Current status of endoscopic simulation in gastroenterology fellowship training programs

Area of Science:

• Medical Education
• Gastroenterology Training
• Simulation in Endoscopy

Background:

• Recent guidelines advocate for simulation integration in endoscopic curricula.
• The current utilization of simulation in training programs remains largely unknown.
• This study assesses the present state of simulation in gastroenterology fellowship programs.

Purpose of the Study:

• To evaluate the current adoption and perceived value of endoscopic simulation in gastroenterology fellowship training.
• To identify barriers and facilitators to simulation implementation in these programs.

Main Methods:

• A questionnaire survey was administered to program directors at the 2013 American Gastroenterological Association Training Directors' Workshop.
• The survey comprised 38 questions covering program directors' experience, current simulation status, and opinions on its role in the curriculum.
• Data were collected from 69 program directors representing Accreditation Council for Graduate Medical Education accredited programs.

Main Results:

• 42% of gastroenterology fellowship programs utilize endoscopic simulators, with computerized simulators being the most common.
• Only 15% of programs mandate simulator use before clinical cases, and none use simulation for evaluation.
• Program directors view simulators as valuable educational tools but cite cost and accessibility as significant challenges.

Conclusions:

• Gastroenterology fellowship program directors acknowledge the importance of simulation in endoscopic training.
• Despite recognized value, simulation adoption and mandatory use remain limited.
• Further efforts are needed to overcome barriers and integrate simulation effectively into core curricula.