Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016-2019
Status PubMed-not-MEDLINE Jazyk angličtina Země Německo Médium electronic-ecollection
Typ dokumentu časopisecké články
PubMed
36262519
PubMed Central
PMC9576335
DOI
10.1055/a-1898-1364
Knihovny.cz E-zdroje
- Publikační typ
- časopisecké články MeSH
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 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
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
Vilnius University Clinic of Children's Diseases Vilnius Lithuania
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