EUS training and practice patterns among gastroenterologists completing training since 1993

Background EUS training and practice patterns vary widely. The aim of this study was to assess EUS training methods, volumes, and practice patterns, and to obtain subjective assessment of endoscopic competence from endosonographers. Methods A survey was sent to over 1400 U.S. and international gastr...

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Bibliographic Details
Published in:Gastrointestinal endoscopy 2005-12, Vol.62 (6), p.914-920
Main Authors: Wasan, Sanjeev M., MD, Kapadia, Asha S., PhD, Adler, Douglas G., MD
Format: Article
Language:English
Subjects:
Academic Medical Centers
Biological and medical sciences
Clinical Competence
Data Collection
Digestive system. Abdomen
Education, Medical, Continuing
Endoscopy
Endosonography - statistics & numerical data
Faculty, Medical
Fellowships and Scholarships
Gastroenterology - education
Gastroenterology and Hepatology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Private Practice
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Summary:Background EUS training and practice patterns vary widely. The aim of this study was to assess EUS training methods, volumes, and practice patterns, and to obtain subjective assessment of endoscopic competence from endosonographers. Methods A survey was sent to over 1400 U.S. and international gastroenterologists who completed training since 1993. We assessed demographics, if EUS is performed, how EUS training was obtained, and volume and type of EUS procedures performed in training and at present. Subjective assessment of adequacy of training was also obtained. Results A total of 157 physicians responded, including 76 EUS performers, of whom 67% completed advanced endoscopy fellowship, 14% were EUS trained during GI fellowship, 19% learned via other means. EUS performers were subgrouped into those who had and had not completed advanced endoscopy fellowship, and those within and outside of an academic practice. There were significant associations between the number of upper EUS, pancreaticobiliary, and EUS-guided FNAs performed during training ( p < 0.001 for all 3 groups) and completion of advanced endoscopy fellowship. Physicians in academic practice performed more EUS and FNAs per month than physicians in other types of practice ( p values
ISSN:0016-5107
1097-6779
DOI:10.1016/j.gie.2005.08.045