Predictors of Endoscopy Procedure Volume During Fellowship: Male Gender and Private (vs Academic) Program
Douglas K. Rex, MD, MASGE, reviewing Lenhart A, et al. Clin Gastroenterol Hepatol 2021 Oct 7.
The American Society for Gastrointestinal Endoscopy recommends that gastroenterology fellows complete a minimum of 130 EGDs and 275 colonoscopies before assessing competency.
In a survey of U.S. GI fellowship programs, the response rate was 14% (n=360, 33% female, 48% White, and 88% clinical fellows). Multivariate analysis showed female fellows performed fewer total EGDs and colonoscopies than male fellows (1003 vs 1027; relative risk [RR], 0.94), Northeastern programs had greater procedure volumes than programs in other U.S. regions (RR, 1.31), and academic programs had lower volumes than private programs (RR, 0.54). Also, compared with fellows pursuing general GI as a career, fellows entering motility as their career had lower volumes (RR, 0.66), and fellows entering transplant hepatology had lower volumes (RR, 0.84).
COMMENTThese data suggest some factors that fellowship programs should consider for assessing the appropriateness of endoscopy volumes provided for their fellows and subgroups of fellows.
Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.
CITATION(S)
Lenhart A, Chen F, Condon A, et al. Gender and other factors associated with endoscopy volume among U.S. gastroenterology fellows. Clin Gastroenterol Hepatol 2021 Oct 7. (Epub ahead of print) (https://doi.org/10.1016/j.cgh.2021.10.004)
