World Gastroenterology Organisation (WGO) News and Events

TRAIN THE TRAINERS (TTT) TRIUMPHANT RETURN After completing a successful TTT workshop in Bucharest, Romania in June of 2019, the TTT committee set out to refresh and reinvigorate the TTT modules in anticipation of workshops in Poland and France the following year. However, due to COVID-19, these workshops were postponed, sidelining large in-person meetings for >2 years. Early in 2022, under the leadership of the new TTT Committee Chair, Kelly Burak, we were finally able to again consider in-person workshops. Work began to relaunch the traditional TTT and to try something new: an abbreviated course focused solely on medical education and improving your skills as a teacher. Warsaw, Poland, August 3-6, 2022 Despite the ongoing challenges of the pandemic, and the war in neighboring Ukraine, the Polish Society of Gastroenterology (PSG) remained keen to proceed and were phenomenal hosts as we relaunched the traditional 4-day TTT workshop in Warsaw in early August. The extra time to prepare for this workshop was not wasted, and allowed us to deliver an updated TTT curriculum, with new modules presented on a refreshed WGO template. A new commitment from the TTT Committee to equity, diversity and inclusion resulted in an equal number of women being invited to participate as faculty. We were grateful to those who could make it, and some on very short notice. Faculty included Guilherme Macedo (Portugal), Geoffrey Metz (Australia), Anna Pietrzak (Poland), Aasma Shaukat (United States), Wojciech Marlicz (Poland), Nancy Fanous (Egypt), Georgina Gilca (Romania), Jean-Christophe Saurin (France), Kelly Burak (Canada). A very special thank you goes out to Professor Grazyna Rydzewska (Past President of the PSG), the local organizers, and our WGO staff for making the meeting so successful. Although always an integral part of the TTT workshops, this year we introduced a new module dedicated entirely to feedback, which reviewed the important components of an effective feedback session and compared various methodologies. Participants had ample time to practice Pendleton’s technique, and “feedback” was featured prominently in the word cloud created by the participants during the workshop reflection. Three new workshops were also offered along side the traditional hands-on endoscopy teaching skills workshop: (1) Group Discussions became a workshop on how to effectively lead small groups and was combined with an introduction to Bedside Teaching, which allowed participants to practice the One-Minute Preceptor (1MP) and SNAPPS techniques; (2) Lifelong Learning highlighted the role of coaching in medical education and demonstrated how audit and feedback can be used in competency-based continuing professional development; and (3) Career Longevity explored issues of burn-out and how we can promote long and healthy careers in gastroenterology. The new workshops were all highly rated and we received feedback that more time should be dedicated to their delivery.Evidence based medicine, trial design and critically appraisal topics (CAT) were refreshed with a new CAT workshop delivered as a “flipped classroom” before a breakout that allowed participants to practise these skills on recent publications of randomized clinical trials. Other leadership modules delivered included effective teamwork, evaluation/credentialing, and professionalism.As always, team building was a critical part of the TTT. This began the first night with a cooking competition that challenged the 6 small groups to prepare various traditional Polish dishes. The cultural night highlighted the diverse backgrounds of our 9 faculty and 41 participants, who came from a total of 22 countries. During the meeting, we were treated to a tour of Warsaw, amazing food, and a Frederic Chopin piano concert. The workshop concluded with a renewed focus on measuring the impact of the TTT. In the self-efficacy evaluation, participants were asked to rank their confidence on the learning objectives of the course, before and after the TTT, on a scale of 1 (not confident) through 10 (very confident). All comparisons were statistically significant, although the largest self-reported change in confidence was seen in their ability to “provide feedback to a trainee or colleague.” Participants were also asked to identify 3 concrete actions to which they will commit after returning from TTT, and this Commitment to Change forms will be sent back to them 3 months later to determine if they followed through on these changes. Mendoza, Argentina, September 14-15, 2022 In association with the Federación Argentina de Gastroenterología (FAGE), WGO held a Spanish TTT (Curso de Impacto en la Ensenanza or Teaching Impact Course) as a precourse to their annual meeting in Mendoza, Argentina. This was a departure from our traditional TTT (4 d) or advanced TTT workshops (2 d), in that the majority of the content was delivered over just 1 day. Special thanks go out to Jose Maria Sanguinetti (Argentina) and Carolina Olano (Uruguay) for their help planning the course and translating the TTT education modules into Spanish. The other faculty that completed the “Dream Team” were Alejandro Piscoya (Peru), Mario Reis Alvares da Silva (Brazil), Luis Carlos Sabbagh (Colombia), and Kelly Burak (Canada). We had a total of 27 participants, from Argentina, Peru, and Brazil. To help with group dynamics, 4 small groups were established ahead of time on WhatsApp and were tasked to come up with a group name. On the first evening, following the introductory module on adult education, groups revealed their team’s name and introduced their members, after which we all enjoyed Argentine wine and food while getting to know each other. The following morning included modules on presentation skills, leading small groups, teaching skills, and the hands-on endoscopy workshop, which ran opposite the lifelong learning workshop. The morning ended with a small group breakout on education topics and a report back, where presentation skills and giving feedback were practiced. After a break to attend to the opening ceremony of the GASTROENDO 2022, modules on bedside teaching and evaluation were followed by a second breakout focused on evaluation and continuing professional development topics. In the second report back, it was remarkable to see how the quality of presentations and the feedback provided improved, showing how quickly effective group dynamics developed. As in Poland, the day ended with reflections on the course, the evaluation and the famous, and very fun, quiz! The self-efficacy results for the education modules were remarkably similarly to those seen in Poland, with the greatest improvement in confidence being seen in “coaching” and “providing feedback.” This shows us that we met the stated objectives of the course and that a shorter TTT can have impact on participants. However, feedback from faculty and participants alike, suggest that 2 days may better for future offerings. Most importantly, both courses proved that adults learn best when it is fun, and our time in both Warsaw and Mendoza were “muy divertido”! Faculty and participants left the meetings with new friends and many great memories, but more importantly, new skills that will hopefully have a long-lasting and far-reaching impact. What is next for TTT? TTT recently celebrated its 20th Anniversary, and we have come a long way since Professor Jim Toouli organized that first course in Crete in 2001. WGO has presented a total of 30 TTT courses and now have nearly 1200 TTT alumni. In December 2022, we reflected on our successes with presentations about TTT at the WCG in Dubai. In 2023, and beyond, we to hope to organize 1 or 2 Traditional TTTs (4 d) annually, and now going forward we can welcome Medical Education to our line-up for advanced 2-day TTT workshops.

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