Response to Correspondence on Global Training in Inflammatory Bowel Disease

This correspondence responds to Heilbroner et al., who highlight psychiatric comorbidity and patient engagement as critical components of inflammatory bowel disease (IBD) care. While these issues are important, they reflect a broader structural gap: the global shortage of trained IBD nurses and allied health professionals. Evidence demonstrates that multidisciplinary teams, particularly nurse specialists, dietitians, and pharmacists, enhance access, safety, and coordinated care. Yet formal training pathways remain limited worldwide, especially in low- and middle-income regions. We argue that sustainable, patient-centered IBD care requires prioritizing competency-based training and scalable educational models to strengthen this essential workforce.