2017 NEEDS ASSESSMENT SURVEY

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1 2017 NEEDS ASSESSMENT SURVEY Quick Overview: Educational Topic Findings The online 2017 Needs Assessment survey was programmed through SurveyMonkey and a personalized request to complete the questionnaire was ed to CAG members on March 22 and again on March 29. As of April 15, a total of 211 respondents had completed the survey demographics, of which went on to rate potential educational topics. For potential educational topics respondents were asked to indicate their level of interest for 40 topics on a five-point scale ranging from No interest to Very interested. The table below summarizes the top picks (percent that selected Very interested ) for the major respondent subgroups. Gastroenterologists - Adult (n=101) Gastroenterologists - Pediatric (n=19) Teaching hospital based (n=117) Community hospital Based (n=45) Basic Scientist (n=34) Trainees (n=22) 1 st Choice (% very interested) Endoscopic techniques/ therapeutics (53.5%) Pediatric Liver Diseases (63.2%) Crohn's & Ulcerative Colitis: therapeutics, Tx of complications, fistulas etc; Endoscopic techniques/ therapeutics (37.6%) Endoscopic techniques & therapeutics (66.7%) IBD Pathogenesis, genetics, etiology (58.8%) Crohn's & Ulcerative Colitis: Therapeutics, Tx of complications,fistulas, etc. (63.6%) 2 nd Choice (% very interested) Hands-on stations for endoscopic skills (39.6%) Nutrition: management; Hands-on stations for endoscopic skills; Endoscopic techniques & therapeutics (47.4%) IBD: Pathogenesis, genetics, etiology (33.3%) Hands-on stations for endoscopic skills (53.3%) Crohn s & Ulcerative Colitis: Therapeutics, Tx of complications, fistulas etc. (35.3%) IBD: Pathogenesis, genetics, etiology (45.5%) 3 rd Choice (% very interested) Crohn s & Ulcerative Colitis: Therapeutics, Tx of complications, fistulas, etc. (37.6%) Non reflux esophageal disorders (42.1%) Hands-on stations for endoscopic skills (30.8%) Celiac disease: Dx, management, complications, new therapies; Crohn s & Ulcerative Colitis: Therapeutics, Tx of complications, fistulas etc (37.8%) GI Oncology; Lower functional bowel disorders (IBS) (32.4%) Celiac disease; Dx, management, complications, new therapies; Hands-on stations for endoscopic skills; Endoscopic techniques & therapeutics: management (polypectomy) (40.9%) 4 th Choice (% very interested) 5 th Choice (% very interested) Celiac disease: Dx, management (33.7%) Upper GI Bleeding (28.7%) Malabsorption: Dx & management; Nutrition: assessment in specific disease; Crohn s & Ulcerative Colitis: Therapeutics, Tx of complications, fistulas etc. (36.8%) Celiac disease: Dx, management (28.2%) Upper GI bleeding; Chronic diarrhea: Dx & management (31.1%) Approach to GI infections (C.difficile & other pathogens); Non-IBD intestinal disorders (microscopic colitis etc) (29.4%) GI Oncology (36.4%) Celiac Disease: Dx, management, complications, new therapies; Autoimmune liver diseases; Chronic diarrhea: Dx & management; IBD: Pathogenesis, genetics, etiology (31.6%) Nutrition: management (25.6%) Anorectal disease; NAFLD; Portal HTN and cirrhosis (26.7%) Obesity (20.6%) Nutrition: assessment in specific disease states; Nutrition: management; Obesity; Endoscopy: EUS (31.8%)

2 Q3 Specialty Answered: 211 Skipped: 0 Gastro (adult) Gastro (peds) Hepatologist Surgeon Clinical Scientist Basic Scientist Resident/Trainee Other 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Answer Choices Responses Gastroenterologist (adult) 51.18% 108 Gastroenterologist (pediatrics) 9.00% 19 Hepatologist 1.42% 3 Surgeon 3.32% 7 Clinical Scientist 2.37% 5 Basic Scientist 16.59% 35 Resident/Trainee 11.85% 25 Other 4.27% 9 Total 211

3 Q4 Your location: Answered: 211 Skipped: 0 100% 80% 60% 40% 20% 0% BC AB SK MB ON QC NB NS PE NL NWT/Nu Outsid navut/ Yukon e Canad Answer Choices Responses BC 10.43% 22 AB 20.85% 44 SK 0.00% 0 MB 3.79% 8 ON 36.49% 77 QC 15.64% 33 NB 3.32% 7 NS 6.16% 13 PE 0.00% 0 NL 2.37% 5 NWT/Nunavut/Yukon 0.00% 0 Outside Canada 0.95% 2 Total 211

4 Q5 Affiliation Answered: 210 Skipped: 1 Predominantly teaching hospital based Predominantly communitybased with hospital Predominantly communitybased without hospital None of the above (N/A) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Answer Choices Responses Predominantly teaching hospital based 60.95% 128 Predominantly community-based with hospital privileges 21.90% 46 Predominantly community-based without hospital privileges 4.29% 9 None of the above/not applicable 12.86% 27 Total 210

