A journey towards pediatric gastrointestinal endoscopy and its training: a narrative review

Background and aimsGastrointestinal (GI) endoscopy in pediatric setting has unique features and, therefore, requires an approach that is tailored to pediatric practice. There is still heterogeneity between training programs worldwide in terms of duration, number of procedures and assessment during a...

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Main Authors: Luca Scarallo, Giusy Russo, Sara Renzo, Paolo Lionetti, Salvatore Oliva
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1201593/full
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author Luca Scarallo
Luca Scarallo
Giusy Russo
Sara Renzo
Paolo Lionetti
Paolo Lionetti
Salvatore Oliva
author_facet Luca Scarallo
Luca Scarallo
Giusy Russo
Sara Renzo
Paolo Lionetti
Paolo Lionetti
Salvatore Oliva
author_sort Luca Scarallo
collection DOAJ
description Background and aimsGastrointestinal (GI) endoscopy in pediatric setting has unique features and, therefore, requires an approach that is tailored to pediatric practice. There is still heterogeneity between training programs worldwide in terms of duration, number of procedures and assessment during and at the end of the training process.MethodsWe conducted a narrative review aiming to describe and summarize the existing literature on the various training methods for pediatric GI endoscopy to highlight the significance of specific pediatric endoscopy training.ResultsSimulation-based tools have been implemented in several training programs, providing a safer learning environment for trainees, especially in their earlier stages of training. Assessment of competence is gradually shifting from the sole evaluation of procedural numbers towards the development of more reliable and valid tools that can accurately measure technical competence. Despite such seismic shift, there is still a need for a standardized and comprehensive pediatric-oriented endoscopy curriculum that incorporates acquisition of procedural skills education and is built on the current competency-based model of training. All the above must sink their roots in trainees and to ensure that the endoscopists of tomorrow are capable of delivering high quality of care for children undergoing endoscopy.ConclusionIt is crucial to parallelly focus on the way trainers teach trainees. In this context, the implementation of “train the trainers” courses has improved important quality meters in GI endoscopy. Future research should put the focus on the potential subsequent favorable benefits of these changes on child health.
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spelling doaj.art-4cc6a086123f43f4831d751e3d2632172023-07-28T13:57:17ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-07-011110.3389/fped.2023.12015931201593A journey towards pediatric gastrointestinal endoscopy and its training: a narrative reviewLuca Scarallo0Luca Scarallo1Giusy Russo2Sara Renzo3Paolo Lionetti4Paolo Lionetti5Salvatore Oliva6Gastroenterology and Nutrition Unit, Meyer Children Hospital IRCCS, Florence, ItalyDepartment of NEUROFARBA, University of Florence, Florence, ItalyPediatric Gastroenterology and Liver Unit, Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, ItalyGastroenterology and Nutrition Unit, Meyer Children Hospital IRCCS, Florence, ItalyGastroenterology and Nutrition Unit, Meyer Children Hospital IRCCS, Florence, ItalyDepartment of NEUROFARBA, University of Florence, Florence, ItalyPediatric Gastroenterology and Liver Unit, Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, ItalyBackground and aimsGastrointestinal (GI) endoscopy in pediatric setting has unique features and, therefore, requires an approach that is tailored to pediatric practice. There is still heterogeneity between training programs worldwide in terms of duration, number of procedures and assessment during and at the end of the training process.MethodsWe conducted a narrative review aiming to describe and summarize the existing literature on the various training methods for pediatric GI endoscopy to highlight the significance of specific pediatric endoscopy training.ResultsSimulation-based tools have been implemented in several training programs, providing a safer learning environment for trainees, especially in their earlier stages of training. Assessment of competence is gradually shifting from the sole evaluation of procedural numbers towards the development of more reliable and valid tools that can accurately measure technical competence. Despite such seismic shift, there is still a need for a standardized and comprehensive pediatric-oriented endoscopy curriculum that incorporates acquisition of procedural skills education and is built on the current competency-based model of training. All the above must sink their roots in trainees and to ensure that the endoscopists of tomorrow are capable of delivering high quality of care for children undergoing endoscopy.ConclusionIt is crucial to parallelly focus on the way trainers teach trainees. In this context, the implementation of “train the trainers” courses has improved important quality meters in GI endoscopy. Future research should put the focus on the potential subsequent favorable benefits of these changes on child health.https://www.frontiersin.org/articles/10.3389/fped.2023.1201593/fullpediatric endoscopytraining in pediatric endoscopycompetency-based trainingtraining the trainersassessment of competence
spellingShingle Luca Scarallo
Luca Scarallo
Giusy Russo
Sara Renzo
Paolo Lionetti
Paolo Lionetti
Salvatore Oliva
A journey towards pediatric gastrointestinal endoscopy and its training: a narrative review
Frontiers in Pediatrics
pediatric endoscopy
training in pediatric endoscopy
competency-based training
training the trainers
assessment of competence
title A journey towards pediatric gastrointestinal endoscopy and its training: a narrative review
title_full A journey towards pediatric gastrointestinal endoscopy and its training: a narrative review
title_fullStr A journey towards pediatric gastrointestinal endoscopy and its training: a narrative review
title_full_unstemmed A journey towards pediatric gastrointestinal endoscopy and its training: a narrative review
title_short A journey towards pediatric gastrointestinal endoscopy and its training: a narrative review
title_sort journey towards pediatric gastrointestinal endoscopy and its training a narrative review
topic pediatric endoscopy
training in pediatric endoscopy
competency-based training
training the trainers
assessment of competence
url https://www.frontiersin.org/articles/10.3389/fped.2023.1201593/full
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