Pediatric endoscopy training across Europe: a survey of the ESPGHAN National Societies Network 2016-2019.

Fecha de publicación: 17/10/2022 Fecha Ahead of Print: 17/10/2022

Autores de IIS La Fe

• 

  Carmen Ribes Koninckx

  Autor

Participantes ajenos a IIS La Fe

• Papadopoulou, Alexandra
• Baker, Alastair
• Noni, Maria
• Koutri, Eleni
• Karagianni, Maria-Vasiliki
• Protheroe, Sue
• Guarino, Alfredo
• Mas, Emmanuel
• Wilschanski, Michael
• Roman, Enriqueta
• Escher, Johanna
• Furlano, Raoul I
• Posovszky, Carsten
• Hoffman, Ilse
• Bronsky, Jiri
• Hauer, Almuthe Christine
• Tjesic-Drinkovic, Duska
• Fotoulaki, Maria
• Orel, Rok
• Urbonas, Vaidotas
• Kansu, Aydan
• Georgieva, Miglena
• Thomson, Mike

Grupos

• Enfermedad celíaca e Inmunopatología digestiva

  

  Investigador Principal

  Carmen Ribes Koninckx

• Unidad Mixta De Investigación en Nutrición de Precisión para patologías digestivas (NUTRICURA PDig)

  

  Investigador Principal

  Carmen Ribes Koninckx

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.

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Keywords

• GASTROINTESTINAL ENDOSCOPY; QUALITY INDICATORS; CLINICAL REPORT; GASTROENTEROLOGY; COMPETENCE; GUIDELINES; HEPATOLOGY; NUTRITION