Endoscopy training in the Netherlands: a national survey among gastroenterology residents

Background and study aims Training in endoscopy is a key objective of gastroenterology residency. There is currently no standardized or systematic training approach. This study evaluated and compared the current status of gastrointestinal endoscopy training programs in all teaching hospitals in the Netherlands from a resident perspective.Materials and methods A national online survey with open and closed questions on gastrointestinal endoscopy training was administered to all gastroenterology residents (N = 180) in the eight educational regions in the Netherlands.Results One hundred residents who had already started endoscopy training were included in the analyses. Sixty-five residents (65 %) were satisfied with their endoscopy training program. Participation in a preclinical endoscopy course was mandatory in seven of eight educational regions. Residents from the region without a mandatory endoscopy training course were significantly less likely to be satisfied with their endoscopy training program (32 %, P = .011). Criteria used to determine the level of supervision differed greatly between teaching hospitals (e. g. assessed endoscopy competence, predefined period of time or number of procedures). Only 26 residents (26 %) reported uniformity in teaching methods and styles between different supervising gastroenterologists in their teaching hospital.Conclusions Although most gastroenterology residents were satisfied with the endoscopy training program and endoscopy supervision in their teaching hospital, this study identified considerable local and regional variability. Future studies should be conducted to evaluate the trainers’ perspective and trainers’ behavior during endoscopy training sessions, which might eventually lead to the development of best practices regarding endoscopy training, including standardization of training programs and supervision methods.</p

A Thirty-Year Follow-Up Surveillance Study for Neoplasia of a Dutch Ulcerative Colitis Cohort

Cellular mechanisms in basic and clinical gastroenterology and hepatolog

Temperatuurregeling van buisverwarmingsinstallaties in kassen

Drie regelvormen die gebruikt kunnen worden voor de temperatuurregeling van een buisverwarmingsnet, uitgerust met een driewegmengklep, zijn op hun geschiktheid onderzocht. De regelvorm, waarbij naast de buistemperatuur ook de klepstand als terugkoppelsignaal wordt gebruikt, gaf de beste resultate

Optimizing the timing of colorectal surgery in patients with familial adenomatous polyposis in clinical practice

Surgical oncolog

MKGR milieu-indicator

In het kader van het project Monitoring kwaliteit groene ruimte (MKGR) is een methode ontwikkeld om de integrale milieukwaliteit in beeld te brengen door middel van één indicator. Voor de ontwikkeling van de milieu-indicator is uitgegaan van de milieuthema's verzuring, vermesting en verspreiding van bestrijdingsmiddelen. Deze variabelen zijn gerelateerd aan kwantificeerbare beleidsdoelen en/of referentiesituaties. De milieu-indicator was tot nu toe alleen uitgewerkt voor de variabelen verzuring, vermesting, en verspreiding van bestrijdingsmiddelen voor de provincie Noord-Brabant. In 2002 zijn deze variabelen landsdekkend uitgewerkt. Dit is gedaan voor de kwaliteit per milieuthema, maar ook voor de indicator voor de (integrale) milieutoestand van de groene ruimte binnen elke gemeente in Nederland. Tevens zijn de belangrijkste tussenresultaten op het niveau van gridcellen weergegeven. De (tussen)resultaten kunnen worden opgeschaald naar regio, provincie en heel Nederland

Value-based healthcare in Lynch syndrome

Cervix cance