Becq Aymeric, Sobhani Iradj, Vauquelin Blandine, Guilmoteau Thomas, Bordet Martin, Haas Manon, Lambin Thomas, Daniel Jules, Verdier Pierre, Degand Thibault, Blanc Pierre, Gerard Romain, Camus Marine, Queneherve Lucille, Poincloux Laurent, Dray Xavier, Amiot Aurélien
Department of Gastroenterology, Henri-Mondor University Hospital, AP-HP, EA7375, Université Paris Est Créteil, Créteil, F-94010 France; Centre for Digestive Endoscopy, Sorbonne University, Saint-Antoine Hospital, AP-HP, Paris, Paris, F-75012 France.
Department of Gastroenterology, Henri-Mondor University Hospital, AP-HP, EA7375, Université Paris Est Créteil, Créteil, F-94010 France.
Clin Res Hepatol Gastroenterol. 2022 Feb;46(2):101837. doi: 10.1016/j.clinre.2021.101837. Epub 2021 Nov 18.
In France, it is mandatory that gastroenterology fellows have mastered the basic level of endoscopy by the end of training. The aim of this study was to assess improvement in the quality of fellows' endoscopy training in France during the last four years.
All fellows in France in training were eligible for participation. A 21-item questionnaire was sent out. The primary outcome was the completion by fourth year fellows of all the number of procedures recommended. Results were compared with those of a 2016 survey.
Two-hundred-and-sixty-five fellows responded to the survey. The participation rate was 47.0%. The mean age was 27.3 ± 1.0 years and 56.4% were female. Access to theoretical courses (63.7% vs. 30.6%, p < 0.001) and simulation-based training (virtual reality simulator: 58.4% vs. 28.2%, p < 0.001, animal models: 29.4% vs. 17.2%, p < 0.001) was significantly higher in 2020. Although the number of procedures did not increase, significantly higher perception of skill acquisition in colonoscopy as well as diminished pressure to advance procedures were noted.
Access to theoretical courses and simulation-based training and perceived acquisition of numerous skills has gotten better. However, the quality of training in endoscopy still needs improvement.
在法国，胃肠病学住院医师在培训结束时必须掌握内镜检查的基本水平。本研究的目的是评估过去四年法国住院医师内镜检查培训质量的改善情况。
法国所有正在接受培训的住院医师均符合参与条件。发放了一份包含21个条目的问卷。主要结果是四年级住院医师完成推荐的所有操作数量。将结果与2016年的一项调查结果进行比较。
265名住院医师回复了调查。参与率为47.0%。平均年龄为27.3±1.0岁，56.4%为女性。2020年获得理论课程（63.7%对30.6%，p<0.001）和基于模拟的培训（虚拟现实模拟器：58.4%对28.2%，p<0.001，动物模型：29.4%对17.2%，p<0.001）的比例显著更高。尽管操作数量没有增加，但结肠镜检查技能获取的感知显著提高，推进操作的压力也有所减轻。
获得理论课程和基于模拟的培训以及对众多技能的感知获取情况有所改善。然而，内镜检查培训质量仍需提高。
