Endoscopic training: A nationwide survey of French fellows in gastroenterology - 17/09/17

Doi : 10.1016/j.clinre.2017.08.005

Aurélien Amiot ^a,^⁎ , Guillaume Conroy ^b, Yann Le Baleur ^a, Jérôme Winkler ^b, Maxime Palazzo ^c, Xavier Treton ^d
^a Department of gastroenterology, Henri Mondor hospital, AP–HP, EC2M3-EA 7375, Paris-Est Creteil Val-de-Marne university (UPEC), 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
^b Association française des internes d’hépatogastroentérologie (AFIHGE), Maison de l’hépatogastroentérologie et de l’endoscopie digestive, 79, boulevard du Montparnasse, 75006 Paris, France
^c Department of gastrointestinal endoscopy, Beaujon hospital, AP–HP, university Paris 7 Denis Diderot, 92110 Clichy, France
^d Department of gastroenterology, IBD and nutrition support, Beaujon hospital, AP–HP, UMR1149, university Paris 7 Denis Diderot, 92110 Clichy, France

^⁎Corresponding author.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Sunday 17 September 2017
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Summary

Background

During their 4 years of training, French fellows in gastroenterology should acquire theoretical and practical competency in gastrointestinal (GI) endoscopy.

Aims

To evaluate the delivery of endoscopy training to French GI fellows and perception of learning.

Methods

A nationwide electronic survey was carried out of French GI fellows using an anonymous, 17-item electronic questionnaire.

Results

A total of 291 out of 484 (60%) GI fellows responded to the survey. Only 40% of subjects had access to theoretical training and/or virtual simulators. Only 49% and 35% of fourth year fellows had reached the threshold numbers of EGD and colonoscopies recommended by the European section and Board of gastroenterology and hepatology. Sixty-two percent and 57% of trainees reported having insufficient knowledge in interpreting gastric and colic lesions. Access to dedicated endoscopy activity for at least 8 weeks during the year was the only independent factor associated with the achievement of the recommended annual threshold number of procedures.

Conclusion

The access of fellows to theoretical training and to preclinical virtual simulators is still insufficient. Personalized support and regular assessment of cognitive and technical acquisition over the 4 years of training seems to be necessary.

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Keywords : Education, Endoscopy training, Fellows, National survey, Virtual simulators