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. 2019 Jun;68(6):806-810.
doi: 10.1097/MPG.0000000000002282.

Barriers in Neurogastroenterology and Motility Training Experience for Pediatric Gastroenterology Fellows

Kahleb Graham  1 , Jaime Belkind-Gerson  2 , Anil Darbari  3 , John T Boyle  1
Affiliations

Barriers in Neurogastroenterology and Motility Training Experience for Pediatric Gastroenterology Fellows

Kahleb Graham et al. J Pediatr Gastroenterol Nutr. 2019 Jun.

Abstract

Background: Neurogastroenterology and motility (NGM) disorders are common and have a high health care burden. Although pediatric gastroenterology fellows are expected to obtain comprehensive training in the diagnosis and management of NGM disorders, there is ongoing concern for unmet training needs and lack of exposure in treating patients who suffer from NGM problems.

Methods: We conducted a cross-section survey of trainees listed as pediatric gastroenterology fellows in North American training programs in 2018 via direct E-mail and the pediatric gastroenterology listserv. Eighty-one pediatric gastroenterology fellows responded to the anonymous survey.

Results: A total of 53.1% of the fellows reported interest in NGM; however, 75.1% of the fellows believed they had not been adequately trained in NGM during their fellowship. Eighty percent of fellows with 2 weeks or less of dedicated motility training reported that they received inadequate NGM training, compared to 46.2% fellows who received 1 or more months of dedicated motility training (P = 0.0148). The majority of fellows reported not being comfortable in performing gastrointestinal (GI) motility studies. The majority of fellows also reported not being comfortable in interpreting GI motility studies.

Conclusions: Although most pediatric gastroenterology fellows expressed interest in NGM, the lack of exposure and dedicated training in motility during fellowship were identified as barriers to pursuing motility-focused careers. Furthermore, most fellows reported limited comfort with performing and/or interpreting motility studies. Changes are needed to encourage fellows to develop their interest and expertise in NGM.

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Figures

Figure 1A-B
Figure 1A-B
A) Frequency of aspects of NGM fellows find appealing B) Frequency of aspects of NGM fellows find unappealing.
Figure 2A-B.
Figure 2A-B.
A) Fellows’ degree of comfort in performing motility procedures. B) Fellows’ degree of comfort in interpreting motility procedures
See this image and copyright information in PMC

Comment in

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