5 Q6 Education (check all that apply) Answered: 210 Skipped: 1 MD or equivalent PhD Masters Degree Bachelors Degree Other 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Answer Choices Responses MD or equivalent 75.71% 159 PhD 26.19% 55 Masters Degree 23.33% 49 Bachelors Degree 18.57% 39 Other 3.81% 8 Total Respondents: 210

6 Q7 Sex Answered: 210 Skipped: 1 Male Female 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Answer Choices Responses Male 69.52% 146 Female 30.48% 64 Total 210

7 Q8 Year of medical school graduation Answered: 210 Skipped: 1 Before >2015 Not applicable 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Answer Choices Responses Before % % % % % 16 > % 2 Not applicable 21.90% 46 Total 210

8 Q9 In which category do you spend most of your time?(check only one) Answered: 210 Skipped: 1 Clinical Practice Basic Research (>50%) Clinical Research (>50%) Teaching (>50%) Administration (>50%) Clinician Researcher... Clinician Teacher... Other 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Answer Choices Responses Clinical Practice 53.33% 112 Basic Research (>50%) 22.38% 47 Clinical Research (>50%) 5.71% 12 Teaching (>50%) 1.90% 4 Administration (>50%) 0.95% 2 Clinician Researcher (research <=50%) 5.24% 11 Clinician Teacher (teaching <=50%) 8.10% 17 Other 2.38% 5 Total 210

9 Q10. Please indicate how strongly you would like to see an educational event on each topic listed below. This is a summary of those topics respondents are VERY INTERESTED in. Endoscopic techniques & therapeutics: Crohn's & ulcerative colitis: Therapeutics, Hands-on stations for endoscopic skills IBD: Pathogenesis, genetics, etiology Celiac disease; Dx, management, Lower functional bowel disorders (IBS) GI Oncology Non-IBD intestinal disorders (microscopic Upper GI bleeding Nutrition: management NAFLD Chronic diarrhea: Dx & management 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% (Above) Topics in which 21-42% were VERY INTERESTED. These were the highest rated topics. Nutrition: assessment in specific disease Esophageal & upper GI motility disorders Dyspepsia & upper GI functional disorders Pancreatitis & pancreatic diseases Radiological Imaging modalities for GI Anorectal disease Obesity Non-reflux esophogeal disorders Portal HTN and cirrhosis Teaching theory & techniques 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% (Above) Topics in which 16-19% were VERY INTERESTED.

10 Diseases of the gallbladder & biliary tract Autoimmune liver diseases Endoscopy: ERCP Malabsorption: Dx & management Approach to GI infections (C. difficile & Ethical Issues Endoscopy: Advanced modalities (eg. Endoscopy: Capsule Viral hepatitis Endoscopy: EUS 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% (Above) Topics in which 11-15% were VERY INTERESTED. Pediatric liver diseases Reflux Barrett's esophagus Ulcer disease/helicobacter/nsaids MOC essentials for Gastroenterologists Gender issues in gastroenterology Liver malignancies (HCC, cholangioca, etc) CanMEDs: Professional 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% (Above) Topics in which 6-10% were VERY INTERESTED.

11 Q12. List one or two OTHER topics that you would like to see covered. Biology of the mucus barrier Quality in Endoscopy Breath testing; good or bad Clinical trials research in the community setting GI Health Policy GI and Dermatology Leadership skills Transplant Non-clinical careers in gastroenterology Therapeutic endoscopy in chronic pancreatitis Triaging New Referrals and Management of Wait List Intestinal Failure-(adult) Medical/Nutritional Strategies How to manage globus phenomenon Epigenetics in the GI Tract Gallstone disease Celiac disease- Gluten sensitivity Metabolomics for IBD Colitis-associated cancer Worldwide epidemiology of IBD Cancer Immunometabolism Colon cancer screening Transition Fecal transplant Cannabis in GI--harms and benefits Gastric cancer Optimal GI care in/with an optimal economic model Non celiac small bowel enteropathies Federal / provincial health economics and impact on gastroenterology Practice management Special populations - managing GI (liver, IBD, luminal) diseases - e.g. preconception/pregnancy, children/transition, elderly, prior or current cancers Starting a private practice Preparation for retirement Pharmacokinectics FMT Mental health and IBD NASH How to slow practice when getting older Comorbidity in GI disease Medicolegal Gastroenterology Psychiatry and GI disease Approach to effective triaging How to get section 3 MOC credits Retirement planning- financial and non-financial pancreatic carcinogenesis Mechanisms of inflammation-associated colon cancer Gut-brain axis GI Patient Advocacy Perianal CMV and other infections Alternative or non-pharmacological therapies in GI disorders Indications for enteric stenting Management of Motility disorders How to manage bloating NFkB Small molecule therapeutics Association of GI and psychiatric disorders Intestinal stem cell biology Cystic fibrosis & the gut microbiome Genomics Mucosal immunology Esophageal lichen planus Management of fistula in ani and fissures Obstructive defecation syndrome Prevention for GI diseases Health care costs and better use of resources - physician roles and responsibilities, hospital roles and resp, admin, health care system responsibilities Opportunities for volunteer work in gi Depression/anxiety related to bowel disease Aetiology and pathogenesis of pancreatic cancer Sexual dysfunction in IBD Chronic diarrhea Service-department chief formation Statistics for physicians Raising competance in Gastroenterology Psychology and stress/gi disease Expansion of "Choose Wisely" for GI Pancreatic cancer treatment strategies Microbiome-epithelial interactions in inflammation and repair Non celiac gluten sensitivity Colonic Motility clinical aspects Cellular models for GI high throughput screening Gut-brain axis in GI disease Mechanisms of resistance to chemotherapy Colonic Motility technical aspects Molecular and cellular mechanisms of IBD-CRC Emerging therapies for GI conditions Chemotherapy Research in GI disorders (specific interest in IBD, but could make applicable to all) Chronic pancreatitis etiology, treatment strategies Role of GI in GI Oncology Approaches to and examples of translational

