Evidence map›Paper›PMID 42005399›Full record

ArticleForegut (Thousand Oaks, Calif.)2026

American Foregut Society Education Committee: Development Of The Advanced Foregut Fellowship Program for Gastroenterology Trainees.

Eric D Shah, Christy M Dunst, Michael M Awad, Amit Patel, Pichamol Jirapinyo, Rita M Knotts, Walter W Chan, C Prakash Gyawali

Abstract read
In one paragraph

Article in Foregut (Thousand Oaks, Calif.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

8 authors.

Eric D ShahUniversity of Michigan, Ann Arbor, Michigan.
Christy M DunstHoag Hospital, Newport Beach, California.
Michael M AwadWashington University in St Louis, St Louis, Missouri.
Amit PatelDuke University and the Durham Veterans Affairs Medical Center, Durham, North Carolina.
Pichamol JirapinyoBrigham and Women's Hospital, Boston, Massachusetts.
Rita M KnottsNew York University, New York, New York.
Walter W ChanBrigham and Women's Hospital, Boston, Massachusetts.
C Prakash GyawaliWashington University in St Louis, St Louis, Missouri.

Funding

Guideline to Implementation: A Rapid Clinical Care Pathway to Care for Patients Affected by Chronic ConstipationK23DK134752 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Eric Dinesh Shah · 2023 to 2026
$776k
NIDDK NIH HHS K23 DK134752
6 · The paper itself

Abstract

backgroundForegut disorders, including gastroesophageal reflux disease (GERD), esophageal motility disorders, and obesity, represent a significant and growing clinical and economic burden. The evolution of nuanced diagnostics (e.g., impedance planimetry) and advanced endoscopic therapeutics (e.g., per-oral endoscopic myotomy [POEM], transoral incisionless fundoplication, endobariatrics) has created a training gap not addressed by standard gastroenterology or advanced endoscopy fellowships. Specialized expertise in managing these complex foregut disorders is a critical area of clinical need.

methodsThe American Foregut Society (AFS) Education Committee developed a core curriculum for a one-year advanced fellowship program focused on foregut disorders. This advanced program is designed for graduates of three-year accredited gastroenterology fellowship training programs. We define a competency-based assessment framework based on domain-specific Entrustable Professional Activities (EPAs) that integrate the six Accreditation Council for Graduate Medical Education (ACGME) Core Competencies.

resultsThe Advanced GI Foregut Fellowship curriculum is comprised of three domains: esophageal motility; reflux, mucosal disease, and cancer; and, obesity and metabolic disorders. Fellows will be expected to achieve Level 4 (practice-ready) entrustment in at least two of these domains. Each domain features training to independent proficiency in patient evaluation, diagnostic testing, and therapeutic intervention.

conclusionThe AFS-sponsored Advanced GI Foregut Fellowship is proposed as a pilot program to formally train gastroenterologists to lead interdisciplinary foregut centers. We describe the curriculum, a novel GME assessment framework, and a strategy for implementation and evaluation. The pilot program will be used to determine appropriate training threshold volumes required to achieve competence.

Indexed as

advanced fellowship traininggraduate medical education

Identifiers

PMID42005399
PMCPMC13089911

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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.