{
  "abstract": "Objective Gastroenterology specialty training was reduced from 5 to 4 years following the implementation of the 2022 UK gastroenterology curriculum. The last British Society of Gastroenterology (BSG) trainee survey in 2022 revealed concerns about preparedness for consultant roles, which have been echoed in recent national training surveys (General Medical Council and Joint Royal College Physician Training Board).This study reassessed gastroenterology trainees’ perceptions of their preparedness for consultant roles, the impact of increased internal medicine (IM) commitments and barriers to procedural and specialty training.Method The BSG Trainees Section conducted an anonymised web-based survey between June and July 2024.Results A total of 429 (65%) trainees across all 18 UK deaneries responded. Most (81.7%) reported exceeding the indicative 25% IM training time. Barriers to endoscopy training were widespread, with 94.4% encountering difficulties and two-thirds voluntarily working on days off to gain endoscopy experience. Only 15.9% of respondents had out-of-hours acute upper gastrointestinal bleeding (AUGIB) exposure, with 98.5% advocating for structured AUGIB accreditation. The removal of colonoscopy accreditation from the hepatology pathway discouraged 43.5% of respondents from pursuing hepatology as a subspecialty. 42.5% of respondents plan to work less than full time as consultants.Conclusions This study highlights persistent challenges in gastroenterology training, including excessive IM commitments, inadequate endoscopy exposure and concerns regarding the future workforce. The findings support validated training time calculations, structured endoscopy immersion training, AUGIB accreditation and flexibility of hepatology training requirements to ensure competency and retention of future consultants.",
  "authors": [
    {
      "affiliations": [
        "Department of Gastroenterology, Chelsea and Westminster Healthcare NHS Trust, London, UK"
      ],
      "name": "Arun Sivananthan"
    },
    {
      "affiliations": [
        "Department of Gastroenterology, University Hospital Southampton, Southampton, UK"
      ],
      "name": "Ricia Gwenter"
    },
    {
      "affiliations": [
        "Department of Gastroenterology, Bart’s Health NHS Trust, London, UK"
      ],
      "name": "Georgina Kerry"
    },
    {
      "affiliations": [
        "Whittington Health NHS Trust, London, UK"
      ],
      "name": "Radha Gadhok"
    },
    {
      "affiliations": [
        "Department of Clinical and Experimental Medicine, University of Brighton and University of Sussex, Brighton, UK",
        "Department of Gastroenterology and Hepatology, University Hospitals Sussex NHS Foundation Trust, Worthing, UK"
      ],
      "name": "Yazan Haddadin"
    },
    {
      "affiliations": [
        "The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Amy Johnson"
    },
    {
      "affiliations": [
        "Department of Gastroenterology, University College London NHS Trust, London, UK"
      ],
      "name": "David Leonard"
    },
    {
      "affiliations": [
        "Oxford University Hospitals NHS Foundation Trust, Oxford, UK"
      ],
      "name": "Emma Saunsbury"
    }
  ],
  "title": "British Society of Gastroenterology survey of UK gastroenterology trainees 2024: how is training shaping up?",
  "uid": "149a5859-3213-55ad-9cbe-446394a03165"
}