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炎症性肠病的全球培训:应对炎症性肠病日益增长的挑战

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

作者信息

Devi Jalpa, Jena Anuraag, Hassan Adil, Lohia Rushali, Catalan-Serra Ignacio, Sharma Vishal, Sebastian Shaji

机构信息

Department of Gastroenterology, University of Nebraska Medical Centre, Omaha, NE, USA.

Department of Gastroenterology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India.

出版信息

Dig Dis Sci. 2025 Jul 24. doi: 10.1007/s10620-025-09263-w.

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.

摘要

炎症性肠病(IBD)在全球范围内的发病率正在上升,低收入和中等收入国家(LMICs)面临着疾病负担的迅速激增。然而,IBD护理结构化培训项目的可用性仍然极不平等。本综述评估了IBD医护人员培训的当前全球形势,重点是找出差距并提出解决方案,以加强多学科准备。IBD护理团队不仅包括胃肠病学家,还包括外科医生、放射科医生、病理学家、IBD护士、营养师和心理健康专业人员。然而,在高收入国家以外,结构化培训途径和认证机制很少。主要障碍包括获取机会有限、资金限制、基础设施不足以及缺乏标准化课程。新兴的数字平台、基于模拟的教育和特定角色培训框架提供了有前景的策略。制定全球统一的课程、改进资助模式以及促进国际合作对于建立一支有韧性和公平的IBD医护人员队伍至关重要。解决这些差距对于改善全球IBD治疗结果至关重要。

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