Scarallo Luca, Russo Giusy, Renzo Sara, Lionetti Paolo, Oliva Salvatore
Gastroenterology and Nutrition Unit, Meyer Children Hospital IRCCS, Florence, Italy.
Department of NEUROFARBA, University of Florence, Florence, Italy.
Front Pediatr. 2023 Jul 28;11:1201593. doi: 10.3389/fped.2023.1201593. eCollection 2023.
Gastrointestinal (GI) endoscopy in pediatric setting has unique features and, therefore, requires an approach that is tailored to pediatric practice. There is still heterogeneity between training programs worldwide in terms of duration, number of procedures and assessment during and at the end of the training process.
We conducted a narrative review aiming to describe and summarize the existing literature on the various training methods for pediatric GI endoscopy to highlight the significance of specific pediatric endoscopy training.
Simulation-based tools have been implemented in several training programs, providing a safer learning environment for trainees, especially in their earlier stages of training. Assessment of competence is gradually shifting from the sole evaluation of procedural numbers towards the development of more reliable and valid tools that can accurately measure technical competence. Despite such seismic shift, there is still a need for a standardized and comprehensive pediatric-oriented endoscopy curriculum that incorporates acquisition of procedural skills education and is built on the current competency-based model of training. All the above must sink their roots in trainees and to ensure that the endoscopists of tomorrow are capable of delivering high quality of care for children undergoing endoscopy.
It is crucial to parallelly focus on the way trainers teach trainees. In this context, the implementation of "train the trainers" courses has improved important quality meters in GI endoscopy. Future research should put the focus on the potential subsequent favorable benefits of these changes on child health.
儿科胃肠（GI）内镜检查具有独特特点，因此需要一种适合儿科实践的方法。在培训时长、操作数量以及培训过程中和结束时的评估方面，全球范围内的培训项目仍存在异质性。
我们进行了一项叙述性综述，旨在描述和总结关于儿科胃肠内镜检查各种培训方法的现有文献，以突出特定儿科内镜检查培训的重要性。
基于模拟的工具已在多个培训项目中应用，为学员提供了更安全的学习环境，尤其是在培训初期。能力评估正逐渐从仅对操作数量的评估转向开发更可靠、有效的工具，这些工具能够准确衡量技术能力。尽管发生了如此巨大的转变，但仍需要一个标准化且全面的以儿科为导向的内镜检查课程，该课程应纳入操作技能教育的获取，并建立在当前基于能力的培训模式之上。上述所有内容都必须深入学员，并确保未来的内镜医师能够为接受内镜检查的儿童提供高质量的护理。
同等重要的是关注培训师教导学员的方式。在此背景下，“培训培训师”课程的实施改善了胃肠内镜检查中的重要质量指标。未来的研究应聚焦于这些变化对儿童健康可能产生的后续有利影响。
