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Related Experiment Videos

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
PubMed
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.

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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.

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