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
Issued Date
2024-01-01
Resource Type
ISSN
22348646
eISSN
22348840
Scopus ID
2-s2.0-85200857047
Journal Title
Pediatric Gastroenterology, Hepatology and Nutrition
Volume
27
Issue
4
Start Page
258
End Page
265
Rights Holder(s)
SCOPUS
Bibliographic Citation
Pediatric Gastroenterology, Hepatology and Nutrition Vol.27 No.4 (2024) , 258-265
Suggested Citation
Ukarapol N., Tanatip N., Sharma A., Vitug-Sales M., Lopez R.N., Malik R., Ng R.T., Umetsu S., Getsuwan S., Lui T.Y.S., Yang Y.J., Lee Y.J., Arai K., Kim K.M. 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. Pediatric Gastroenterology, Hepatology and Nutrition Vol.27 No.4 (2024) , 258-265. 265. doi:10.5223/PGHN.2024.27.4.258 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/100509
Title
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
Author's Affiliation
Pusan National University Children's Hospital
Ramathibodi Hospital
Fiona Stanley Hospital
National Center for Child Health and Development
Saiseikai Yokohamashi Tobu Hospital
Faculty of Medical and Health Sciences
National Cheng Kung University Hospital
Makati Medical Center
Asan Medical Center
Faculty of Medicine, Chiang Mai University
Universiti Malaya
All India Institute of Medical Sciences, New Delhi
Hong Kong Children’s Hospital
Ramathibodi Hospital
Fiona Stanley Hospital
National Center for Child Health and Development
Saiseikai Yokohamashi Tobu Hospital
Faculty of Medical and Health Sciences
National Cheng Kung University Hospital
Makati Medical Center
Asan Medical Center
Faculty of Medicine, Chiang Mai University
Universiti Malaya
All India Institute of Medical Sciences, New Delhi
Hong Kong Children’s Hospital
Corresponding Author(s)
Other Contributor(s)
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.