Assessment of competence in pediatric gastrointestinal endoscopy
1Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, Department of Paediatrics and the Wilson Centre, University of Toronto, 555 University Ave, Room 8417, Black Wing, Toronto, ON, M5G 1X8, Canada, catharine.walsh@mail.utoronto.ca.
Insights
Pediatric gastrointestinal endoscopy requires specialized training and assessment methods distinct from adult procedures. This ensures safe and effective diagnosis and treatment of pediatric gastrointestinal diseases.
Area of Science:
- Pediatric Gastroenterology
- Medical Education
- Endoscopic Procedures
Background:
- Gastrointestinal endoscopy is crucial for diagnosing and treating pediatric gastrointestinal diseases.
- Pediatric endoscopy differs significantly from adult procedures in indications, sedation, preparation, equipment, and techniques like tissue sampling and ileum intubation.
Purpose of the Study:
- To highlight the unique aspects of pediatric gastrointestinal endoscopy.
- To emphasize the need for pediatric-specific training and assessment for endoscopists.
Main Methods:
- Comparative analysis of pediatric versus adult endoscopy practices.
- Review of current training and assessment methodologies in pediatric endoscopy.
Main Results:
- Significant differences exist in procedural indications, sedation, preparation, and equipment between pediatric and adult endoscopy.
- Pediatric endoscopists require specialized training and validated assessment tools tailored to children.
Conclusions:
- Pediatric gastrointestinal endoscopy necessitates a distinct approach compared to adult procedures.
- Assessment of pediatric endoscopists must utilize methods validated specifically for the pediatric population to ensure competence and patient safety.
Abstract:
Gastrointestinal endoscopy is an invaluable tool for the diagnosis and treatment of upper and lower gastrointestinal diseases in children. Pediatric and adult endoscopy differ in several respects including differences in procedural indications, sedation practices, pre-procedure preparation, equipment, and the importance of routine tissue sampling and terminal ileum intubation. In the same way that performance of endoscopy in children requires pediatric-specific training, assessment of pediatric endoscopists requires an approach that is tailored to pediatric practice and the use of assessment methods and measures that have been developed and validated specifically within the pediatric context.
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