Pediatric Gastroenterology, Hepatology, and Nutrition Training in the Asia-Pacific Region: An International Survey of Training Centers

Purpose: Published data on pediatric gastroenterology, hepatology, and nutrition (PGHN) training centers in the Asia-Pacific region are limited.This study aimed to evaluate the infrastructure, resources, and training opportunities in PGHN centers across the region to inform future development of training programs.Methods: We conducted an international multicenter, cross-sectional survey among Asia-Pacific nations between August 2023 and July 2024.Results: A total of 43 responses were received from 11 countries.Most centers (58.1%) operated with 3 specialists, and trainees in these centers were less likely to receive formal supervision or participate in research.Procedural exposure varied significantly: although endoscopy was widely available, 50% of centers reported fewer than 100 colonoscopies performed annually.Access to training in specialized procedures was limited (pH/ impedance, 48.8%; high-resolution manometry, 34.9%; intestinal ultrasound, 41.9%), with radiologists performing most liver biopsies and intestinal ultrasounds in many centers. Conclusion:This first comprehensive survey of PGHN training in the Asia-Pacific region identified considerable variations, with key challenges in training infrastructure and