title: Endoscopic training in gastroenterology fellowship: adherence to core curriculum guidelines.
abstract: BACKGROUND
  The Gastroenterology Core Curriculum and American Society of Gastrointestinal Endoscopy provide guidelines for endoscopic training. Program adherence to these recommendations is unclear. This study aims to assess endoscopic training experience during fellowship.
  
  
  METHODS
  
  
  
  METHODS
  Questionnaire study.
  
  
  METHODS
  The questionnaire was circulated to US fellowship programs, with the assistance of the American Gastroenterological Association.
  
  
  METHODS
  Graduating third-year fellows.
  
  
  RESULTS
  Seventy-three fellows returned the questionnaire. Nearly all fellows met the required numbers for esophagoduodenoscopy (98%) and colonoscopy (100%), with fewer meeting requirements for PEG (73%) and non-variceal hemorrhage (75%). The majority of fellows did not meet minimum numbers for variceal banding (40%), esophageal dilation (43%), capsule endoscopy (42%). Fellows rated training in cognitive aspects of endoscopy as 3.86 [1 (inadequate), 5 (excellent)] and reported greatest emphasis on interpreting endoscopic findings and least on virtual colonography. Quality indicators of endoscopy received little emphasis (rating of 3.04; p = 0.00001), with adenoma detection rate being least emphasized. Fifty-six percent of fellows reported having routine endoscopy conferences. Half of the programs have endoscopic simulators, with 15% of fellows being required to use simulation. Following direct hands-on experience, fellows rated external endoscopy courses (64%) as the next most useful experience.
  
  
  CONCLUSIONS
  Many fellows do not meet required numbers for several endoscopic procedures, and quality indicators receive little emphasis during training. Most programs do not provide simulation training or hold regular endoscopy conferences. Fellowship programs should perform internal audits and make feasible adjustments. Furthermore, it may be time for professional societies to revisit training guidelines.
authors: Yale School of Medicine, New Haven, CT, USA.
authors: Pichamol
authors: P
authors: Jirapinyo
authors: Yale School of Medicine, New Haven, CT, USA.|VA Connecticut Healthcare System, West Haven, CT, USA.
authors: Avlin B
authors: AB
authors: Imaeda
authors: Division of Gastroenterology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. cthompson@hms.harvard.edu.|Harvard Medical School, Boston, MA, USA. cthompson@hms.harvard.edu.
authors: Christopher C
authors: CC
authors: Thompson
mesh_terms: D000328:Adult; D004503:Education, Medical, Graduate / Q000592:standards*; D016099:Endoscopy, Gastrointestinal / Q000193:education*; D004932:Esophageal and Gastric Varices; D005257:Fellowships and Scholarships; D005260:Female; D005762:Gastroenterology / Q000193:education*; D019983:Guideline Adherence / Q000592:standards*; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires
keywords: Education; Training courses; Training endoscopy