ePoster
Presentation Description
Institution: Coffs Harbour Health Campus - NSW, Australia
Gastrointestinal endoscopy is a required and essential part of general surgery training in Australia.
The current General Surgery Education and Training (GSET) program initiated in 2022, mandates all trainees to complete 200 gastroscopies and 100 colonoscopies unassisted before applying for Fellowship status.
This study evaluated the endoscopy logbook of four first-year GSET trainees over a six-month period in a centre offering opportunities to participate in both general surgery and gastroenterology endoscopy lists. It compared the number of gastroscopies, endoscopic interventions, colonoscopies, caecal intubation rates, and polypectomies performed under the supervision of gastroenterologists versus surgeons.
Collectively, the four trainees completed 193 gastroscopy and 243 colonoscopy cases. Among these, 88 gastroscopies, including 15 interventional procedures, and 109 colonoscopies were performed with a gastroenterologist. The data showed that trainees were significantly more likely to achieve independent caecal intubation with a gastroenterologist than with surgeons (97 vs 91, p <0.001). The rate of polypectomies independently performed by trainees was comparable between both supervisory groups.
Improving surgical trainee access to endoscopy is a well-recognised issue both locally in Australia and globally. This study emphasizes the benefits of gastroenterologists supervising surgical trainees.
This includes advanced endoscopic techniques in addition to meeting basic procedural numbers required by training. This study highlights the need for a collaborative approach between surgical and gastroenterology departments in enhancing training opportunities for surgical trainees.
Speakers
Authors
Authors
Dr Ernest Cheng - , Dr Jasmine Mui - , Dr Amer Matar - , Dr Zachary Bunjo - , Dr John Wenman - , Dr Wilson Petrushnko -