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Evolution of gastroenterology training.

Hanna Telleman, Trevlyn Felicity Burger, Chris Jacob Johan Mulder

World Journal of Gastroenterology

|April 17, 2009

Summary

Gastroenterology (GE) training has evolved significantly, with new curricula focusing on specialized skills and subspecialties like Interventional Endoscopy. The Netherlands

Area of Science:

Gastroenterology (GE) training and curriculum development.

Background:

Historically, gastroenterology training was part of Internal Medicine until the late 1980s.
The advent of endoscopy necessitated specialized and extended training programs.
National boards worldwide have developed distinct curricula to address GE's growing complexity.

Discussion:

This paper examines various national gastroenterology curricula, highlighting the recent Dutch model.
The Dutch curriculum mandates a two-year Internal Medicine (Common Trunk) followed by four years of GE training.
Four subspecialties—Interventional Endoscopy, Neuromotility, Oncology, and Hepatology—now exist with specific training requirements.

Key Insights:

The World Gastroenterology Organization offers a standard curriculum framework emphasizing knowledge and skills.

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The standard curriculum outlines training recommendations, facility requirements, and competence evaluation.

Areas like research, finance, and workforce planning require further definition within curricula.

Outlook:

Continuous revision of gastroenterology curricula is essential in the coming decades.
Personalization of training programs presents a future challenge for curriculum development.