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Pediatric endoscopy training across Europe: 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, J. Bronsky, AC. Hauer, D. Tjesic-Drinkovic, M....

. 2022 ; 10 (10) : E1371-E1379. [pub] 20221017

Status neindexováno Jazyk angličtina Země Německo

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22031520

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.

2nd Department of Pediatrics Saint Marina University hospital Varna Bulgaria

4th Department of Pediatrics Aristotle University of Thessaloniki Thessaloniki Greece

Birmingham Children's Hospital NHS Foundation Trust Birmingham United Kingdom

Department of Gastroenterology Hepatology and Nutrition Ljubljana University Children's Hospital Ljubljana Slovenia

Department of Pediatric Gastroenterology Erasmus MC Sophia Children's Hospital Rotterdam The Netherlands

Department of Pediatric Gastroenterology Leuven University Hospital Leuven Belgium

Department of Pediatrics and Adolescent Medicine University Medical Center Ulm Ulm Germany

Department of Pediatrics Medical University of Graz Graz Austria

Department of Pediatrics University Hospital Motol Prague Czech Republic

Department of Translational Medical Science Section of Pediatrics University of Naples Federico 2 Naples Italy

Division of Gastroenterology and Hepatology 1st Department of Pediatrics University of Athens Children's Hospital Agia Sofia Athens Greece

Division of Pediatric Gastroenterology and Nutrition University Children's Hospital Basel Switzerland

Division of Pediatric Gastroenterology Department of Pediatrics Ankara University School of Medicine Ankara Turkey

Pediatric Gastroenterology Unit Department of Pediatrics Hadassah University Hospitals Jerusalem Israel

Pediatric Gastroenterology Unit La Fe University Hospital Valencia Spain

Pediatric Gastroenterology Unit University Hospital Puerta de Hierro Majadahonda Madrid Spain

Pediatric Liver Center King's College Hospital London United Kingdom

Sheffield Children's Hospital NHS Foundation Trust Sheffield United Kingdom

Unit of Gastroenterology Hepatology Nutrition Diabetes and Inborn Errors of Metabolism Children Hospital Toulouse University Hospital Toulouse France

University Hospital Center Zagreb Division for Pediatric Gastroenterology Hepatology and Nutrition and University of Zagreb School of Medicine Zagreb Croatia

Vilnius University Clinic of Children's Diseases Vilnius Lithuania

Citace poskytuje Crossref.org

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