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North American Pediatric Gastroenterology Fellowship Needs Assessment in Inflammatory Bowel Disease: Trainee and
Jennifer L Dotson1, Tolulope Falaiye, Josh B Bricker
1*Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, Ohio; †The Center for Innovation in Pediatric Practice, The Research Institute, Nationwide Children's Hospital, Columbus, Ohio; ‡Division of Pediatric Gastroenterology and Nutrition, Penn State Hershey, Hershey, Pennsylvania; §Division of Gastroenterology, Hepatology, and Nutrition, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; ‖Division of Gastroenterology and Nutrition, Goryeb Children's Hospital, Morristown, New Jersey.
Insights
Pediatric gastroenterology trainees need more education in inflammatory bowel disease (IBD), particularly in managing pouch and ostomy complications. Educational improvements are needed for better pediatric IBD care.
Area of Science:
- Pediatric Gastroenterology
- Inflammatory Bowel Disease (IBD) Research
- Medical Education
Background:
- Pediatric inflammatory bowel disease (IBD) care is complex and evolving.
- A needs assessment survey was conducted by the Crohn's and Colitis Foundation and NASPGHAN.
- The survey aimed to inform educational programming for pediatric gastroenterology trainees and program directors.
Purpose of the Study:
- To assess the current state of pediatric IBD training.
- To identify specific educational needs and areas for improvement.
- To guide the development of enhanced educational resources for IBD trainees.
Main Methods:
- A web-based survey was administered to North American pediatric gastroenterology trainees and program directors.
- Data were collected during the 2013-2014 academic year.
- Standard descriptive statistics were used to analyze survey responses.
Main Results:
- 51% of trainees and 50% of program directors responded to the survey.
- Trainees reported lower confidence in outpatient IBD training compared to inpatient.
- Key areas for educational enrichment included pouch/ostomy complications and didactics.
Conclusions:
- Pediatric IBD training shows strong resource commitment but requires educational enrichment.
- Specific areas like pouch and ostomy complications need targeted educational interventions.
- Trainees expressed a strong desire for IBD-focused electives and resources.
Background:
Pediatric inflammatory bowel disease (IBD) care is complex and rapidly evolving. The Crohn's and Colitis Foundation of America and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition cosponsored a needs assessment survey of pediatric gastroenterology trainees and program directors (PDs) to inform on educational programming.
Methods:
A Web-based, self-completed survey was provided to North American trainees and PDs during the 2013-2014 academic year. Standard descriptive statistics summarized demographics and responses.
Results:
One hundred sixty-six of 326 (51%) trainees (62% female) and 37 of 74 (50%) PDs responded. Median trainees per program = 5 and median total faculty = 10 (3 IBD experts); 15% of programs did not have a self-identified "IBD expert" faculty member. Sixty-nine percent of trainees were confident/somewhat confident in their IBD inpatient training, whereas 54% were confident/somewhat confident in their outpatient training. Trainees identified activities that would most improve their education, including didactics (55%), interaction with national experts (50%), trainee-centered IBD Web resources (42%), and increased patient exposure (42%). Trainees were most confident in managing inpatient active Crohn's disease/ulcerative colitis, phenotype classification, managing biological therapies, and using clinical disease activity indices. They were least confident in managing J-pouch complications, performing pouchoscopy, managing extraintestinal manifestations, and ostomy-related complications. Eighty-five percent would like an IBD-focused training elective. Most directors (86%) would allow trainees to do electives at other institutions.
Conclusions:
This IBD needs assessment survey of pediatric gastroenterology trainees and PDs demonstrated a strong resource commitment to IBD training and clinical care. Areas for educational enrichment emerged, including pouch and ostomy complications.
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