Global Training in Inflammatory Bowel Disease: Addressing Growing Challenges in IBD

Abstract

Inflammatory Bowel Disease (IBD) is increasing in incidence globally, with low- and middle-income countries (LMICs) facing a rapid surge in disease burden. However, the availability of structured training programs for IBD care remains highly unequal. This review evaluates the current global landscape of IBD workforce training, with an emphasis on identifying gaps and proposing solutions to enhance multidisciplinary preparedness. The IBD care team extends beyond gastroenterologists and includes surgeons, radiologists, pathologists, IBD nurses, dietitians, and mental health professionals. Yet, structured training pathways and credentialing mechanisms are scarce outside of high-income countries. Key barriers include limited access, financial constraints, inadequate infrastructure, and lack of standardized curricula. Emerging digital platforms, simulation-based education, and role-specific training frameworks offer promising strategies. Developing globally harmonized curricula, enhancing funding models, and fostering international collaborations are essential to build a resilient and equitable IBD workforce. Addressing these disparities is critical to improving global IBD outcomes.

Keywords: Credentialing; Digital education; Fellowship training; Global health; IBD training; Inflammatory bowel disease; Low- and middle-income countries; Medical education; Multidisciplinary care; Workforce development.