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

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

doi:10.1055/a-1898-1364

Endoscopy International Open, Table of Contents

CC BY-NC-ND 4.0 · Endosc Int Open 2022; 10(10): E1371-E1379
DOI: 10.1055/a-1898-1364

Original article

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

Alexandra Papadopoulou

¹Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Childrenʼs Hospital Agia Sofia, Athens, Greece

,

Carmen Ribes-Koninckx

²Pediatric Gastroenterology Unit, La Fe University Hospital, Valencia, Spain

,

Alastair Baker

³Pediatric Liver Center, Kingʼs College Hospital, London, United Kingdom

,

Maria Noni

¹Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Childrenʼs Hospital Agia Sofia, Athens, Greece

,

Eleni Koutri

¹Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Childrenʼs Hospital Agia Sofia, Athens, Greece

,

Maria-Vasiliki Karagianni

¹Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Childrenʼs Hospital Agia Sofia, Athens, Greece

,

Sue Protheroe

⁴Birmingham Childrenʼs Hospital, NHS Foundation Trust, Birmingham, United Kingdom

,

Alfredo Guarino

⁵Department of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy

,

Emmanuel Mas

⁶Unit of Gastroenterology, Hepatology, Nutrition, Diabetes, and Inborn Errors of Metabolism, Children Hospital, Toulouse University Hospital, Toulouse, France

,

Michael Wilschanski

⁷Pediatric Gastroenterology Unit, Department of Pediatrics, Hadassah University Hospitals, Jerusalem, Israel

,

Enriqueta Roman

⁸Pediatric Gastroenterology Unit, University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain

,

Johanna Escher

⁹Department of Pediatric Gastroenterology, Erasmus MC-Sophia Childrenʼs Hospital, Rotterdam, The Netherlands

,

Raoul I. Furlano

¹⁰Division of Pediatric Gastroenterology and Nutrition, University Childrenʼs Hospital, Basel, Switzerland

,

Carsten Posovszky

¹¹Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany

,

Ilse Hoffman

¹²Department of Pediatric Gastroenterology, Leuven University Hospital, Leuven, Belgium

,

Jiri Bronsky

¹³Department of Pediatrics, University Hospital Motol, Prague, Czech Republic

,

Almuthe Christine Hauer

¹⁴Department of Pediatrics, Medical University of Graz, Graz, Austria

,

Duska Tjesic-Drinkovic

¹⁵University Hospital Center Zagreb – Division for Pediatric Gastroenterology, Hepatology and Nutrition & University of Zagreb School of Medicine, Zagreb, Croatia

,

Maria Fotoulaki

¹⁶4th Department of Pediatrics, Aristotle University of Thessaloniki, Thessaloniki, Greece

,

Rok Orel

¹⁷Department of Gastroenterology, Hepatology and Nutrition, Ljubljana University Childrenʼs Hospital, Ljubljana, Slovenia

,

Vaidotas Urbonas

¹⁸Vilnius University Clinic of Childrenʼs Diseases, Vilnius, Lithuania

,

Aydan Kansu

¹⁹Division of Pediatric Gastroenterology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey

,

Miglena Georgieva

²⁰2nd Department of Pediatrics, Saint Marina University hospital, Varna, Bulgaria

,

Mike Thomson

²¹Sheffield Childrenʼs Hospital NHS Foundation Trust, Sheffield, United Kingdom

› Author Affiliations

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.

Full Text

References

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