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Gastroenterology training in Europe: unmet educational needs beyond the machines
  1. Gianluca Ianiro1,2,
  2. Antonio Gasbarrini1
  1. 1Internal Medicine and Gastroenterology Unit, Catholic University of Rome, Rome, Italy
  2. 2Italian Council of Trainees in Gastroenterology
  1. Correspondence to Dr Gianluca Ianiro, Largo A. Gemelli 8, Rome IT-00168, Italy; gianluca.ianiro{at}

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We read with interest the paper by Ekkelenkamp et al, who found that the early use of validated simulators during endoscopy training expedites the learning of procedural skills. Authors propose the structured employment of simulators within endoscopy training curricula.1

Endoscopic learning represents an essential component of gastroenterology training and would surely benefit from the application of virtual reality techniques.

Nevertheless, beyond the necessity of high-tech gadgets, other basic educational needs of gastroenterology trainees appear to remain unmet in Europe to date.

In 2002, Bisschops et al compared the training programmes of 10 different European countries, finding marked dissimilarities in several aspects of gastroenterology training, including duration, workload, earnings and programmes. In particular, the teaching of some fundamental techniques (eg, abdominal ultrasound) was not provided by all Training Centres. Furthermore, the average number of endoscopic procedures was different …

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