Advances and challenges in endoscopy training: A mixed methods study among endoscopy trainers in the Netherlands

Area of Science:

• Medical Education
• Gastroenterology Training

Background:

• Variability in traditional gastrointestinal endoscopy training may lead to disparities in resident competence.
• This study investigates endoscopy trainers' perspectives on current practices and ideal future training methods.

Purpose of the Study:

• To explore endoscopy trainers' views on current gastrointestinal endoscopy training.
• To identify desired best practices for future endoscopy training.

Main Methods:

• Mixed-methods approach combining surveys from 158 trainers and interviews with 15 program directors.
• Quantitative survey data analyzed using descriptive statistics.
• Qualitative interview data analyzed using thematic analysis.

Main Results:

• Significant variability observed in supervision structures, supervision level criteria, and trainer participation in teaching courses.
• Formal education in endoscopy teaching and self-regulated learning strategies are crucial for effective training.
• Lack of time and heavy workload are primary barriers to effective supervision.

Conclusions:

• Gastroenterology teaching hospitals exhibit considerable variability in endoscopy training practices.
• Standardization of training programs, formal trainer education, and promotion of self-regulated learning are key to improving endoscopy training.