Gender and Other Factors Associated with Endoscopy Volume Among U.S. Gastroenterology Fellows

Adrienne Lenhart; Frank Chen; Ashwinee Condon; Ani Kardashian; Najwa El-Nachef; UCLA GI DIVISION BIOSTATISTICS; Lin Chang

doi:10.1016/j.cgh.2021.10.004

Gender and Other Factors Associated with Endoscopy Volume Among U.S. Gastroenterology Fellows

Clin Gastroenterol Hepatol. 2022 Dec;20(12):2911-2914.e4. doi: 10.1016/j.cgh.2021.10.004. Epub 2021 Oct 7.

Authors

Adrienne Lenhart¹, Frank Chen¹, Ashwinee Condon¹, Ani Kardashian², Najwa El-Nachef²; UCLA GI DIVISION BIOSTATISTICS¹; Lin Chang³

Affiliations

¹ Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
² Division of Gastrointestinal and Liver Diseases, University of Southern California, Los Angeles, California.
³ Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California; G. Oppenheimer Center for Neurobiology of Stress and Resilience, University of California, Los Angeles, Los Angeles, California. Electronic address: linchang@mednet.ucla.edu.

PMID: 34628079
DOI: 10.1016/j.cgh.2021.10.004

Abstract

Gastroenterology (GI) fellows' ability to perform procedures are evaluated by the level of competency in the cognitive and technical components of procedures in Accreditation Council for Graduate Medical Education-accredited fellowship programs.¹ However, competency in endoscopic procedures correlates with the number of procedures performed.² The American Society for Gastrointestinal Endoscopy has recommended that a minimum of 130 esophagogastroduodenoscopies (EGDs) and 275 colonoscopies be performed before procedural competency can be assessed.³ Few studies have examined program or trainee-related factors, such as trainee gender, that may influence procedural volume. In other procedural subspecialties, a gender gap exists in trainee procedural volumes, with female residents performing fewer surgical cases than males.^4,5 However, whether gender-related disparities exist in endoscopy volume among GI trainees is unknown. The primary aim of this study was to determine the impact of GI fellow gender on endoscopic procedural volume during training. Secondary aims were to determine if fellow career choice or other training program-related factors, such as program size, location, or setting, affect procedure volume during fellowship.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Clinical Competence
Education, Medical, Graduate
Endoscopy, Gastrointestinal / education
Fellowships and Scholarships
Female
Gastroenterology* / education
Humans
Male