Who Should Do It?

Peyman Adibi; A Hekmatdoost; R Aghazadeh

doi:10.22037/jme.v3i2.865

Journal of Medical Education for Future Demands

Former Title: Journal of Medical Education | The Official Journal of School of Medical Education and Learning Technologies

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Abstract
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https://doi.org/10.22037/jme.v3i2.865

Who Should Do It?

Author(s):

Peyman Adibi^1,*,

A Hekmatdoost²,

R Aghazadeh³

1Assistant professor of gastroenterology, Research Center of Gastroenterology and Liver Diseases, Shaheed Beheshti Medical Sciences University

2General Practitioner.

3Associate professor of gastroenterology, Research Center of Gastroenterology and Liver Diseases, Shaheed Beheshti Medical Sciences University.

Journal of Medical Education for Future Demands:Vol. 3, issue 2; e105029

Published online:Mar 14, 2009

Article type:Research Article

Received:Mar 14, 2009

Accepted:Mar 14, 2009

How to Cite: Peyman AdibiA HekmatdoostR AghazadehWho Should Do It?.J Med Edu.3(2):e105029.https://doi.org/10.22037/jme.v3i2.865.

Abstract

Background: One common investigative tool for the gastrointestinal tract diseases is endoscopy, and gastroenterologists provide this service. However, in recent years some internists provide this service, which hasraised concerns in gastroenterologist society.Purpose: To assess the viewpoints of Iranian physicians on whether internist can do endoscopic procedures Methods: The study performed in Tehran and Isfahan with a convenience sampling of practitioners whoparticipated in CME courses. The sample consisted of different groups of general practitioners, internists, internal medicine residents and gastroenterologists. A self-administered questionnaire with Likert type answers was used to determine the attitudes of the practitioners toward this item.Results: For elective diagnostic endoscopy the median of what expressed by internists and residents was complete agreement (+2) whereas for gastroenterologists it was agreement (1) and for gastroenterology fellowships, it was disagreement(-1); the difference was significant (p<0.001).Adding the lack of gastroenterologists’ services to the question, the median opinion expressed by gastroenterologists and fellows changed to complete agreement (2) with inclusion of the item in the task list ofgeneral internist (p<0.05). This difference was not seen for more complex therapeutic procedures (sclerotherapy, ERCP) in fellows’ and gastroenterologists’ choices, but internists and residents still agreed thatan internist should be allowed to perform these tasks.Conclusion: Reaching an agreement on borders of neighboring specialties or disciplines may be very difficult due to methodological pitfalls that face the planners, as well as professional sensitivities common in specialist societies.

Keywords

Endoscopy

Non-Gastroenterologist Endoscopist

Iran

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Search Relations

Author(s):

Peyman Adibi:[PubMed][Scholar]
A Hekmatdoost:[PubMed][Scholar]
R Aghazadeh:[PubMed][Scholar]