Empowering GI fellows to lead the change: A national survey on strengths and opportunities to enhance gastroenterology training in Saudi Arabia

Abstract Background: The increasing burden of gastrointestinal and liver diseases in Saudi Arabia highlights the need for a strong, standardized GI training program to produce highly skilled gastroenterologists. Historically, joint rotational training programs offered broad exposure but inconsistent mentorship and evaluation. Recently, center-based independent fellowships were introduced to address these challenges, although disparities between high- and low-volume centers persist. Methods: A national survey was conducted using Google Surveys from February to December 2024, targeting GI fellows across Saudi Arabia. The survey was developed based on literature review and validated through pilot testing among fellows during a regional board review course. Participation was encouraged through local representatives and gastroenterology meetings. Data were analyzed using descriptive statistics and thematic analysis. Results: Fifty-four fellows responded. The average satisfaction score was 3.96 of 5, with third-year fellows reporting the highest satisfaction. Strengths included strong endoscopic exposure and collaborative rotations. Mentorship scored lower at 2.78. Only about half of respondents reported opportunities for research, leadership training, or access to hands-on courses. Dedicated teaching sessions were available to just 40.7% of fellows, reflecting significant variability across centers. Conclusions: While GI training in Saudi Arabia has improved, notable disparities remain. Standardizing curricula, strengthening mentorship, expanding simulation-based training, and improving research and leadership opportunities are critical steps. Integrating successful international models could accelerate progress, ensuring that Saudi Arabia produces confident, competent gastroenterologists ready to meet both national and global healthcare demands.