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Related Experiment Videos

EUS training and practice patterns among gastroenterologists completing training since 1993.

Sanjeev M Wasan1, Asha S Kapadia, Douglas G Adler

  • 1Department of Internal Medicine, Division of Gastroenterology, Hepatology, and Nutrition; School of Public Health, University of Texas-Houston Health Sciences Center, Houston, Texas 77030, USA.

Gastrointestinal Endoscopy
|November 23, 2005
PubMed
Summary

Endoscopic ultrasound (EUS) training varies. Advanced fellowship training correlates with higher procedure volumes, though most physicians feel adequately trained regardless of EUS training method.

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Area of Science:

  • Gastroenterology
  • Medical Education
  • Endoscopic Procedures

Background:

  • Endoscopic ultrasound (EUS) training and practice patterns exhibit significant variability.
  • Current EUS training lacks standardized methods, leading to diverse practice patterns among endosonographers.

Purpose of the Study:

  • To assess EUS training methodologies, procedural volumes, and current practice patterns.
  • To evaluate endosonographers' subjective assessment of their endoscopic competence and training adequacy.

Main Methods:

  • A survey distributed to over 1400 U.S. and international gastroenterologists trained since 1993.
  • Assessed demographics, EUS practice, training acquisition, procedure volumes (diagnostic EUS, EUS-guided FNA), and training adequacy.

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Main Results:

  • 157 physicians responded; 76 performed EUS, with 67% completing advanced endoscopy fellowship.
  • Advanced fellowship training and academic practice were associated with higher EUS and EUS-guided FNA volumes during training and current practice.
  • The majority (93.3%) felt adequately trained in diagnostic EUS, and 88.9% in EUS-guided FNA, irrespective of training type.

Conclusions:

  • Most EUS practitioners are in academic settings.
  • Advanced endoscopy fellowship training is linked to higher EUS training and practice volumes.
  • Physicians generally report adequate EUS training, regardless of the specific training pathway or number of procedures completed.