J Korean Acad Fam Med.  2000 Feb;21(2):186-193.

Residency training guideline for esophagogastroduodenoscopy skills in family practice

• Kim YS
• Sung NJ
• Park KH

Abstract

BACKGROUND
Esophagogastroduodenoscopy(EGD) is a useful diagnostic procedure and an important basic skill in family practice residency program. But currently we have no guidelines for EGD training in family practice residency program.
METHODS
In March 1999, we mailed a self-administered questionnaire to the residency directors of all KAFM-accredited family practice residency programs. 63 out of 109 programs responded to the questionnaire(57.8%).
RESULTS
Among the total of 63 hospitals that responded to the questionnaire, secondary hospitals were 55.6% and tertiary or university hospitals were 44.4%. 98.4% reported that their residents receive training to perform EGD. 57.1% of the total received training to perform EGD during internal medicine training. EGD was performed by family physicians in 38.1% of total family practice residency programs. In the majority of these programs(34.9%, cumulative percent 74.6%), the minimal requirements for technical skills in EGD training were 50 cases and for both technical skills and cognitive skills at least 100 cases of EGD(41.3%, cumulative percent 79.3% was necessary). The most difficult component during EGD procedure seemed to be esophageal intubation followed by retroflexed maneuver and entering the pylorus in series.
CONCLUSION
To perform EGD in primary care, it is required for trainee to perform at least 50 cases of EGD under supervision in a family practice residency program.

Keyword

gastroscopy; education; family practice

MeSH Terms

Education
Endoscopy, Digestive System*
Family Practice*
Gastroscopy
Hospitals, University
Humans
Internal Medicine
Internship and Residency*
Intubation
Organization and Administration
Physicians, Family
Postal Service
Primary Health Care
Pylorus
Surveys and Questionnaires