First colombian consensus on digestive endoscopy "agreement on fundamentals" (First part: Formative aspects)

Aponte, Diego; Blanco Avellaneda, Camilo de Jesús; Flores, Nadia Sofía; Forero Acosta, Alix Yineth; Cañadas, Raúl; Peñaloza Ramírez, Arecio; Gil Parada, Fabio Leonel; Emura, Fabian

First colombian consensus on digestive endoscopy "agreement on fundamentals" (First part: Formative aspects)

dc.contributor.author	Aponte, Diego
dc.contributor.author	Blanco Avellaneda, Camilo de Jesús
dc.contributor.author	Flores, Nadia Sofía
dc.contributor.author	Forero Acosta, Alix Yineth
dc.contributor.author	Cañadas, Raúl
dc.contributor.author	Peñaloza Ramírez, Arecio
dc.contributor.author	Gil Parada, Fabio Leonel
dc.contributor.author	Emura, Fabian
dc.contributor.orcid	Blanco Avellaneda, Camilo de Jesús [0000-0002-1506-9225]
dc.date.accessioned	2020-07-22T22:13:35Z
dc.date.available	2020-07-22T22:13:35Z
dc.date.issued	2012
dc.description.abstractenglish	Purpose of the work. The practice of endoscopy in Colombia was modified when Resolution 1043 of 2006 authorized specialists in general surgery, internal medicine and pediatrics to perform endoscopy after completing one year of training in endoscopy at an institution of higher education. This, together with the development of relationships with different specialties within endoscopy, generated a disordered scenario which many considered to be unjust and unequal. Training requirements became differentiated. A world of tensions and interests among specialists, scientists, health care providers and service providers led to this consensus. Starting with fundamental agreements, it makes recommendations for unification of educational features that will allow endoscopic practices which aim for quality and whose central axis is the best interest of our patients. Materials and Methods. This consensus is a descriptive, cross-sectional social research study with a mixed approach (qualitative and quantitative) based on the Delphy method. The information in this study was obtained from the event titled "Acuerdo en lo fundamental" (agreement on fundamental issues) organized on June 23, 2012 by the president of the Colombian Association of Digestive Endoscopy (ACED). Qualitative data were taken from four roundtables discussions in which 34 participants discussed 25 survey questions. The quantitative data were taken from final voting and from an individual, private electronic survey. 75% or greater agreement was defined as consensus. Qualitative analysis employed discourse analysis oriented around five variables related to formative aspects. Basic descriptive statistics centered around percentages were used for quantitative analysis. Results. Participants in the consensus included 34 directors or representatives of 8 of the 9 graduate university programs with specialties in the digestive tract, former presidents of 11 scientific associations, professors of gastrointestinal endoscopy, the vice president of the Ibero-American Nurses Association, directors of institutes of endoscopy, teachers at institutes of endoscopy and four chiefs of graduate resident programs. Some issues upon which consensus was reached include: 81.9% agreed that endoscopy is not simply a diagnostic technique; 88.2% disagreed with one year training as recommended for gastrointestinal endoscopy with quality parameters; 100% underlined that training in endoscopy should take place within qualified and accredited university teaching; More than 84.9% did not recommend training general practitioners, nurses or medical technicians in endoscopy; 85.3% recommended 2-year programs for basic training in endoscopy with 1 to 2 years for advanced endoscopy. Conclusions. The Colombian consensus agrees that endoscopy is an element of support for both diagnostic and therapeutic practice. Training for quality endoscopy requires solid theoretical knowledge and skills, solid technical skills and knowledge and training in how to make ethical judgments. The basic requirement for training in gastrointestinal endoscopy should be that the student is enrolled in a clinical, surgical or pediatric gastroenterology subspecialty program. Responsibility for training in endoscopy should be in the hands of university professors and at well supported teaching hospitals and medical centers. The training time for basic endoscopy should be two years while advanced endoscopy requires at least another year and should be targeted towards a specific advanced field.	eng
dc.format.mimetype	application/pdf
dc.identifier.instname	instname:Universidad El Bosque	spa
dc.identifier.issn	0120-9957
dc.identifier.reponame	reponame:Repositorio Institucional Universidad El Bosque	spa
dc.identifier.repourl	https://repositorio.unbosque.edu.co
dc.identifier.uri	https://hdl.handle.net/20.500.12495/3569
dc.publisher	Asociacion Colombiana de Gastroenterologia	spa
dc.publisher.journal	Revista colombiana de gastroenterologia	spa
dc.relation.ispartofseries	Revista colombiana de gastroenterologia, 0120-9957, Vol. 27, Nro. 3, 2012, p. 182-193	spa
dc.relation.uri	https://www.scielo.org.co/scielo.php?pid=S0120-99572012000300006&script=sci_arttext&tlng=en
dc.rights	Attribution-NonCommercial-NoDerivatives 4.0 International	*
dc.rights.accessrights	https://purl.org/coar/access_right/c_abf2
dc.rights.accessrights	info:eu-repo/semantics/openAccess
dc.rights.accessrights	Acceso abierto
dc.rights.creativecommons	2012-07
dc.rights.local	Acceso abierto	spa
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/	*
dc.subject	Entrenamiento en endoscopia	spa
dc.subject	Enfermedades digestivas	spa
dc.subject	Consensos en endoscopia	spa
dc.subject.keywords	Endoscopy training	spa
dc.subject.keywords	Digestive diseases	spa
dc.subject.keywords	Endoscopy consensus	spa
dc.title	First colombian consensus on digestive endoscopy "agreement on fundamentals" (First part: Formative aspects)	spa
dc.title	Primer consenso colombiano sobre la práctica de endoscopia digestiva “Acuerdo en lo fundamental” (Primera parte: Aspectos formativos)
dc.title.translated	First colombian consensus on digestive endoscopy "agreement on fundamentals" (First part: Formative aspects)	spa
dc.type.coar	https://purl.org/coar/resource_type/c_6501
dc.type.driver	info:eu-repo/semantics/article
dc.type.hasversion	info:eu-repo/semantics/publishedVersion
dc.type.local	Artículo de revista