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KMID : 0384320000210020186
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Korean Journal of Family Medicine
2000 Volume.21 No. 2 p.186 ~ p.193
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Residency training guideline for esophagogastroduodenoscopy skills in family practice
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Kim Young-Sun
Sung Nak-Jin
Park Ki-Heum
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Abstract
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Background : Esophagogastroduodenoscpoy(EGD) is a useful diagnostic procedure and an important basic skill in family practice residency program. But currently was have no guidelines for EGD training in family practice residency program.
Methods : In March 1999, we mailed a self-administered questionnaire to the residency directors of all KAFM-accredited family practice residency programs. 63 out of 109 programs responded to the questionnaire(57.8%).
Results : Among the total of 63 hospitals that responded to the questionnaire, secondary hospitals were 55.6% and tertiary or university hospitals were 44.4%. 98.4% reported that their residents receive training to perform EGD was performed by family physicians in 38.1% of total family practice residency programs. In the majority of these programs(34.9%, cumulative percent 74.6%), the minimal requirements for technical skills in FGD training were 50 cases and for both technical skills and cognitive skills at least 100 cases of EGD(41.3%, cumulative percent 79.3% was necessary). The most difficult component during EGD procedure seemed to be esophageal intubation followed by retroflexed maneuver and entering the pylorus in series.
Conclusion : To perform EGD in primary care, it is required for trainee to perform at least 50 cases of EGD under supervision in a family practice residency program.
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KEYWORD
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gastroscopy, education, family practice
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