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

Alexandra Papadopoulou*, Carmen Ribes-Koninckx, Alastair Baker, Maria Noni, Eleni Koutri, Maria Vasiliki Karagianni, Sue Protheroe, Alfredo Guarino, Emmanuel Mas, Michael Wilschanski, Enriqueta Roman, Johanna Escher, Raoul I. Furlano, Carsten Posovszky, Ilse Hoffman, Gabor Veres, Jiri Bronsky, Almuthe Christine Hauer, Duska Tjesic-Drinkovic, Maria FotoulakiRok Orel, Vaidotas Urbonas, Aydan Kansu, Miglena Georgieva, Mike Thomson, Marc Benninga, Nikhil Thapar, Deirdre Kelly, Berthold Koletzko

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

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

Original languageEnglish
Pages (from-to)317-324
Number of pages8
JournalAnnals of Gastroenterology
Volume35
Issue number3
DOIs
Publication statusPublished - 12 May 2022

Bibliographical note

Funding Information:
The survey reported here was supported by ESPGHAN and by the participating National PGHN Societies. BK is the Else Kröner Senior Professor of Pediatrics at LMU – University of Munich, financially supported by Else Kröner-Fresenius-Foundation, LMU Medical Faculty and LMU University Hospitals.

Publisher Copyright:
© 2022 Hellenic Society of Gastroenterology

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