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.

Autor:	Papadopoulou A; Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Children's Hospital Agia Sofia, Athens, Greece (Alexandra Papadopoulou, Maria Noni, Eleni Koutri, Maria-Vasiliki Karagianni)., Ribes-Koninckx C; Pediatric Gastroenterology Unit, La Fe University Hospital, Valencia, Spain (Carmen Ribes-Koninckx)., Baker A; Pediatric Liver Center, King's College Hospital, London, United Kingdom (Alastair Baker)., Noni M; Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Children's Hospital Agia Sofia, Athens, Greece (Alexandra Papadopoulou, Maria Noni, Eleni Koutri, Maria-Vasiliki Karagianni)., Koutri E; Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Children's Hospital Agia Sofia, Athens, Greece (Alexandra Papadopoulou, Maria Noni, Eleni Koutri, Maria-Vasiliki Karagianni)., Karagianni MV; Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Children's Hospital Agia Sofia, Athens, Greece (Alexandra Papadopoulou, Maria Noni, Eleni Koutri, Maria-Vasiliki Karagianni)., Protheroe S; Birmingham Children's Hospital, NHS Foundation Trust, Birmingham, United Kingdom (Sue Protheroe, Deirdre Kelly)., Guarino A; Department of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy (Alfredo Guarino)., Mas E; Unit of Gastroenterology, Hepatology, Nutrition, Diabetes, and Inborn Errors of Metabolism, Children Hospital, Toulouse University Hospital, Toulouse, France (Emmanuel Mas)., Wilschanski M; Pediatric Gastroenterology Unit, Department of Pediatrics, Hadassah University Hospitals, Jerusalem, Israel (Michael Wilschanski)., Roman E; Pediatric Gastroenterology Unit, University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain (Enriqueta Roman)., Escher J; Department of Pediatric Gastroenterology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands (Johanna Escher)., Furlano RI; Division of Pediatric Gastroenterology and Nutrition, University Children's Hospital, Basel, Switzerland (Raoul I. Furlano)., Posovszky C; Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany (Carsten Posovszky)., Hoffman I; Department of Pediatric Gastroenterology, Leuven University Hospital, Leuven, Belgium (Ilse Hoffman)., Veres G; Pediatric Institute-Clinic, University of Debrecen, Debrecen, Hungary (Gabor Veres)., Bronsky J; Department of Pediatrics, University Hospital Motol, Prague, Czech Republic (Jiri Bronsky)., Hauer AC; Department of Pediatrics, Medical University of Graz, Graz, Austria (Almuthe Christine Hauer)., Tjesic-Drinkovic D; University Hospital Center Zagreb - Division for Pediatric Gastroenterology, Hepatology and Nutrition & University of Zagreb School of Medicine, Zagreb, Croatia (Duska Tjesic-Drinkovic)., Fotoulaki M; 4 Department of Pediatrics, Aristotle University of Thessaloniki, Thessaloniki, Greece (Maria Fotoulaki)., Orel R; Department of Gastroenterology, Hepatology and Nutrition, Ljubljana University Children's Hospital, Ljubljana, Slovenia (Rok Orel)., Urbonas V; Vilnius University Clinic of Children's Diseases, Vilnius, Lithuania (Vaidotas Urbonas)., Kansu A; Division of Pediatric Gastroenterology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey (Aydan Kansu)., Georgieva M; 2 Department of Pediatrics, Saint Marina University hospital, Varna, Bulgaria (Miglena Georgieva)., Thomson M; Sheffield Children's Hospital NHS Foundation Trust, Sheffield, United Kingdom (Mike Thomson)., Benninga M; Department of Pediatric Gastroenterology and Nutrition, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands (Marc Benninga)., Thapar N; Gastroenterology, Hepatology and Liver Transplant, Queensland Children's Hospital, Brisbane, Australia (Nikhil Thapar)., Kelly D; Birmingham Children's Hospital, NHS Foundation Trust, Birmingham, United Kingdom (Sue Protheroe, Deirdre Kelly)., Koletzko B; LMU - Ludwig Maximilians Universität Munich, Dept. Pediatrics, Dr. von Hauner Children's Hospital, LUM University Hospitals, Munich, Germany (Berthold Koletzko).
Jazyk:	angličtina
Zdroj:	Annals of gastroenterology [Ann Gastroenterol] 2022 May-Jun; Vol. 35 (3), pp. 317-324. Date of Electronic Publication: 2022 Apr 07.
DOI:	10.20524/aog.2022.0711
Abstrakt:	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. Competing Interests: Conflict of Interest: None (Copyright: © Hellenic Society of Gastroenterology.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Plný text ve formátu PDF