Amiot Aurélien, Conroy Guillaume, Le Baleur Yann, Winkler Jérôme, Palazzo Maxime, Treton Xavier
Department of gastroenterology, Henri Mondor hospital, AP-HP, EC2M3-EA 7375, Paris-Est Creteil Val-de-Marne university (UPEC), 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
Association française des internes d'hépatogastroentérologie (AFIHGE), Maison de l'hépatogastroentérologie et de l'endoscopie digestive, 79, boulevard du Montparnasse, 75006 Paris, France.
Clin Res Hepatol Gastroenterol. 2018 Apr;42(2):160-167. doi: 10.1016/j.clinre.2017.08.005. Epub 2017 Sep 18.
During their 4 years of training, French fellows in gastroenterology should acquire theoretical and practical competency in gastrointestinal (GI) endoscopy.
To evaluate the delivery of endoscopy training to French GI fellows and perception of learning.
A nationwide electronic survey was carried out of French GI fellows using an anonymous, 17-item electronic questionnaire.
A total of 291 out of 484 (60%) GI fellows responded to the survey. Only 40% of subjects had access to theoretical training and/or virtual simulators. Only 49% and 35% of fourth year fellows had reached the threshold numbers of EGD and colonoscopies recommended by the European section and Board of gastroenterology and hepatology. Sixty-two percent and 57% of trainees reported having insufficient knowledge in interpreting gastric and colic lesions. Access to dedicated endoscopy activity for at least 8 weeks during the year was the only independent factor associated with the achievement of the recommended annual threshold number of procedures.
The access of fellows to theoretical training and to preclinical virtual simulators is still insufficient. Personalized support and regular assessment of cognitive and technical acquisition over the 4 years of training seems to be necessary.
在为期4年的培训期间，法国胃肠病学专科住院医生应掌握胃肠道（GI）内镜检查的理论和实践能力。
评估法国胃肠病学专科住院医生的内镜检查培训情况及学习认知。
采用一份包含17个项目的匿名电子问卷，对法国胃肠病学专科住院医生进行全国性电子调查。
484名胃肠病学专科住院医生中共有291名（60%）回复了调查。只有40%的受试者能够接受理论培训和/或使用虚拟模拟器。只有49%的四年级住院医生和35%的四年级住院医生达到了欧洲胃肠病学和肝病学分会及委员会推荐的上消化道内镜检查（EGD）和结肠镜检查的阈值数量。62%和57%的受训者表示在解读胃部和结肠病变方面知识不足。每年至少有8周时间参与专门的内镜检查活动是与达到推荐的年度操作阈值数量相关的唯一独立因素。
专科住院医生获得理论培训和临床前虚拟模拟器的机会仍然不足。在4年的培训期间，似乎有必要提供个性化支持并定期评估认知和技术掌握情况。
