Residency training guideline for esophagogastroduodenoscopy skills in family practice.
- Author:
Young sun KIM
1
;
Nak jin SUNG
;
Ki heum PARK
Author Information
1. Department fo Family Medicine, Medical College, Dongguk University, Korea.
- Publication Type:Original Article
- Keywords:
gastroscopy;
education;
family practice
- MeSH:
Education;
Endoscopy, Digestive System*;
Family Practice*;
Gastroscopy;
Hospitals, University;
Humans;
Internal Medicine;
Internship and Residency*;
Intubation;
Organization and Administration;
Physicians, Family;
Postal Service;
Primary Health Care;
Pylorus;
Surveys and Questionnaires
- From:Journal of the Korean Academy of Family Medicine
2000;21(2):186-193
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Esophagogastroduodenoscopy(EGD) is a useful diagnostic procedure and an important basic skill in family practice residency program. But currently we have no guidelines for EGD training in family practice residency program. METHODS: In March 1999, we mailed a self-administered questionnaire to the residency directors of all KAFM-accredited family practice residency programs. 63 out of 109 programs responded to the questionnaire(57.8%). RESULTS: Among the total of 63 hospitals that responded to the questionnaire, secondary hospitals were 55.6% and tertiary or university hospitals were 44.4%. 98.4% reported that their residents receive training to perform EGD. 57.1% of the total received training to perform EGD during internal medicine training. EGD was performed by family physicians in 38.1% of total family practice residency programs. In the majority of these programs(34.9%, cumulative percent 74.6%), the minimal requirements for technical skills in EGD training were 50 cases and for both technical skills and cognitive skills at least 100 cases of EGD(41.3%, cumulative percent 79.3% was necessary). The most difficult component during EGD procedure seemed to be esophageal intubation followed by retroflexed maneuver and entering the pylorus in series. CONCLUSION: To perform EGD in primary care, it is required for trainee to perform at least 50 cases of EGD under supervision in a family practice residency program.
