Training in endotherapy for acute upper gastrointestinal bleeding: a UK-wide gastroenterology trainee survey
IntroductionCompetence in endoscopic haemostasis for acute upper gastrointestinal bleeding (AUGIB) is typically expected upon completion of gastroenterology training. However, training in haemostasis is currently variable without a structured training pathway. We conducted a national gastroenterolog...
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| Veröffentlicht in: | Frontline gastroenterology 2020-11, Vol.11 (6), p.430-435 |
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| creator | Segal, Jonathan Siau, Keith Kanagasundaram, Cynthia Askari, Alan Dunckley, Paul Morris, Allan John |
| description | IntroductionCompetence in endoscopic haemostasis for acute upper gastrointestinal bleeding (AUGIB) is typically expected upon completion of gastroenterology training. However, training in haemostasis is currently variable without a structured training pathway. We conducted a national gastroenterology trainee survey on haemostasis exposure and on attitudes and barriers to training.MethodsA 24-item electronic survey was distributed to UK gastroenterology trainees covering the following domains: demographics, training setup, attitudes and barriers, confidence in managing AUGIB independently and exposure to individual haemostatic modalities (supervised and independent). Responses were analysed by region and training grade to assess potential variation in training.ResultsA total of 181 trainees completed the questionnaire (response rate 33.5%). There was significant variation in AUGIB training setup across the UK (p |
| doi_str_mv | 10.1136/flgastro-2019-101345 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7569523</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2449387716</sourcerecordid><originalsourceid>FETCH-LOGICAL-b517t-dd47a8f0445f97de7528e5b537568fcfa8f3cb2b3d3cd1ea2a41b425862d8d73</originalsourceid><addsrcrecordid>eNqNkU9P3DAQxa0KVBDwDarKUi9cUvw3TjhUqlBbEEhclrPlxJPFK2-c2gnVfvt6lWULPSB8saX5veeZeQh9ouQrpby86PzSpDGGghFaF5RQLuQHdMyIoIWgQh7s31wdobOUViQfzqmU4iM6yg8iiKqPkV9E43rXL7HrMfQ2jI8QzbDBXYjYtNMIeBoGiHj-z_UjpNH1xuPGA9gsvMQGP9wWf5yFHQQZisGH5QaPW3cAnKb4BJtTdNgZn-Bsd5-gxc8fi6vr4u7-183V97uikVSNhbVCmaojQsiuVhaUZBXIRnIly6pru1zjbcMabnlrKRhmBG0Ek1XJbGUVP0HfZtthatZg29xPNF4P0a1N3OhgnH5d6d2jXoYnnf1ryXg2ON8ZxPB7ygPrtUsteG96CFPSTEiR10dKkdEv_6GrMMW8ny0lal4pRctMiZlqY0gpQrdvhhK9DVQ_B6q3geo50Cz7_HKQveg5vgxczECzXr3XkvxT7Ft9U_IXcd-_1Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2449387716</pqid></control><display><type>article</type><title>Training in endotherapy for acute upper gastrointestinal bleeding: a UK-wide gastroenterology trainee survey</title><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Segal, Jonathan ; Siau, Keith ; Kanagasundaram, Cynthia ; Askari, Alan ; Dunckley, Paul ; Morris, Allan John</creator><creatorcontrib>Segal, Jonathan ; Siau, Keith ; Kanagasundaram, Cynthia ; Askari, Alan ; Dunckley, Paul ; Morris, Allan John</creatorcontrib><description>IntroductionCompetence in endoscopic haemostasis for acute upper gastrointestinal bleeding (AUGIB) is typically expected upon completion of gastroenterology training. However, training in haemostasis is currently variable without a structured training pathway. We conducted a national gastroenterology trainee survey on haemostasis exposure and on attitudes and barriers to training.MethodsA 24-item electronic survey was distributed to UK gastroenterology trainees covering the following domains: demographics, training setup, attitudes and barriers, confidence in managing AUGIB independently and exposure to individual haemostatic modalities (supervised and independent). Responses were analysed by region and training grade to assess potential variation in training.ResultsA total of 181 trainees completed the questionnaire (response rate 33.5%). There was significant variation in AUGIB training setup across the UK (p<0.001), with 22.7% of trainees declaring no access to structured or ad hoc training. 31.5% expressed confidence in managing AUGIB independently; this varied by trainee grade (0% of first-year specialty trainees (ST3s) to 60.7% of final-years (ST7s)) and by training setup (p=0.001). ST7 trainees reported lack of experience with independently applying glue (86%), Hemospray (54%), heater probe (36%) and variceal banding (36%). Overall, 88% of trainees desired additional haemostasis training and 89% indicated support for a national certification process to ensure competence in AUGIB.ConclusionAUGIB training in the UK is variable. The majority of gastroenterology trainees lacked confidence in haemostasis management and desired additional training. Training provision should be urgently reviewed to ensure that trainees receive adequate haemostasis exposure and are competent by completion of training.