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The European training syllabus in pediatric gastroenterology, hepatology, and nutrition.

Pediatric gastroenterology developed rapidly in the late 1960s and 1970s. As a consequence, the European Society of Pediatric Gastroenterology (ESPG) was founded in 1968 by a group of individuals actively engaged in gastroenterologic research. In the mid-1970s, with the development of pediatric nutrition, the society became the European Society of Pediatric Gastroenterology and Nutrition (ESPGAN), and in the 1990s it became ESPGHAN to reflect the growth in hepatology. The drive and interest of ESPGHAN has largely focused on scientific research. However, during the 1990s, ESPGHAN began an educational initiative with the development of Summer Schools in Gastroenterology, Nutrition and Hepatology, traveling summer courses, and with the Millennium Eastern Summer Schools in Eastern Europe. Study days throughout Europe have been features of this initiative. Interaction with our colleagues who work with adults has developed through the United European Gastroenterology Federation (UEGF), of which ESPGHAN is one of the founding seven sisters. In 1996, the first UEGF postgraduate course in pediatric gastroenterology and hepatology was held. Despite these European-wide scientific training initiatives, formal training in pediatric gastroenterology, hepatology, and nutrition is not standardized across Europe, and, despite the preeminent standing of ESPGHAN in the world of pediatric gastroenterology, pediatric gastrology, hepatology, and nutrition, is not recognized in Europe as a board-certified pediatric subspecialty, as it is in Australia and in North America. Pediatric gastroenterology, hepatology, and nutrition must be recognized as a pediatric subspecialty. With the introduction of standardized general pediatric training in Europe, an opportunity exists to develop further training in pediatric gastroenterology, hepatology, and nutrition and to introduce uniform standards through Europe. In 1995, the Confederation Europeenne des Specialistes en Pediatrie (CESP) set up a European Board of Paediatrics (EBP) to standardize all aspects of pediatrics across European. As the predominant body for pediatric gastroenterology, hepatology, and nutrition in Europe, ESPGHAN has set standards in training approved by CESP and EBP. These standards are contained in the training syllabus published in this issue of the journal.