Pediatric Gastroenterology, Hepatology, and Nutrition Training in the Asia-Pacific Region: An International Survey of Training Centers
Issued Date
2026-03-01
Resource Type
ISSN
22348646
eISSN
22348840
Scopus ID
2-s2.0-105039302388
Journal Title
Pediatric Gastroenterology Hepatology and Nutrition
Volume
29
Issue
2
Start Page
89
End Page
101
Rights Holder(s)
SCOPUS
Bibliographic Citation
Pediatric Gastroenterology Hepatology and Nutrition Vol.29 No.2 (2026) , 89-101
Suggested Citation
Chien M.M., McGrath K., Leung P.Y., Nakano S., Sood V., Ng R.T., Kim T.H., Lertudomphonwanit C., Darma A. Pediatric Gastroenterology, Hepatology, and Nutrition Training in the Asia-Pacific Region: An International Survey of Training Centers. Pediatric Gastroenterology Hepatology and Nutrition Vol.29 No.2 (2026) , 89-101. 101. doi:10.5223/pghn.2026.29.2.89 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/116926
Title
Pediatric Gastroenterology, Hepatology, and Nutrition Training in the Asia-Pacific Region: An International Survey of Training Centers
Author's Affiliation
University of Melbourne
Chinese University of Hong Kong
Universiti Malaya
Taipei Medical University
National Taiwan University College of Medicine
Universitas Airlangga
Royal Children's Hospital, Melbourne
Murdoch Children's Research Institute
Juntendo University School of Medicine
KyungHee University College of Medicine
Taipei Medical University Hospital
Ramathibodi Hospital
Dr. Soetomo General Hospital
Institute of Liver and Biliary Sciences
Chinese University of Hong Kong
Universiti Malaya
Taipei Medical University
National Taiwan University College of Medicine
Universitas Airlangga
Royal Children's Hospital, Melbourne
Murdoch Children's Research Institute
Juntendo University School of Medicine
KyungHee University College of Medicine
Taipei Medical University Hospital
Ramathibodi Hospital
Dr. Soetomo General Hospital
Institute of Liver and Biliary Sciences
Corresponding Author(s)
Other Contributor(s)
Abstract
Purpose: Published data on pediatric gastroenterology, hepatology, and nutrition (PGHN) training centers in the Asia-Pacific region are limited. This study aimed to evaluate the infrastructure, resources, and training opportunities in PGHN centers across the region to inform future development of training programs. Methods: We conducted an international multicenter, cross-sectional survey among Asia-Pacific nations between August 2023 and July 2024. Results: A total of 43 responses were received from 11 countries. Most centers (58.1%) operated with ≤3 specialists, and trainees in these centers were less likely to receive formal supervision or participate in research. Procedural exposure varied significantly: although endoscopy was widely available, 50% of centers reported fewer than 100 colonoscopies performed annually. Access to training in specialized procedures was limited (pH/ impedance, 48.8%; high-resolution manometry, 34.9%; intestinal ultrasound, 41.9%), with radiologists performing most liver biopsies and intestinal ultrasounds in many centers. Conclusion: This first comprehensive survey of PGHN training in the Asia-Pacific region identified considerable variations, with key challenges in training infrastructure and procedural exposure. Most centers operate with limited specialist numbers, impacting supervision and research opportunities, and many struggle to meet international volume-based training requirements for essential procedures. Enhanced regional collaboration and alternative training approaches may help address these gaps.