Gastroenterology training in Australia: how much is enough?

Area of Science:

• Gastroenterology
• Medical Education
• Professional Training

Background:

• Current advanced gastroenterology training involves 2 core years and 1 elective year.
• Gastroenterologists 2-7 years post-training were surveyed.

Purpose of the Study:

• To assess the strengths and weaknesses of the current gastroenterology training program.
• To identify areas for improvement in specialist training.

Main Methods:

• Anonymous online survey distributed to gastroenterologists.
• Analysis of response data from 49 participants (46% response rate).

Main Results:

• Training adequately prepared specialists for public practice and endoscopy, but less so for private practice, ambulatory care, surgical aspects, and functional GI disorders.
• Most respondents faced challenges transitioning to consultant practice, with 53% exceeding the standard 3-year training duration.
• Top subspecialty fellowships included endoscopy (45%), inflammatory bowel disease (29%), and hepatology (23%).

Conclusions:

• The Australian gastroenterology training program is generally adequate but requires enhanced focus on private practice, ambulatory care, and functional GI diseases.
• Training across multiple hospitals during core years is highly valued by trainees for a comprehensive experience.