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At least 19 recordsLinked to original sources
PubMed1988

Education and training in gastroenterology. Report from the OMGE symposia at the International Congress of Gastroenterology, Lisbon, Portugal, September 1984, and at the 8th World Congress of Gastroenterology, São Paulo, Brazil, September 1986.

Gastroenterology is recognized as a speciality in most countries, especially in Europe and North America. The requirements for being acknowledged as a specialist vary from 1 1/2 to 4 years of training and education in gastroenterology in addition to 1-6 years of training and education in internal medicine/surgery. The requirement of theoretical education varying from 40 to 300 h is practiced in some countries only. In some countries training in endoscopy is separated from gastroenterology. A formal examination and post-specialization training program is required in only some of the countries answering the questionnaire. The number of centres per million inhabitants recognized for training and education also varied greatly. The number of specialists per million inhabitants was 3.6 to 15. In the Middle and Far East the organisation of gastroenterology was much inferior to that in Europe and North America because of insufficient education and organization programs and lack of economic support to perform them. The answers from the gastroenterological associations and personal reporters agreed on the following: A speciality in medical and surgical gastroenterology should be established in all countries around the world. Programs for training and education should be agreed upon in recognized teaching and training institutions of gastroenterology, probably of 3 years' duration in combination with a speciality in internal medicine. A gastroenterologist will in most cases be dealing with other diseases as well. The number of specialists per million inhabitants may be estimated to 10, the exact number not being possible to determine at present. In most countries the post-specialization programs were not required but were offered, a problem that has to be clarified.(ABSTRACT TRUNCATED AT 250 WORDS)

Congresses as Topic↗
PubMed2005

[Clinical gastroenterology--luxury or standard of service in gastroenterology?].

Gastroenterology is one of the important specialities in internal medicine. The reform of the training curriculum for internal medicine and the reimbursement for inpatient and outpatient services in gastroenterology threatens the existence of internal medicine and gastroenterology in Germany, too. The capacity for training in internal medicine and gastroenterology is reduced by a decrease in the number of hospital beds in academic and community training centres. The concentration on gastrointestinal endoscopy in outpatient gastroenterology will be a result of an increasing demand for gastrointestinal endoscopy services and the decreasing number of gastroenterology clinics, respectively. Therefore, clinical gastroenterology as a core service in gastroenterology will be steadily eliminated. This development will diminish clinical gastroenterology to gastrointestinal endoscopy by eliminating the clinical services for chronic gastroenterological conditions such as, e.g., IBD, chronic hepatitis, reflux disease, IBS and functional dyspepsia. In this way gastroenterology looses its central role in health care services in specialised internal medicine. In 2003 the American Gastroenterological Association position paper: "Training the Gastroenterologist of the Future: the Gastroenterology Core Curriculum" was published. It has emphasised the role of clinical gastroenterology in medical training and medical services, too. Clinical gastroenterology consists of an array of several disciplines, e.g., GI physiology, GI research, infectious diseases, hepatology, oncology and gastrointestinal endoscopy, which all contribute to the effectiveness and efficiency in health care service. Financial incentives and better prospects of leading positions for young gastroenterologists in clinical gastroenterology have to be accomplished in order to nourish clinical gastroenterology in Germany. The German Association of Gastroenterology should negotiate with the responsible authorities for the addition of clinical gastroenterological services to the reimbursement by the EBM2000plus. The section of Gastroenterology of the German Association of Internists will provide sustained support to the achievement of this goal.

Delivery of Health Care↗
PubMed2004

Ethical issues in Canadian gastroenterology: results of a survey of Canadian gastroenterology trainees.

BACKGROUND: Specialty-specific bioethical education is a mandated component of gastroenterology training programs in Canada, but no gastroenterology-specific bioethical curriculum is available. PURPOSE: To assess the relative importance of a variety of bioethical issues to the practice of gastroenterology. METHOD: A convenience sample of Canadian gastroenterology residents and staff was surveyed at a national meeting for Canadian gastroenterology trainees. They were asked to indicate their opinions of the relative importance of 24 different bioethical issues in their practice of gastroenterology. RESULTS: Respondents made distinctions in the relevance of different bioethical issues to the practice of gastroenterology and there was substantial concordance in the rankings indicated by residents and staff. Truth telling, consent and the capacity to give consent, and consent with regard to specific endoscopic procedures were ranked by both residents and staff as most important to their practice of gastroenterology. In contrast, the issue of euthanasia and assisted suicide was ranked near the bottom of the list by both residents and staff. The results differ in some respects from the key ethical questions identified by opinion leaders in gastroenterology. INTERPRETATION: Gastroenterology residents and staff identify some topics as much more relevant than others to the practice of gastroenterology. It is proposed that this can provide a framework for developing a gastroenterology-specific bioethical curriculum, and that there is an important opportunity for developing a joint program through collaboration among gastroenterology training programs across Canada.

