UEMS Section of Gastroenterology Workhop - PowerPoint PPT Presentation

Loading...

PPT – UEMS Section of Gastroenterology Workhop PowerPoint presentation | free to download - id: 7e34a-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

UEMS Section of Gastroenterology Workhop

Description:

stimulate collaboration between physicians and scientists in the ... close collaboration with general and hepatobiliary surgery and oncology. medical library ... – PowerPoint PPT presentation

Number of Views:27
Avg rating:3.0/5.0
Slides: 22
Provided by: dirkca
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: UEMS Section of Gastroenterology Workhop


1
UEMS Section of Gastroenterology Workhop
  • BASL Proposals for Hepatology Training
  • P. Michielsen
  • Brussels, Nov. 29, 2000

2
Belgian Association for the Study of the Liver
(BASL)
  • MB/BS 09.03.2000
  • Aims
  • stimulate collaboration between physicians and
    scientists in the field of Hepatology
  • coordination of clinical studies in Hepatology at
    national level
  • organisation of postgraduate teaching
  • cooperation with sister societies (NvH, AFEF,)
  • national society for contacts with EASL

3
Belgian Association for the Study of the Liver
(BASL)
  • Steering Committee representatives of the
    Belgian Universities and non-university centres
  • Meetings
  • Spring Meeting
  • peer reviewed communications on clinical and
    basic research
  • invited lectures
  • Winter Meeting
  • interactive discussions on clinical problems with
    expert(s), panel and public
  • case reporting

4
Belgian Association for the Study of the Liver
(BASL)
  • Publications
  • Newsletter
  • Acta Gastroenterologica Belgica
  • Abstracts Spring Meeting
  • Proceedings Winter Meeting

5
Training in Hepatology Introduction
  • Expansion of diagnostic and therapeutic
    possibilities
  • Reflected by increase in scientific papers on
    hepatology and creation of specific hepatological
    Journals
  • Need to define
  • content of training
  • faculty, facilities and resources for training a
    hepatologist

6
Actual Training in Gastroenterology Europe UEMS
Gastroenterology Section
  • 6-year training period
  • ? 2 years General Internal Medicine
  • 3-4 years specific training in Gastroenterology
  • European Diploma in Gastroenterology

7
Actual Training in Gastroenterology Belgium
  • 5-year training period
  • 3 years common training in General Internal
    Medicine
  • 2-year specific training in Gastroenterology
  • Proposal 6-year training (33)
  • In most Belgian centres 6-year training (33) is
    imposed or recommended

8
Actual Training in Gastroenterology US
Gastroenterology Leadership Council
  • 3-year residency in Internal Medicine
  • Gastroenterology Core Curriculum (? 3 years )
  • ? 18 months in and outpatient clinical work
  • ? 6 months research experience
  • ? 12 months clinical work according to the
    trainees skills, interests or career goals

9
Training in Hepatology US
  • AASLD Ad Hoc Committee for Hepatology Training
    (1988)
  • Guidelines
  • educational content
  • faculty
  • facilities and resources
  • Adopted by AASLD Council March 1992
  • Published in Hepatology 16 1084-5, 1992

10
Training in Hepatology US
  • Gastroenterology Leadership Council
  • Level 1
  • necessary for all gastroenterologists, for
    management of hepatological problems in a typical
    gastroenterological practice
  • to be completed in standard 3-year training
  • Level 2
  • necessary to practice hepatology almost
    exclusively (usually in academic setting)
  • usually a 4th year of specific hepatology
    training is necessary

11
Training in Hepatology US
  • Gastroenterology Leadership Council
  • Transplant physician
  • additional criteria of UNOS
  • ? 6 months on active transplant service
  • 6 months transplant-related activities, including
    research
  • during a 4th year of training

12
Training in Hepatology Europe BASL proposals
  • Training Program
  • Fundamental information core on physiology and
    physiopathology of liver diseases and diagnosis
    and treatment of hepatobiliary disorders
  • Familiarity with techniques and procedures
    applicable to hepatobiliary disorders
  • Procedural skills
  • Scientific experience

13
Training in Hepatology Europe BASL proposals
  • 1. Fundamental information core
  • biology and pathobiology of the liver
  • clinical management of patients with
  • acute viral, drug and toxic hepatitis
  • fulminant liver failure
  • chronic hepatitis and cirrhosis
  • complications of chronic liver disease
  • nonviral causes of chronic liver disease
  • hepatobiliary disorders associated with pregnancy
  • perioperative management of patients with liver
    disease

14
Training in Hepatology Europe BASL proposals
  • 1. Fundamental information core
  • use of antiviral and immunosuppressive agents in
    liver diseases
  • selection and care of patients awaiting and
    following liver transplantation
  • management of nutritional problems in chronic
    liver diseases
  • understanding principles design, statistics,
    epidemiology to interpret medical literature
  • familiarity with pediatric and congenital
    hepatobiliary disorders
  • familiarity with liver pathology

15
Training in Hepatology Europe BASL proposals
  • 2. Familiarity with techniques and procedures
  • ERCP
  • Abdominal US
  • Radiology liver and biliary tract
  • Nuclear Medicine studies
  • PTC
  • TIPS
  • Percutaneous and transvenous liver biopsy
  • Hepatic venous catheterisation
  • Percutaneous invasive hepatological techniques

16
Training in Hepatology Europe BASL proposals
  • 3. Required skills
  • Percutaneous liver biopsy
  • Hepatic venous catheterisation and transvenous
    liver biopsy
  • Endoscopy UGI tract (EVSEVL)
  • Abdominal US and US-guided puncture procedures
  • Diagnostic and therapeutic paracentesis
  • 4. Scientific experience

17
Training in Hepatology Europe BASL proposals
  • Practical organisation
  • Level 1
  • basic knowledge in Hepatology, for all
    gastroenterologists
  • 30 of clinical training should deal with
    hepatology
  • acquire knowledge on subjects 1 (and 2)
  • skills
  • EVS/EVL (n20)
  • percutaneous liver biopsy (n15)
  • postgraduate courses
  • To be completed within 3 year training in GE

18
Training in Hepatology Europe BASL proposals
  • Level 2
  • thorough knowledge on management of hepatic
    disease including
  • complications of end stage liver disease
  • therapy in liver disease
  • management of liver transplant patients and
    candidates
  • thorough skill in techniques a.o.
  • transjugular procedures
  • applications abdominal US
  • research
  • Requires additional year of training, including 2
    months on liver transplant service

19
Training in Hepatology Europe BASL proposals
  • Training Centres
  • Faculty
  • Supervised by full time faculty member,
    experienced in
  • clinical hepatology
  • clinical and/or basic research
  • expertise in management transplant patients
    (level 2)

20
Training in Hepatology Europe BASL proposals
  • Criteria for training centres
  • Level 1 as for Gastroenterology
  • Level 2 facilities
  • hospitalisation
  • outpatient department
  • emergency department
  • ICU
  • medical laboratory
  • GE department (diagnostic and therapeutic GI and
    hepatobiliary endocopy)
  • pathology department
  • diagnostic and therapeutic radiology department
  • nuclear medicine department
  • close collaboration with general and
    hepatobiliary surgery and oncology
  • medical library
  • meeting and study rooms
  • research facilities
  • organisation of clinical and research meetings

21
Training in Hepatology Europe BASL proposals
  • Accreditation
  • minimal amount of in- and outpatients contacts
    (to be defined)
  • CME
  • Evaluation of training and accreditation
  • training subcommittee Gastroenterology Training
    Committee (academic and professional authorities)
  • CME accreditation by National CME Accreditation
    Committee
About PowerShow.com