</description><identifier>ISSN: 2041-4137</identifier><identifier>EISSN: 2041-4145</identifier><identifier>DOI: 10.1136/flgastro-2019-101345</identifier><identifier>PMID: 33104079</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>bleeding peptic ulcer ; Certification ; Confidence ; Endoscopy ; Gastroenterology ; gastrointestinal bleeding ; gastrointestinal haemorrhage ; Likert scale ; oesophageal varices ; Participation ; Polls & surveys ; Quality control ; Questionnaires ; Supervision ; Training</subject><ispartof>Frontline gastroenterology, 2020-11, Vol.11 (6), p.430-435</ispartof><rights>Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b517t-dd47a8f0445f97de7528e5b537568fcfa8f3cb2b3d3cd1ea2a41b425862d8d73</citedby><cites>FETCH-LOGICAL-b517t-dd47a8f0445f97de7528e5b537568fcfa8f3cb2b3d3cd1ea2a41b425862d8d73</cites><orcidid>0000-0002-9668-0316</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569523/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569523/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33104079$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Segal, Jonathan</creatorcontrib><creatorcontrib>Siau, Keith</creatorcontrib><creatorcontrib>Kanagasundaram, Cynthia</creatorcontrib><creatorcontrib>Askari, Alan</creatorcontrib><creatorcontrib>Dunckley, Paul</creatorcontrib><creatorcontrib>Morris, Allan John</creatorcontrib><title>Training in endotherapy for acute upper gastrointestinal bleeding: a UK-wide gastroenterology trainee survey</title><title>Frontline gastroenterology</title><addtitle>Frontline Gastroenterol</addtitle><addtitle>Frontline Gastroenterol</addtitle><description>IntroductionCompetence in endoscopic haemostasis for acute upper gastrointestinal bleeding (AUGIB) is typically expected upon completion of gastroenterology training. However, training in haemostasis is currently variable without a structured training pathway. We conducted a national gastroenterology trainee survey on haemostasis exposure and on attitudes and barriers to training.MethodsA 24-item electronic survey was distributed to UK gastroenterology trainees covering the following domains: demographics, training setup, attitudes and barriers, confidence in managing AUGIB independently and exposure to individual haemostatic modalities (supervised and independent). Responses were analysed by region and training grade to assess potential variation in training.ResultsA total of 181 trainees completed the questionnaire (response rate 33.5%). There was significant variation in AUGIB training setup across the UK (p<0.001), with 22.7% of trainees declaring no access to structured or ad hoc training. 31.5% expressed confidence in managing AUGIB independently; this varied by trainee grade (0% of first-year specialty trainees (ST3s) to 60.7% of final-years (ST7s)) and by training setup (p=0.001). ST7 trainees reported lack of experience with independently applying glue (86%), Hemospray (54%), heater probe (36%) and variceal banding (36%). Overall, 88% of trainees desired additional haemostasis training and 89% indicated support for a national certification process to ensure competence in AUGIB.ConclusionAUGIB training in the UK is variable. The majority of gastroenterology trainees lacked confidence in haemostasis management and desired additional training. Training provision should be urgently reviewed to ensure that trainees receive adequate haemostasis exposure and are competent by completion of training.</description><subject>bleeding peptic ulcer</subject><subject>Certification</subject><subject>Confidence</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>gastrointestinal bleeding</subject><subject>gastrointestinal haemorrhage</subject><subject>Likert scale</subject><subject>oesophageal varices</subject><subject>Participation</subject><subject>Polls & surveys</subject><subject>Quality control</subject><subject>Questionnaires</subject><subject>Supervision</subject><subject>Training</subject><issn>2041-4137</issn><issn>2041-4145</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU9P3DAQxa0KVBDwDarKUi9cUvw3TjhUqlBbEEhclrPlxJPFK2-c2gnVfvt6lWULPSB8saX5veeZeQh9ouQrpby86PzSpDGGghFaF5RQLuQHdMyIoIWgQh7s31wdobOUViQfzqmU4iM6yg8iiKqPkV9E43rXL7HrMfQ2jI8QzbDBXYjYtNMIeBoGiHj-z_UjpNH1xuPGA9gsvMQGP9wWf5yFHQQZisGH5QaPW3cAnKb4BJtTdNgZn-Bsd5-gxc8fi6vr4u7-183V97uikVSNhbVCmaojQsiuVhaUZBXIRnIly6pru1zjbcMabnlrKRhmBG0Ek1XJbGUVP0HfZtthatZg29xPNF4P0a1N3OhgnH5d6d2jXoYnnf1ryXg2ON8ZxPB7ygPrtUsteG96CFPSTEiR10dKkdEv_6GrMMW8ny0lal4pRctMiZlqY0gpQrdvhhK9DVQ_B6q3geo50Cz7_HKQveg5vgxczECzXr3XkvxT7Ft9U_IXcd-_1Q</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Segal, Jonathan</creator><creator>Siau, Keith</creator><creator>Kanagasundaram, Cynthia</creator><creator>Askari, Alan</creator><creator>Dunckley, Paul</creator><creator>Morris, Allan