Endoscopic training during fellowship: A nationwide French study: Impact of theoretical courses and simulation-based training during fellowship |
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| Institution: | 1. Department of Gastroenterology, Henri-Mondor University Hospital, AP-HP, EA7375, Université Paris Est Créteil, Créteil, F-94010 France;2. Centre for Digestive Endoscopy, Sorbonne University, Saint-Antoine Hospital, AP-HP, Paris, Paris, F-75012 France;3. Association Française des Internes en Hépato-Gastro-Entérologie (AFIHGE), Bordeaux, France;4. Department of Hepatology and Gastroenterology, CHU Rennes and University of Rennes, Rennes, France;5. Department of Gastroenterology, Huriez Hospital, University of Lille, Lille, France;6. Department of Gastroenterology and Hepatology, Saint-Eloi Hospital, University Hospital of Montpellier, Montpellier, France;7. Department of Hepato-Gastroenterology and digestive oncology, University Hospital of Dijon-Bourgogne, University of Burgundy and Franche Comté, Dijon, France;8. Department of Gastroenterology and Hepatology, Brest University Hospital, Brest, France;9. Department of Hepatology and Gastroenterology, Clermont-Ferrand University Hospital, Université Clermont Auvergne, Inserm, 3iHP, Clermont-Ferrand, France;1. Department of Internal Medicine IV, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany;2. Interdisciplinary Endoscopy Center, Department of Internal Medicine IV, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany;1. Department of Digestive and Surgical Oncology, University Hospital, Dijon, France;2. Digestive Cancer Registry of Burgundy, Dijon, France;3. Department of Medical Oncology, Georges-Francois Leclerc Centre, Dijon, France;4. Department of Geriatrics and Internal Medicine, University Hospital, Dijon, France;5. Department of Digestive and Surgical Oncology, University Hospital, Dijon, France;1. Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China;2. Department of Pathology, the Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China |
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| Abstract: | BackgroundIn France, it is mandatory that gastroenterology fellows have mastered the basic level of endoscopy by the end of training. The aim of this study was to assess improvement in the quality of fellows’ endoscopy training in France during the last four years.MethodsAll fellows in France in training were eligible for participation. A 21-item questionnaire was sent out. The primary outcome was the completion by fourth year fellows of all the number of procedures recommended. Results were compared with those of a 2016 survey.ResultsTwo-hundred-and-sixty-five fellows responded to the survey. The participation rate was 47.0%. The mean age was 27.3 ± 1.0 years and 56.4% were female. Access to theoretical courses (63.7% vs. 30.6%, p < 0.001) and simulation-based training (virtual reality simulator: 58.4% vs. 28.2%, p < 0.001, animal models: 29.4% vs. 17.2%, p < 0.001) was significantly higher in 2020. Although the number of procedures did not increase, significantly higher perception of skill acquisition in colonoscopy as well as diminished pressure to advance procedures were noted.ConclusionAccess to theoretical courses and simulation-based training and perceived acquisition of numerous skills has gotten better. However, the quality of training in endoscopy still needs improvement. |
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