Evidence map›Paper›PMID 39035405›Full record

ArticlePediatric gastroenterology, hepatology & nutrition2024

Current Pediatric Endoscopy Training Situation in the Asia-Pacific Region: A Collaborative Survey by the Asian Pan-Pacific Society for Pediatric Gastroenterology, Hepatology and Nutrition Endoscopy Scientific Subcommittee.

Nuthapong Ukarapol, Narumon Tanatip, Ajay Sharma, Maribel Vitug-Sales, Robert Nicholas Lopez, Rohan Malik, Ruey Terng Ng, Shuichiro Umetsu, Songpon Getsuwan, Tak Yau Stephen Lui and 5 more

Abstract read
In one paragraph

Article in Pediatric gastroenterology, hepatology & nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. APSPGHAN Statement on Endoscopic Variceal Bleeding Hemostasis.Pediatric gastroenterology, hepatology & nutrition · 2026
    Review
  4. Review
  5. Prediction of duodenal ulcers in children withTranslational pediatrics · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Nuthapong UkarapolDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID https://orcid.org/0000-0001-6243-3395
Narumon TanatipDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID https://orcid.org/0009-0002-5150-9328
Ajay SharmaDepartment of Pediatrics and Pediatric Gastroenterology, Fiona Stanley Hospital, Joondalup Health Campus and SJOG Midland, Curtin Medical School, Murdoch, Australia.ORCID https://orcid.org/0000-0003-2321-8275
Maribel Vitug-SalesDepartment of Pediatrics, Makati Medical Center, Makati City, Manila, Philippines.ORCID https://orcid.org/0000-0001-7033-4485
Robert Nicholas LopezDepartment of Pediatrics, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-8855-6342
Rohan MalikDivision of Pediatric Gastroenterology and Hepatology, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0003-3450-9668
Ruey Terng NgDepartment of Pediatrics, University of Malaya, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0003-1656-5797
Shuichiro UmetsuDepartment of Pediatric Hepatology and Gastroenterology, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan.ORCID https://orcid.org/0000-0002-6129-5127
Songpon GetsuwanDepartment of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0001-7558-1995
Tak Yau Stephen LuiDepartment of Pediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong.
Yao-Jong YangDepartment of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan.ORCID https://orcid.org/0000-0002-2164-138X
Yeoun Joo LeeDepartment of Pediatrics, Pusan National University Children's Hospital, Pusan National University College of Medicine, Yangsan, Korea.ORCID https://orcid.org/0000-0001-8012-5433
Katsuhiro AraiDivision of Gastroenterology, National Center for Child Health and Development, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6440-4640
Kyung Mo KimDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7896-6751
APPSPGHAN Endoscopy Scientific Subcommittee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement. Methods: A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024. Results: A total of 57 medical centers in 12 countries offering formal Pediatric Gastroenterology training programs participated in this regional survey. More than 75% of the centers had an average case load of <10 cases per week for both diagnostic and therapeutic endoscopies. Only 36% of the study programs employed competency-based outcomes for program development, whereas nearly half (48%) used volume-based curricula. Foreign body retrieval, polypectomy, percutaneous endoscopic gastrostomy, and esophageal variceal hemostasis, that is, sclerotherapy or band ligation (endoscopic variceal sclerotherapy and endoscopic variceal ligation), comprised the top four priorities that the trainees should acquire in the autonomous stage (unconscious) of competence. Regarding the learning environment, only 31.5% provided formal hands-on workshops/simulation training. The direct observation of procedural skills was the most commonly used assessment method. The application of a quality assurance (QA) system in both educational and patient care (Pediatric Endoscopy Quality Improvement Network) aspects was present in only 28% and 17% of the centers, respectively. Conclusion: Compared with Western academic societies, the limited availability of cases remains a major concern. To close this gap, simulation and adult endoscopy training are essential. The implementation of reliable and valid assessment tools and QA systems can lead to significant development in future programs.

Indexed as

AsiaEducationEndoscopyPediatrics

Identifiers

PMID39035405
PMCPMC11254652

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.