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14 Q10 Please indicate how strongly you would like to see an educational event on each topic listed below (note: you must rate each topic). Answered: Skipped: 14 No interest Minor interest Neutral/not sure Some interest Very interested Total Esophageal & upper GI motility disorders 14.21% 18.27% 15.74% 32.99% 18.78% Non-reflux esophogeal disorders (eosinophilic esophagitis, etc.) % 14.21% 11.17% 40.61% 17.26% Reflux 20.30% 21.32% 20.81% 27.92% 9.64% Barrett's esophagus 18.27% 22.84% 13.20% 36.04% 9.64% Dyspepsia & upper GI functional disorders 18.78% 15.74% 16.75% 29.95% 18.78% Ulcer disease/helicobacter/nsaids 14.21% 25.89% 21.32% 28.93% 9.64% Upper GI bleeding 14.21% 12.69% 17.26% 34.01% 21.83% Celiac disease; Dx, management, complications, new therapies % 11.17% 13.71% 36.04% 30.96% Pancreatitis & pancreatic diseases 16.24% 12.18% 20.30% 32.49% 18.78% Diseases of the gallbladder & biliary tract 17.77% 15.74% 23.35% 27.92% 15.23% Anorectal disease 16.24% 17.77% 15.23% 32.49% 18.27% Viral hepatitis 25.89% 22.34% 20.81% 19.80% 11.17% Autoimmune liver diseases 19.29% 19.80% 17.77% 27.92% 15.23% NAFLD 18.78% 13.71% 18.27% 27.92% 21.32% Portal HTN and cirrhosis 18.78% 16.75% 17.26% 29.95% 17.26% Liver malignancies (HCC, cholangioca, etc) 23.86% 21.32% 20.81% 25.89% 8.12% Pediatric liver diseases 45.18% 21.83% 13.20% 9.64% 10.15% Malabsorption: Dx & management 11.68% 13.71% 19.29% 41.12% 14.21% Chronic diarrhea: Dx & management 8.12% 15.74% 17.77% 37.06% 21.32% Nutrition: assessment in specific disease states 8.12% 14.21% 19.80% 38.58% 19.29%

15 Nutrition: management 12.18% 12.69% 18.78% 34.52% 21.83% Obesity 15.74% 20.30% 19.80% 25.89% 18.27% GI Oncology 14.72% 16.75% 22.84% 23.35% 22.34% Lower functional bowel disorders (IBS) 11.17% 13.20% 15.74% 36.04% 23.86% Approach to GI infections (C. difficile & other pathogens) Non-IBD intestinal disorders (microscopic colitis, etc.) % 15.74% 17.26% 44.67% 14.21% % 15.74% 16.75% 36.04% 22.34% IBD: Pathogenesis, genetics, etiology 6.60% 11.17% 18.78% 29.44% 34.01% Radiological Imaging modalities for GI disorders 16.75% 11.17% 19.29% 34.01% 18.78% Crohn's & Ulcerative Colitis: Therapeutics, Tx of 5.58% 8.63% 16.24% 28.93% 40.61% complications,fistulas, etc Hands-on stations for endoscopic skills 20.81% 9.64% 12.18% 22.84% 34.52% Endoscopic techniques & therapeutics: 19.29% 9.14% 8.63% 21.32% 41.62% (polypectomy) Endoscopy: ERCP 40.10% 16.75% 18.27% 9.64% 15.23% Endoscopy: EUS 39.59% 17.77% 20.81% 11.17% 10.66% Endoscopy: Capsule 27.92% 18.27% 19.29% 22.84% 11.68% Endoscopy: Advanced modalities (eg. double balloon, PDT, etc.) % 14.72% 20.30% 23.86% 13.71% Ethical Issues 18.78% 20.81% 22.84% 23.35% 14.21% Gender issues in gastroenterology 33.50% 17.26% 24.87% 15.74% 8.63% Teaching theory & techniques 22.84% 15.23% 21.32% 24.37% 16.24% MOC essentials for Gastroenterologists 31.98% 13.20% 21.32% 23.86% 9.64% CanMEDs: Professional 35.03% 15.74% 22.34% 20.81% 6.09%

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