Evidence map›Paper›PMID 40145420›Full record

ArticleNeurogastroenterology and motility2025

Trainees' Exposure to the Field of Neurogastroenterology and Motility in Internal Medicine and General Surgery Residency Programs.

Daniel L Cohen, Amir Mari, Fahmi Shibli, Rita Brun, Tarek Arraf, Yoav Mazor, Nir Bar, Eran Ariam, Hagai Schweistein, Farouk Khatib and 3 more

Abstract read
In one paragraph

Article in Neurogastroenterology and motility, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Achalasia: Physician Practices and Knowledge in Türkiye.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  2. Observational
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

13 authors.

Daniel L CohenThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir Medical Center, Zerifin, Israel.ORCID https://orcid.org/0000-0002-7879-3966
Amir MariGastroenterology and Endoscopy Unit, Nazareth Hospital EMMS, Nazareth, Israel.
Fahmi ShibliGastroenterology Department, HaEmek Medical Center, Afula, Israel.
Rita BrunRappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.
Tarek ArrafGastroenterology Department, Rambam Health Care Campus, Haifa, Israel.
Yoav MazorGastroenterology Department, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID https://orcid.org/0000-0001-8590-6271
Nir BarGastroenterology Department, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Eran AriamGastroenterology Department, Kaplan Medical Center, Rehovot, Israel.
Hagai SchweisteinFaculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Farouk KhatibGastroenterology Department, Bnai Zion Medical Center, Haifa, Israel.
Vered RichterThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir Medical Center, Zerifin, Israel.ORCID https://orcid.org/0000-0001-6003-9220
Haim ShirinThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir Medical Center, Zerifin, Israel.
Anton BermontThe Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir Medical Center, Zerifin, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe disorders of neurogastroenterology and motility (NGM) are common, yet studies have shown that medical students have a relative lack of knowledge and confidence in this field, which may lead to poorer patient outcomes. We sought to evaluate whether this is also true of residents during the next stage of medical training.

methodsA questionnaire was developed and sent to internal medicine and general surgery trainees at nine teaching hospitals to assess their exposure to NGM and their comfort with the disorders of NGM versus organic gastrointestinal diseases.

resultsA total of 121 trainees completed the questionnaire (mean age 32.7, 33.1% female, 71.9% internal medicine, and 28.1% general surgery). Overall, reported exposure to NGM was low (53.9%), mainly occurred during discussions on rounds, and was more common among surgeons (84.8% vs. 41.5%, p < 0.001). Overall, only 9.1% felt NGM was addressed at a moderate or high level, whereas only 13.3% felt knowledgeable enough to treat patients at a moderate or high level. Comfort with NGM diagnostic testing was also low, especially for anorectal manometry. When asked to rate their comfort with the pathophysiology, diagnosis, and treatment of eight diseases (4 NGM, 4 organic), comfort scores were significantly lower for the NGM disorders across all three domains for the whole population, as well as for internal medicine and surgical trainees individually (all p < 0.003).

conclusionsExposure to NGM during residency training is low, with trainees often feeling inadequately prepared. This appears to be worse for internal medicine trainees than for general surgery trainees. Strategies to increase exposure and knowledge of NGM during residency training are needed.

Indexed as

GastroenterologyGeneral SurgeryInternal MedicineInternship and ResidencyAdultClinical CompetenceFemaleGastrointestinal DiseasesHumansMaleSurveys and Questionnairesgastrointestinal motilitygut–brain axismedical educationneurogastroenterologytraining programs

Identifiers

PMID40145420
PMCPMC12075901

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.