[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-455104-105":59,"doc-detail-455104-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","from-endoscopy-to-empathy-redefining-gastroenterology-training-for-the-gut-brain-era","From Endoscopy to Empathy: Redefining Gastroenterology Training for the Gut-Brain Era","","Disorders of gut-brain interaction (DGBI) are common in clinical practice and impose a substantial health burden, yet they are frequently under-recognized and inconsistently taught during gastroenterology fellowship training. The editorial reviews evidence of training gaps across national settings and explains how insufficient curriculum coverage affects trainee confidence, diagnosis readiness, and management approaches, including neuromodulator use and appropriate referral to behavioral specialists. It also outlines practical, real-world solutions aimed at bridging the education deficit and enabling comprehensive, empathetic training.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/from-endoscopy-to-empathy-redefining-gastroenterology-training-for-the-gut-brain-era/455104/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/from-endoscopy-to-empathy-redefining-gastroenterology-training-for-the-gut-brain-era/455104.png","ImageObject",300,407,{"name":92,"@type":93},"Anna Hans","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why are disorders of gut-brain interaction (DGBI) a concern in training?","Question",{"text":112,"@type":113},"DGBI are commonly encountered and affect patients’ quality of life, but they remain under-recognized and inconsistently taught during GI fellowship training, creating knowledge and competency gaps.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How do training deficiencies influence trainee attitudes toward DGBI patients?",{"text":117,"@type":113},"The editorial reports that many fellows develop dismissive attitudes, feel frustrated or burned out, avoid DGBI cases, and lack confidence in diagnosis and recommended treatments, including neuromodulator initiation and referral.",{"name":119,"@type":110,"acceptedAnswer":120},"What curriculum factors are identified as the root cause of DGBI training gaps?",{"text":121,"@type":113},"The document highlights primarily curriculum-driven limitations, with limited or absent structured DGBI modules in many programs and an emphasis on organic GI diseases and endoscopy procedures over the biopsychosocial complexity of DGBI.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},455104,1791497360,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39,"preview_page_count":4},5909892332657,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","ACG CASE REPORTS JOURNAL   \nEDITORIAL  \nFrom Endoscopy to Empathy: Redefining Gastroenterology Training for the Gut-Brain Era  \nSweta Sahu, MBBS 1 , Hareesha Rishab Bharadwaj, MBBS2 , Shahryar Khan, MD3 , Hassam Ali, MD4 , and Dushyant Singh Dahiya, MD5  \n1 Department of Medicine, J.J. M. Medical College, Davangere, Karnataka, India  \n2Faculty of Biology Medicine and Health, The University of Manchester, Manchester, UK 3Department of Internal Medicine, The University of Kansas Health System, Kansas City, KS  \n4 Department of Gastroenterology, Hepatology and Nutrition, East Carolina University/Brody School of Medicine, Greenville, NC 5Division of Gastroenterology, Hepatology and Motility, The University of Kansas School of Medicine, Kansas City, KS  \nKEYWORDS: gastroenterology; hepatology; medical education; brain-gut axis; functional disorders  \nABBREVIATIONS: ACG, American College of Gastroenterology; AGA, American Gastrointestinal Association; ANMS, American Neurogastroenterology and Motility Society; DGBI, disorders of gut-brain interaction; ESGE, European Society of Gastrointestinal Endoscopy; FGIMD, Functional Gastrointestinal and Motility Disorders; GI, gastroenterology; IBS, irritable bowel syndrome; PD, program directors; UK, United Kingdom; US, United States  \n\n| Disorders of gut-brain interaction (DGBI, formerly functional gastroenterology [GI] disorders) are commonly encountered in clinical practice and pose asignificant health burden to patients and the healthcare system. Recent population-based studies estimate that up to 40% of adults suffer from DGBI internationally, affecting their quality of life daily. 1,2 However, these conditions remain under-recognized and inconsistently taught during GI fellowship training. A 2022 survey conducted in Great Britain reported that only irritable bowel syndrome (IBS) is consistently taught in the medical curricula, but functional GI disorders are largely undertaught in both undergraduate and subspecialty training.2 This gap contributes to a significant knowledge deficit among new gastroenterologists while managing DGBI. 1,3\u003Cbr>The aim ofthis editorial was to highlight the deficienciesin GI training for DGBI at national and international levels and to offer realworld solutions to bridge the gap and ensure comprehensive and empathetic training for future gastroenterologists.\u003Cbr>Training Deficienciesand Trainee Attitudes: Training deficiencies shape trainee attitudes toward DGBI. In the United States (US), an alarming 40% of GI fellows report dismissive attitudes toward DGBI patients by supervisors and peers.1 Over 20% of these trainees often feel frustrated or burned out when they encounter DGBI cases, and by the end of fellowship nearly 40% actively avoid such patients in clinical practice.1 Those who see DGBI patients in clinic lack confidence in DGBI management, with only 32% feeling comfortable initiating neuromodulator therapy.1 Furthermore, less than one-third of these clinicians know when to involve GI behavioral specialists.1 Likewise, in the United Kingdom(UK), fewer than halfofGI trainees report regular DGBI clinic exposure and most rarely feel comfortable making a DGBI diagnosis or prescribing the recommended treatment.4 These findings illustrate howinsufficient training directly affects trainee confidence and preparedness.\u003Cbr>The root cause of this training deficiency is primarily curriculum-driven. An Austrian national survey reported diagnosis of functional GI disorders tobe the area with the largest room for improvement in clinical training.5 Similarly, many training programs do not include formal DGBI modules, only about 50% of trainees worldwide report that a structured curriculum exists at their institution.3,5 In 1 pilot study, although a dedicated didactic series on DGBI improved knowledge, it did not change attitudes, highlighting how entrenched gaps in training persist.3 The standard GI curriculum places a strong and recurrent emphasis on organic diseases of the GI t","cbCaitnCglz07M1u","https://ap.wps.com/l/cbCaitnCglz07M1u","pdf",200821,"English","# Training Deficiencies and Trainee Attitudes\n## Curriculum-driven roots of DGBI training gaps\n# Global Perspectives on Gastroenterology Education\n## Regional findings and training variability","[{\"question\":\"Why are disorders of gut-brain interaction (DGBI) a concern in training?\",\"answer\":\"DGBI are commonly encountered and affect patients’ quality of life, but they remain under-recognized and inconsistently taught during GI fellowship training, creating knowledge and competency gaps.\"},{\"question\":\"How do training deficiencies influence trainee attitudes toward DGBI patients?\",\"answer\":\"The editorial reports that many fellows develop dismissive attitudes, feel frustrated or burned out, avoid DGBI cases, and lack confidence in diagnosis and recommended treatments, including neuromodulator initiation and referral.\"},{\"question\":\"What curriculum factors are identified as the root cause of DGBI training gaps?\",\"answer\":\"The document highlights primarily curriculum-driven limitations, with limited or absent structured DGBI modules in many programs and an emphasis on organic GI diseases and endoscopy procedures over the biopsychosocial complexity of DGBI.\"}]","From Endoscopy to Empathy: Redefining Gastroenterology Training for the Gut-Brain Era | PDF",1790742125]