Papadopoulou Alexandra, Ribes-Koninckx Carmen, Noni Maria, Koutri Eleni, Karagianni Maria-Vasiliki, Protheroe Sue, Guarino Alfredo, Mas Emmanuel, Wilschanski Michael, Roman Enriqueta, Escher Johanna, Furlano Raoul I, Posovszky Carsten, Hoffman Ilse, Veres Gabor, Bronsky Jiri, Hauer Almuthe Christine, Tjesic-Drinkovic Duska, Fotoulaki Maria, Orel Rok, Urbonas Vaidotas, Kansu Aydan, Georgieva Miglena, Baker Alastair, Kelly Deirdre
Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Agia Sofia Children's Hospital, Athens, Greece (Alexandra Papadopoulou, Maria Noni, Eleni Koutri, Maria-Vasiliki Karagianni).
Pediatric Gastroenterology Unit, La Fe University Hospital, Valencia, Spain (Carmen Ribes-Koninckx).
Ann Gastroenterol. 2022 Mar-Apr;35(2):187-193. doi: 10.20524/aog.2022.0698. Epub 2022 Feb 14.
The widely recognized burden of liver diseases makes training in pediatric hepatology (PH) imperative. The aim of this survey, which was part of a global survey on training in pediatric gastroenterology, hepatology and nutrition (PGHN) across Europe, was to assess the PH and liver transplantation (LT) infrastructure, staff and training programs in PGHN training centers.
Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Network of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) from June 2016 to December 2019.
A total of 100 PGHN training centers participated in the survey (14/100 were national referral centers in PH and/or LT). Dedicated PH clinics were available in 75%, but LT clinics in only 11%. Dedicated beds for PGHN inpatients were available in 47/95 (49%) centers. Full-time or part-time specialists for PH care were available in 31/45 (69%) and 11/36 (31%) centers, respectively. Liver biopsies (LB) were performed in 93% of centers by: a PGHN specialist (35%); an interventional radiologist (26%); a pediatric surgeon (4%); or a combination of them (35%). Dividing the annual number of LBs in the centers performing LBs by the number of trainees gave a median (range) of 10 (1-125) per trainee. Transient elastography was available in 60/92 (65%) of centers.
The survey highlighted the differences and shortcomings in PH training across Europe. ESPGHAN should take initiatives together with National Societies to ensure the acquisition of PH knowledge and skills according to the ESPGHAN curriculum.An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic-Hepatology-training-paper.pdf.
肝脏疾病的广泛负担使得小儿肝病（PH）培训势在必行。这项调查是欧洲小儿胃肠病学、肝病学和营养（PGHN）培训全球调查的一部分，旨在评估PGHN培训中心的PH和肝移植（LT）基础设施、人员和培训项目。
2016年6月至2019年12月期间，通过欧洲小儿胃肠病学、肝病学和营养学会（ESPGHAN）国家学会网络的主席/代表，从培训中心收集标准化问卷。
共有100个PGHN培训中心参与了调查（100个中有14个是PH和/或LT的国家转诊中心）。75%的中心设有专门的PH诊所，但只有11%设有LT诊所。47/95（49%）的中心设有PGHN住院患者专用床位。分别有31/45（69%）和11/36（31%）的中心有全职或兼职的PH护理专家。93%的中心进行肝活检（LB），操作医生分别为：PGHN专家（35%）；介入放射科医生（26%）；小儿外科医生（4%）；或他们的组合（35%）。将进行LB的中心的年LB数量除以学员数量，每位学员的中位数（范围）为10（1-125）。60/92（65%）的中心可进行瞬时弹性成像。
该调查突出了欧洲PH培训的差异和不足。ESPGHAN应与各国学会共同采取举措，确保根据ESPGHAN课程获取PH知识和技能。本文的信息图可在以下网址获取：http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic-Hepatology-training-paper.pdf 。