Attitude of Health Personnel↗
PubMed1981

Career prospects in medical gastroenterology in the United Kingdom. A report prepared for the Committee on Gastroenterology of the Royal College of Physicians (London).

There are about 270 physicians with a special interest in gastroenterology distributed throughout the United Kingdom; most of them (91%) are members of the British Society of Gastroenterology. Two-thirds of these physicians regard their post as that of general physician with a special interest in gastroenterology and a quarter as general physician. Very few physicians (nine) practise gastroenterology alone. Most physicians devote between three and six sessions to gastroenterology; this time is divided between inpatient care, outpatient consultation, and endoscopy in roughly equal proportions. Most physicians spend one to two sessions performing endoscopy. Nearly all district general hospitals, except the smallest with a staff of two or three physicians, have a physician with a special interest in gastroenterology on their staff. Some district general hospitals and most university hospitals have two such physicians. The number of likely consultant vacancies by retirement on grounds of age is small in the next five years (14) and then rises progressively, reaching about eight per annum in 1991-95 and more than 10 per annum thereafter. There are about 90 trainees of senior registrar status who aspire to a career as consultant physician with a special interest in gastroenterology, or an academic career in gastroenterology, distributed throughout the country. There are also eight trainees of senior registrar status who wish to obtain a post as general physician with gastroenterology as one of two or more special interests. There are known to be about 70 trainees of registrar status who wish to train in general medicine with a special interest in gastroenterology and another 24 who wish to make gastroenterology one of their special interests.

Career Mobility↗
PubMed1994

Specialist training in gastroenterology in the European Community: the case for European boards. European Board of Gastroenterology.

Gastroenterological training differs so greatly from country to country in Europe it is impossible to believe that training is equally good in each one. This in turn, provides a barrier to the free migration of doctors with the European Community. These differences also create confusion for migrating patients, and call into question the validity of the European Commission directives, which pronounce all qualifications obtained in European Community countries to be equally acceptable within the community. The European Commission does not have the power to unify medical training, but the medical profession itself acting in concert as a European body could harmonise the differences to ensure acceptable standards of training across the community. The Union of European Medical Specialists (UEMS) is the representative body of national medical specialists bodies, which reports to the European Commission. The European Board of Gastroenterology, a working party of the Gastroenterology Section of the UEMS has agreed acceptable and fair standards of training for gastroenterologists, and has developed a system for external assessment of training centres and faculty. All three, candidates, faculty, and centre would, in the event of a successful application, be awarded the European Diploma of Gastroenterology or, in full, the Diploma of Recognition of Quality of Training in Gastroenterology. This paper discusses these problems, some of their origins, and the proposals of the European Board.

Education, Medical, Graduate↗
PubMed1990

[25th anniversary of the Gastroenterology Society of East Germany. III. Organization of the sub-specialty gastroenterology].

The designation of "gastroenterology" was coined in 1896 by Hemmeter. In this article, the foundation of the first gastroenterological societies in the USA, in Japan, and in Poland is reported; the foundation of international societies of this specialty is mentioned too. The establishment of gastroenterological journals in Japan and in France is pointed out. Finally, the arrangement of the governmental acknowledgement of the sub-specialization in gastroenterology in the German Democratic Republic is described.

Gastroenterology↗
PubMed2000

Fifty landmark discoveries in gastroenterology during the past 50 years. A brief history of modern gastroenterology at the millennium: Part I. Gastrointestinal procedures and upper gastrointestinal disorders.

During the last half century, many outstanding discoverers have revolutionized the clinical practice and science of gastroenterology. Whereas the scientific results are widely disseminated, the discoverers have received inadequate recognition, and the history of their discoveries is poorly known. At the millennium, a committee selected the 50 landmark discoveries in gastroenterology during the past 50 years. A brief history of each landmark discovery is presented. Part I presents the landmark discoveries in gastrointestinal (GI) procedures and in upper GI disorders. Part II of this presentation, which covers landmark discoveries in other areas of gastroenterology, will publish in Part II of the volume on High Risk Gastrointestinal Bleeding.

Gastroenterology↗