoul I. Furlano Carsten Posovszky Ilse Hoffman Jiri Bronsky Almuthe Christine Hauer Duska Tjesic-Drinkovic Maria Fotoulaki Rok Orel Vaidotas Urbonas Aydan Kansu Miglena Georgieva Mike Thomson Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019 Endoscopy International Open |
| title | Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019 |
| title_full | Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019 |
| title_fullStr | Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019 |
| title_full_unstemmed | Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019 |
| title_short | Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016–2019 |
| title_sort | pediatric endoscopy training across europe a survey of the espghan national societies network 2016 2019 |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1898-1364 |
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