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PWE-428 Oesophageal ph/manometry – the trainees’ perspective
  1. I Stasinos1,
  2. S Birdi1,
  3. S Jayakumar2,
  4. J Jayasundera2,
  5. P Sattianayagam1
  1. 1Gastroenterology, East Kent Hospitals University Foundation Trust, Canterbury
  2. 2GKT School of Medical Education, King–s College Hospital, London, UK

Abstract

Introduction Oesophageal disorders are among the commonest medical conditions.¹ Management of these conditions is a core competence in the curriculum of gastroenterology trainees.2British Society of Gastroenterology (BSG) guidelines outline the uses of oesophageal pH/manometry assessment in establishing oesophageal diagnoses and targeting relevant treatments.¹

Method We aimed to assess the trainees’ knowledge and experience of oesophageal pH/manometry as per JRCPTB guidelines.² An anonymous survey of gastroenterology trainees in Kent Surrey and Sussex and North East London deaneries was carried out. A questionnaire was sent out twice over a one month period (November 2014) and responses were assessed.

Results 23/70 (33%) completed the survey. 5/23 were in their 1styear of training, 4/23 in their 2nd, 6/23 in their 3rd, 6/23 in their 4thand 2/23 in their 5th.

Training: 22 of trainees replied. No trainee had done research in the field. 13/22 (59%) trainees had teaching on oesophageal physiology at a regional training day at some point during their training and four of these had also attended lectures on this field at a national/international meeting. 1/22 (4.5%) had only attended lectures at a national/international meeting and 8/22 (36%) trainees had no training or education at all. 16/23 (70%) had read all or part of any BSG guidelines and 8/23 (35%) had read the BSG guidelines on oesophageal/pH manometry. Only 4/23 (17%) felt that their training in this area was satisfactory.

Understanding: 16/23 (70%) trainees listed at least one indication for oesophageal pH assessment. Only 3/23 (13%) were able to list more than two indications. 15/23 (65%) would request manometry studies for suspected oesophageal motility disorders. 7/23 (30%) knew of its use as a pre-assessment prior to fundoplication. 15/23 (65%) knew that an oesophageal pH below 4 is indicative of significant gastro-oesophageal reflux disease and 5/23 (22%) were familiar with the DeMeester score.

Technical ability: 17/23 (74%) had worked in hospitals with oesophageal pH/manometry facilities. No trainee had “hands-on” experience and only 4/23 (17%) had seen it performed at all. 21/23 (91%) said that they would like to further their knowledge and expertise in the area. 18/23 (78%) felt that it might improve job prospects.

Conclusion Education and training in oesophageal pH/manometry is deficient despite this area being recognised in the gastroenterology curriculum and available in hospitals in the South-East. There is scope for improvements in both areas.

Disclosure of interest None Declared.

References

  1. British Society of Gastroenterology: Guidelines for oesophageal manometry and pH monitoring (Nov 2006)-K. Bodger and N. Trudgill

  2. Joint Royal College of Physicians Training Board (2010) – Higher Medical Training Curriculum for Gastroenterology

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