Pediatr Gastroenterol Hepatol Nutr.
2024 Jul;27(4):258-265. 10.5223/pghn.2024.27.4.258.
Current Pediatric Endoscopy Training Situation in the Asia-Pacific Region: A Collaborative Survey by the Asian Pan-Pacific Society for Pediatric Gastroenterology, Hepatology and Nutrition Endoscopy Scientific Subcommittee
- Ukarapol N
1 - Tanatip N1
- Sharma A2
- Vitug-Sales M3
- Lopez RN4
- Malik R5
- Ng RT6
- Umetsu S7
- Getsuwan S8
- Lui TYS9
- Yang YJ10
- Lee YJ11
- Arai K12
- Kim KM13
- the APPSPGHAN Endoscopy Scientific Subcommittee
- Affiliations
-
- 1Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
- 2Department of Pediatrics and Pediatric Gastroenterology, Fiona Stanley Hospital, Joondalup Health Campus and SJOG Midland, Curtin Medical School, Murdoch, Australia
- 3Department of Pediatrics, Makati Medical Center, Makati City, Manila, Philippines
- 4Department of Pediatrics, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
- 5Division of Pediatric Gastroenterology and Hepatology, All India Institute of Medical Sciences, New Delhi, India
- 6Department of Pediatrics, University of Malaya, Kuala Lumpur, Malaysia
- 7Department of Pediatric Hepatology and Gastroenterology, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan
- 8Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
- 9Department of Pediatrics and Adolescent Medicine, Hong Kong Children’s Hospital, Kowloon Bay, Hong Kong
- 10Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan
- 11Department of Pediatrics, Pusan National University Children’s Hospital, Pusan National University College of Medicine, Yangsan, Korea
- 12Division of Gastroenterology, National Center for Child Health and Development, Tokyo, Japan
- 13Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Korea
- KMID: 2558124
- DOI: http://doi.org/10.5223/pghn.2024.27.4.258
Abstract
- Purpose
To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement.
Methods
A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024.
Results
A total of 57 medical centers in 12 countries offering formal Pediatric Gastroenterology training programs participated in this regional survey. More than 75% of the centers had an average case load of <10 cases per week for both diagnostic and therapeutic endoscopies. Only 36% of the study programs employed competency-based outcomes for program development, whereas nearly half (48%) used volume-based curricula. Foreign body retrieval, polypectomy, percutaneous endoscopic gastrostomy, and esophageal variceal hemostasis, that is, sclerotherapy or band ligation (endoscopic variceal sclerotherapy and endoscopic variceal ligation), comprised the top four priorities that the trainees should acquire in the autonomous stage (unconscious) of competence. Regarding the learning environment, only 31.5% provided formal hands-on workshops/simulation training. The direct observation of procedural skills was the most commonly used assessment method. The application of a quality assurance (QA) system in both educational and patient care (Pediatric Endoscopy Quality Improvement Network) aspects was present in only 28% and 17% of the centers, respectively.
Conclusion
Compared with Western academic societies, the limited availability of cases remains a major concern. To close this gap, simulation and adult endoscopy training are essential. The implementation of reliable and valid assessment tools and QA systems can lead to significant development in future programs.
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