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Surgical OGD--a dying art?
R E Bell1, N J Griffiths, T Bates
1Department of Surgery, William Harvey Hospital, Ashford, Kent, UK. rach_bell@hotmail.com
Annals of the Royal College of Surgeons of England
|February 15, 2003
Summary
Surgical trainees lack adequate upper gastrointestinal (GI) endoscopy training and skills, particularly for emergencies. This study highlights under-resourced facilities and insufficient training for essential endoscopic procedures.
Area of Science:
- Gastroenterology
- Surgical Education
- Medical Training
Background:
- Concerns exist regarding surgical expertise in upper gastrointestinal (GI) endoscopy due to reduced training opportunities.
- Increased specialization in medical gastroenterology further impacts surgical training in GI procedures.
Purpose of the Study:
- To evaluate the adequacy of upper GI endoscopy training among surgical specialist registrars (SpRs).
- To assess the preparedness of surgical trainees for providing emergency upper GI endoscopy services.
Main Methods:
- A questionnaire survey was distributed to all surgical specialist registrars (SpRs) in the South Thames East Region.
- The survey assessed training duration, exposure to elective and emergency procedures, and skills in therapeutic endoscopy.
Main Results:
- An 82% response rate was achieved, with 50% of trainees having less than six months of upper GI endoscopy training.
- 83% of trainees were in positions lacking adequate elective training exposure.
- 50% of trainees performed emergency endoscopy with limited experience, substandard equipment, and inadequate facilities.
Conclusions:
- Surgical trainees demonstrate insufficient training and skills for emergency upper GI hemorrhage management.
- Emergency endoscopy services are critically under-resourced, impacting patient care and trainee competency.