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Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019
BACKGROUND: This survey evaluated the effects of the recognition of pediatric gastroenterology, hepatology and nutrition (PGHN) on European PGHN training centers. METHOD: Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Net...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hellenic Society of Gastroenterology
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062838/ https://www.ncbi.nlm.nih.gov/pubmed/35599923 http://dx.doi.org/10.20524/aog.2022.0711 |
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author | Papadopoulou, Alexandra Ribes-Koninckx, Carmen 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 Veres, Gabor Bronsky, Jiri Hauer, Almuthe Christine Tjesic-Drinkovic, Duska Fotoulaki, Maria Orel, Rok Urbonas, Vaidotas Kansu, Aydan Georgieva, Miglena Thomson, Mike Benninga, Marc Thapar, Nikhil Kelly, Deirdre Koletzko, Berthold |
author_facet | Papadopoulou, Alexandra Ribes-Koninckx, Carmen 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 Veres, Gabor Bronsky, Jiri Hauer, Almuthe Christine Tjesic-Drinkovic, Duska Fotoulaki, Maria Orel, Rok Urbonas, Vaidotas Kansu, Aydan Georgieva, Miglena Thomson, Mike Benninga, Marc Thapar, Nikhil Kelly, Deirdre Koletzko, Berthold |
author_sort | Papadopoulou, Alexandra |
collection | PubMed |
description | BACKGROUND: This survey evaluated the effects of the recognition of pediatric gastroenterology, hepatology and nutrition (PGHN) on European PGHN training centers. METHOD: Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Network of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition, from June 2016 to December 2019. RESULTS: A total of 100 training centers from 19 countries participated in the survey: 55 from 12 countries where PGHN is formally recognized (Group 1) and 45 from 7 countries where it is not (Group 2). Training centers in Group 2 were less likely to have an integrated endoscopy suite, a written training curriculum and a training lead (P=0.059, P<0.001 and P=0.012, respectively). Trainees in Group 2 were less likely to be exposed to an adequate number of diagnostic endoscopies, while no differences were found in relation to liver biopsies. Half of the training centers in both Groups do not have dedicated beds for PGHN patients, while in 64% and 58%, respectively, trainees do not participate in on-call programs for PGHN emergencies. Research training is mandatory in 26% of the centers. The duration of training, as well as the assessment and accreditation policies, vary between countries. CONCLUSIONS: This study has revealed significant discrepancies and gaps in infrastructure and training programs, training leadership, and assessment of training and certification across European training centers in PGHN. Strategies to support the recognition of PGHN and to standardize and improve training conditions should be developed and implemented. An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic_AG-6496.pdf |
format | Online Article Text |
id | pubmed-9062838 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hellenic Society of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-90628382022-05-19 Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019 Papadopoulou, Alexandra Ribes-Koninckx, Carmen 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 Veres, Gabor Bronsky, Jiri Hauer, Almuthe Christine Tjesic-Drinkovic, Duska Fotoulaki, Maria Orel, Rok Urbonas, Vaidotas Kansu, Aydan Georgieva, Miglena Thomson, Mike Benninga, Marc Thapar, Nikhil Kelly, Deirdre Koletzko, Berthold Ann Gastroenterol Original Article BACKGROUND: This survey evaluated the effects of the recognition of pediatric gastroenterology, hepatology and nutrition (PGHN) on European PGHN training centers. METHOD: Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Network of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition, from June 2016 to December 2019. RESULTS: A total of 100 training centers from 19 countries participated in the survey: 55 from 12 countries where PGHN is formally recognized (Group 1) and 45 from 7 countries where it is not (Group 2). Training centers in Group 2 were less likely to have an integrated endoscopy suite, a written training curriculum and a training lead (P=0.059, P<0.001 and P=0.012, respectively). Trainees in Group 2 were less likely to be exposed to an adequate number of diagnostic endoscopies, while no differences were found in relation to liver biopsies. Half of the training centers in both Groups do not have dedicated beds for PGHN patients, while in 64% and 58%, respectively, trainees do not participate in on-call programs for PGHN emergencies. Research training is mandatory in 26% of the centers. The duration of training, as well as the assessment and accreditation policies, vary between countries. CONCLUSIONS: This study has revealed significant discrepancies and gaps in infrastructure and training programs, training leadership, and assessment of training and certification across European training centers in PGHN. Strategies to support the recognition of PGHN and to standardize and improve training conditions should be developed and implemented. An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic_AG-6496.pdf Hellenic Society of Gastroenterology 2022 2022-04-07 /pmc/articles/PMC9062838/ /pubmed/35599923 http://dx.doi.org/10.20524/aog.2022.0711 Text en Copyright: © Hellenic Society of Gastroenterology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Papadopoulou, Alexandra Ribes-Koninckx, Carmen 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 Veres, Gabor Bronsky, Jiri Hauer, Almuthe Christine Tjesic-Drinkovic, Duska Fotoulaki, Maria Orel, Rok Urbonas, Vaidotas Kansu, Aydan Georgieva, Miglena Thomson, Mike Benninga, Marc Thapar, Nikhil Kelly, Deirdre Koletzko, Berthold Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019 |
title | Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019 |
title_full | Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019 |
title_fullStr | Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019 |
title_full_unstemmed | Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019 |
title_short | Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019 |
title_sort | association of training standards in pediatric gastroenterology, hepatology and nutrition in european training centers with formal national recognition of the subspecialty: a survey of the espghan national societies network 2016-2019 |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062838/ https://www.ncbi.nlm.nih.gov/pubmed/35599923 http://dx.doi.org/10.20524/aog.2022.0711 |
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