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Present status of endoscopy, therapeutic endoscopy and the endoscopy training system in I ndonesia
Author(s) -
Makmun Dadang
Publication year - 2014
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12245
Subject(s) - medicine , endoscopy , general surgery , health care , gastroenterology , surgery , economics , economic growth
Recently, I ndonesia was ranked as the fourth most populous country in the world. Based on 2012 data, 85 000 general practitioners and 25 000 specialists are in service around the country. Gastrointestinal ( GI ) disease remains the most common finding in daily practise, in both outpatient and inpatient settings, and ranks fifth in causing mortality in I ndonesia. Management of patients with GI disease involves all health‐care levels with the main portion in primary health care. Some are managed by specialists in secondary health care or are referred to tertiary health care. GI endoscopy is one of the main diagnostic and therapeutic modalities in the management of GI disease. Development of GI endoscopy in I ndonesia started before W orld W ar II and, today, many GI endoscopy procedures are conducted in I ndonesia, both diagnostic and therapeutic. Based on A ugust 2013 data, there are 515 GI endoscopists in I ndonesia. Most GI endoscopists are competent in carrying out basic endoscopy procedures, whereas only a few carry out advanced endoscopy procedures, including therapeutic endoscopy. Recently, the GI endoscopy training system in I ndonesia consists of basic GI endoscopy training of 3–6 months held at 10 GI endoscopy training centers. GI endoscopy training is also eligible as part of a fellowship program of consultant gastroenterologists held at six accredited fellowship centers in I ndonesia. Indonesian S ociety for D igestive E ndoscopy in collaboration with GI endoscopy training centers in I ndonesia and overseas has been working to increase quality and number of GI endoscopists, covering both basic and advanced GI endoscopy procedures.