A National Survey of the Training and Practice Patterns of Practicing Pediatric Advanced Endoscopists in the United States.

Autor: Chu C; From the Children's Hospital Los Angeles, Los Angeles, CA., Tran P; the University of Colorado Department of Pediatrics/Children's Hospital Colorado, Aurora, CO., Moreau C; UT Health San Antonio, San Antonio, TX., Mark JA; the University of Colorado Department of Pediatrics/Children's Hospital Colorado, Aurora, CO., Kramer RE; the University of Colorado Department of Pediatrics/Children's Hospital Colorado, Aurora, CO., Piester TL; From the Children's Hospital Los Angeles, Los Angeles, CA.
Jazyk: angličtina
Zdroj: Journal of pediatric gastroenterology and nutrition [J Pediatr Gastroenterol Nutr] 2023 Sep 01; Vol. 77 (3), pp. 407-412. Date of Electronic Publication: 2023 Jun 26.
DOI: 10.1097/MPG.0000000000003864
Abstrakt: Background and Aims: Pediatric advanced endoscopy consists primarily of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) and is becoming more common in pediatrics. This study aims to characterize the current landscape of pediatric advanced endoscopy training and practice by directly surveying independently practicing pediatric advanced endoscopists (PAEs). We also aim to ascertain expert opinion on competency in pediatric ERCP and EUS.
Methods: A 66-question REDCap survey and a 73-question Qualtrics survey were distributed to members of the ERCP Special Interest Group of North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition. Respondents currently performing ERCP or EUS independently in children were included. Statistical analysis was performed using Mann-Whitney U test.
Results: Of 41 PAEs surveyed, 38 (92.7%) responded and 27 independent practitioners were included. Thirteen respondents performed EUS. PAEs who completed an advanced endoscopy fellowship (AEF) were more comfortable performing American Society for Gastrointestinal Endoscopy grade 3 or grade 4 ERCPs ( P < 0.0008) and felt more prepared to practice EUS independently than other trainees. Expert opinion of PAEs felt a threshold of 200 procedures was needed to attain competency in either ERCP or EUS. Pediatric duodenoscope exposure improved comfort in performing ERCP in children <10 kg ( P = 0.009).
Conclusions: Training of pediatric gastroenterologists in ERCP and EUS are highly variable, though the skills attained are similar. AEF-trained specialists reported greater training volumes and felt more prepared to practice independently than those who did not. Competency thresholds determined by expert PAEs for ERCP and EUS agree with American Society for Gastrointestinal Endoscopy guidelines for adult advanced endoscopy trainees.
Competing Interests: Dr Mark received a one-time consulting fee from EvoEndo; however this company does not produce any products for endoscopic retrograde cholangiopancreatography or endoscopic ultrasound. No other authors have any conflicts of interest to report.
(Copyright © 2023 by European Society for European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.)
Databáze: MEDLINE
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