Cargando…
Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea
BACKGROUND: Although endoscopic submucosal dissection (ESD) is widely used, the current status and trend in its training have yet to be fully evaluated. We aimed to investigate how ESD endoscopists have been trained in actual clinical practice. METHODS: Endoscopists aged <45 years who have comple...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209322/ https://www.ncbi.nlm.nih.gov/pubmed/32384112 http://dx.doi.org/10.1371/journal.pone.0232691 |
_version_ | 1783531051171184640 |
---|---|
author | Lee, Jae Gon Park, Chan Hyuk Chung, Hyunsoo Park, Jun Chul Kim, Do Hoon Lee, Bo-In Byeon, Jeong-Sik Jung, Hwoon-Yong |
author_facet | Lee, Jae Gon Park, Chan Hyuk Chung, Hyunsoo Park, Jun Chul Kim, Do Hoon Lee, Bo-In Byeon, Jeong-Sik Jung, Hwoon-Yong |
author_sort | Lee, Jae Gon |
collection | PubMed |
description | BACKGROUND: Although endoscopic submucosal dissection (ESD) is widely used, the current status and trend in its training have yet to be fully evaluated. We aimed to investigate how ESD endoscopists have been trained in actual clinical practice. METHODS: Endoscopists aged <45 years who have completed a gastroenterology fellowship or were currently in a fellowship for ≥2 years were included. We conducted a nationwide survey on the ESD training experiences of these endoscopists. RESULTS: Among 79 young Korean endoscopists invited to participate in the survey, 68 (86.1%) trained in 24 major hospitals responded to the questionnaire. Twenty, 25, and 23 participants belonged to the second-year fellow, <5 years after training, and ≥5 years after training groups, respectively. Sixty-nine percent of the participants observed ≥50 ESD cases before starting ESD under supervision by an expert endoscopist. Additionally, 22% experienced ≥20 supervised ESDs during the training period. The proportion of the participants who underwent a hands-on course differed among the groups (≥5 years after training, 13.0%; <5 years after training, 40.0%; and second-year fellow, 50.0%; P = 0.027). ESD under supervision, observation, and hands-on course were the preferred methods for learning ESD (91.1%, 80.9%, and 35.3%, respectively). Overall, 42.6% of the participants were satisfied with their training program. More experience in supervised ESD (≥20 cases) was associated with an increased satisfaction (odds ratio, 6.65; 95% confidence interval, 1.62–36.31). CONCLUSIONS: Observation and performance of ESD under the supervision of an expert endoscopist are the primary methods for learning ESD. Hands-on course program has been used more frequently in recent years. |
format | Online Article Text |
id | pubmed-7209322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-72093222020-05-12 Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea Lee, Jae Gon Park, Chan Hyuk Chung, Hyunsoo Park, Jun Chul Kim, Do Hoon Lee, Bo-In Byeon, Jeong-Sik Jung, Hwoon-Yong PLoS One Research Article BACKGROUND: Although endoscopic submucosal dissection (ESD) is widely used, the current status and trend in its training have yet to be fully evaluated. We aimed to investigate how ESD endoscopists have been trained in actual clinical practice. METHODS: Endoscopists aged <45 years who have completed a gastroenterology fellowship or were currently in a fellowship for ≥2 years were included. We conducted a nationwide survey on the ESD training experiences of these endoscopists. RESULTS: Among 79 young Korean endoscopists invited to participate in the survey, 68 (86.1%) trained in 24 major hospitals responded to the questionnaire. Twenty, 25, and 23 participants belonged to the second-year fellow, <5 years after training, and ≥5 years after training groups, respectively. Sixty-nine percent of the participants observed ≥50 ESD cases before starting ESD under supervision by an expert endoscopist. Additionally, 22% experienced ≥20 supervised ESDs during the training period. The proportion of the participants who underwent a hands-on course differed among the groups (≥5 years after training, 13.0%; <5 years after training, 40.0%; and second-year fellow, 50.0%; P = 0.027). ESD under supervision, observation, and hands-on course were the preferred methods for learning ESD (91.1%, 80.9%, and 35.3%, respectively). Overall, 42.6% of the participants were satisfied with their training program. More experience in supervised ESD (≥20 cases) was associated with an increased satisfaction (odds ratio, 6.65; 95% confidence interval, 1.62–36.31). CONCLUSIONS: Observation and performance of ESD under the supervision of an expert endoscopist are the primary methods for learning ESD. Hands-on course program has been used more frequently in recent years. Public Library of Science 2020-05-08 /pmc/articles/PMC7209322/ /pubmed/32384112 http://dx.doi.org/10.1371/journal.pone.0232691 Text en © 2020 Lee et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Lee, Jae Gon Park, Chan Hyuk Chung, Hyunsoo Park, Jun Chul Kim, Do Hoon Lee, Bo-In Byeon, Jeong-Sik Jung, Hwoon-Yong Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea |
title | Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea |
title_full | Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea |
title_fullStr | Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea |
title_full_unstemmed | Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea |
title_short | Current status and trend in training for endoscopic submucosal dissection: A nationwide survey in Korea |
title_sort | current status and trend in training for endoscopic submucosal dissection: a nationwide survey in korea |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209322/ https://www.ncbi.nlm.nih.gov/pubmed/32384112 http://dx.doi.org/10.1371/journal.pone.0232691 |
work_keys_str_mv | AT leejaegon currentstatusandtrendintrainingforendoscopicsubmucosaldissectionanationwidesurveyinkorea AT parkchanhyuk currentstatusandtrendintrainingforendoscopicsubmucosaldissectionanationwidesurveyinkorea AT chunghyunsoo currentstatusandtrendintrainingforendoscopicsubmucosaldissectionanationwidesurveyinkorea AT parkjunchul currentstatusandtrendintrainingforendoscopicsubmucosaldissectionanationwidesurveyinkorea AT kimdohoon currentstatusandtrendintrainingforendoscopicsubmucosaldissectionanationwidesurveyinkorea AT leeboin currentstatusandtrendintrainingforendoscopicsubmucosaldissectionanationwidesurveyinkorea AT byeonjeongsik currentstatusandtrendintrainingforendoscopicsubmucosaldissectionanationwidesurveyinkorea AT junghwoonyong currentstatusandtrendintrainingforendoscopicsubmucosaldissectionanationwidesurveyinkorea |