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Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019
A. Papadopoulou, C. Ribes-Koninckx, A. Baker, M. Noni, E. Koutri, MV. Karagianni, S. Protheroe, A. Guarino, E. Mas, M. Wilschanski, E. Roman, J. Escher, RI. Furlano, C. Posovszky, I. Hoffman, G. Veres, J. Bronsky, AC. Hauer, D. Tjesic-Drinkovic,...
Jazyk angličtina Země Řecko
Typ dokumentu časopisecké články
NLK
Free Medical Journals
od 2000
Open Journal Systems (OJS)
od 2000
PubMed Central
od 2011
Open Access Digital Library
od 2011-01-01
PubMed
35599923
DOI
10.20524/aog.2022.0711
Knihovny.cz E-zdroje
- Publikační typ
- časopisecké články MeSH
Background: This survey evaluated the effects of the recognition of pediatric gastroenterology, hepatology and nutrition (PGHN) on European PGHN training centers. Method: Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Network of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition, from June 2016 to December 2019. Results: A total of 100 training centers from 19 countries participated in the survey: 55 from 12 countries where PGHN is formally recognized (Group 1) and 45 from 7 countries where it is not (Group 2). Training centers in Group 2 were less likely to have an integrated endoscopy suite, a written training curriculum and a training lead (P=0.059, P<0.001 and P=0.012, respectively). Trainees in Group 2 were less likely to be exposed to an adequate number of diagnostic endoscopies, while no differences were found in relation to liver biopsies. Half of the training centers in both Groups do not have dedicated beds for PGHN patients, while in 64% and 58%, respectively, trainees do not participate in on-call programs for PGHN emergencies. Research training is mandatory in 26% of the centers. The duration of training, as well as the assessment and accreditation policies, vary between countries. Conclusions: This study has revealed significant discrepancies and gaps in infrastructure and training programs, training leadership, and assessment of training and certification across European training centers in PGHN. Strategies to support the recognition of PGHN and to standardize and improve training conditions should be developed and implemented.An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic_AG-6496.pdf.
Birmingham Children's Hospital NHS Foundation Trust Birmingham United Kingdom
Department of Pediatric Gastroenterology Leuven University Hospital Leuven Belgium
Department of Pediatrics and Adolescent Medicine University Medical Center Ulm Ulm Germany
Department of Pediatrics Aristotle University of Thessaloniki Thessaloniki Greece
Department of Pediatrics Medical University of Graz Graz Austria
Department of Pediatrics Saint Marina University hospital Varna Bulgaria
Department of Pediatrics University Hospital Motol Prague Czech Republic
Gastroenterology Hepatology and Liver Transplant Queensland Children's Hospital Brisbane Australia
Pediatric Gastroenterology Unit La Fe University Hospital Valencia Spain
Pediatric Gastroenterology Unit University Hospital Puerta de Hierro Majadahonda Madrid Spain
Pediatric Institute Clinic University of Debrecen Debrecen Hungary
Pediatric Liver Center King's College Hospital London United Kingdom
Sheffield Children's Hospital NHS Foundation Trust Sheffield United Kingdom
Vilnius University Clinic of Children's Diseases Vilnius Lithuania
Citace poskytuje Crossref.org
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- $a Papadopoulou, Alexandra $u Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Children's Hospital Agia Sofia, Athens, Greece (Alexandra Papadopoulou, Maria Noni, Eleni Koutri, Maria-Vasiliki Karagianni)
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- $a Background: This survey evaluated the effects of the recognition of pediatric gastroenterology, hepatology and nutrition (PGHN) on European PGHN training centers. Method: Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Network of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition, from June 2016 to December 2019. Results: A total of 100 training centers from 19 countries participated in the survey: 55 from 12 countries where PGHN is formally recognized (Group 1) and 45 from 7 countries where it is not (Group 2). Training centers in Group 2 were less likely to have an integrated endoscopy suite, a written training curriculum and a training lead (P=0.059, P<0.001 and P=0.012, respectively). Trainees in Group 2 were less likely to be exposed to an adequate number of diagnostic endoscopies, while no differences were found in relation to liver biopsies. Half of the training centers in both Groups do not have dedicated beds for PGHN patients, while in 64% and 58%, respectively, trainees do not participate in on-call programs for PGHN emergencies. Research training is mandatory in 26% of the centers. The duration of training, as well as the assessment and accreditation policies, vary between countries. Conclusions: This study has revealed significant discrepancies and gaps in infrastructure and training programs, training leadership, and assessment of training and certification across European training centers in PGHN. Strategies to support the recognition of PGHN and to standardize and improve training conditions should be developed and implemented.An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic_AG-6496.pdf.
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