A primary goal of pediatric gastroenterology training programs is to teach endoscopic
procedural skills to trainees so that they can safely and effectively perform procedures
independently. Performance of the procedure by a trainee with less experience than
a fully trained pediatric gastroenterologist may lead to concerns that the child is
at higher risk of adverse events (AEs). These concerns may be even greater when considering
therapeutic procedures (such as endoscopic retrograde cholangiopancreatography, dilations,
polyp removal, percutaneous feeding tube placement, or endoscopic control of hemorrhage),
which are performed less frequently and already carry an increased risk of AE. Previous
studies have had conflicting results on AE rates and trainee presence, but none have
examined association between trainee educational level and AE rates in pediatric endoscopic
procedures.
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© 2017 Published by Elsevier Inc.