John</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9668-0316</orcidid></search><sort><creationdate>20201101</creationdate><title>Training in endotherapy for acute upper gastrointestinal bleeding: a UK-wide gastroenterology trainee survey</title><author>Segal, Jonathan ; Siau, Keith ; Kanagasundaram, Cynthia ; Askari, Alan ; Dunckley, Paul ; Morris, Allan John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b517t-dd47a8f0445f97de7528e5b537568fcfa8f3cb2b3d3cd1ea2a41b425862d8d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>bleeding peptic ulcer</topic><topic>Certification</topic><topic>Confidence</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>gastrointestinal bleeding</topic><topic>gastrointestinal haemorrhage</topic><topic>Likert scale</topic><topic>oesophageal varices</topic><topic>Participation</topic><topic>Polls & surveys</topic><topic>Quality control</topic><topic>Questionnaires</topic><topic>Supervision</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Segal, Jonathan</creatorcontrib><creatorcontrib>Siau, Keith</creatorcontrib><creatorcontrib>Kanagasundaram, Cynthia</creatorcontrib><creatorcontrib>Askari, Alan</creatorcontrib><creatorcontrib>Dunckley, Paul</creatorcontrib><creatorcontrib>Morris, Allan John</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Frontline gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Segal, Jonathan</au><au>Siau, Keith</au><au>Kanagasundaram, Cynthia</au><au>Askari, Alan</au><au>Dunckley, Paul</au><au>Morris, Allan John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Training in endotherapy for acute upper gastrointestinal bleeding: a UK-wide gastroenterology trainee survey</atitle><jtitle>Frontline gastroenterology</jtitle><stitle>Frontline Gastroenterol</stitle><addtitle>Frontline Gastroenterol</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>11</volume><issue>6</issue><spage>430</spage><epage>435</epage><pages>430-435</pages><issn>2041-4137</issn><eissn>2041-4145</eissn><abstract>IntroductionCompetence in endoscopic haemostasis for acute upper gastrointestinal bleeding (AUGIB) is typically expected upon completion of gastroenterology training. However, training in haemostasis is currently variable without a structured training pathway. We conducted a national gastroenterology trainee survey on haemostasis exposure and on attitudes and barriers to training.MethodsA 24-item electronic survey was distributed to UK gastroenterology trainees covering the following domains: demographics, training setup, attitudes and barriers, confidence in managing AUGIB independently and exposure to individual haemostatic modalities (supervised and independent). Responses were analysed by region and training grade to assess potential variation in training.ResultsA total of 181 trainees completed the questionnaire (response rate 33.5%). There was significant variation in AUGIB training setup across the UK (p<0.001), with 22.7% of trainees declaring no access to structured or ad hoc training. 31.5% expressed confidence in managing AUGIB independently; this varied by trainee grade (0% of first-year specialty trainees (ST3s) to 60.7% of final-years (ST7s)) and by training setup (p=0.001). ST7 trainees reported lack of experience with independently applying glue (86%), Hemospray (54%), heater probe (36%) and variceal banding (36%). Overall, 88% of trainees desired additional haemostasis training and 89% indicated support for a national certification process to ensure competence in AUGIB.ConclusionAUGIB training in the UK is variable. The majority of gastroenterology trainees lacked confidence in haemostasis management and desired additional training. Training provision should be urgently reviewed to ensure that trainees receive adequate haemostasis exposure and are competent by completion of training.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>33104079</pmid><doi>10.1136/flgastro-2019-101345</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9668-0316</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | bleeding peptic ulcer Certification Confidence Endoscopy Gastroenterology gastrointestinal bleeding gastrointestinal haemorrhage Likert scale oesophageal varices Participation Polls & surveys Quality control Questionnaires Supervision Training |
| title | Training in endotherapy for acute upper gastrointestinal bleeding: a UK-wide gastroenterology trainee survey |
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