SEPD-AEED Position Statement ‒ Integration of digestive ultrasound in gastroenterology services as a clinical, educational and organizational necessity.

The Spanish Society of Digestive Diseases (SEPD) and the Spanish Association of Digestive Ultrasound (AEED), as leading scientific societies in the field of Gastroenterology in Spain, have among their core objectives the continuous improvement of clinical practice, the training of specialists, and the promotion of diagnostic and therapeutic tools that contribute to higher quality, more efficient, and patient-centered healthcare. As a guarantor of the professional development of specialists, SEPD also acts as a technical liaison with health authorities, advocating for the recognition of competencies based on scientific evidence and real healthcare needs. Likewise, AEED is committed to advancing the use of ultrasound techniques, as well as research and training in ultrasound techniques. Both societies consider it essential to establish clinical ultrasound as a core competency of the gastroenterologist. This need arises from a clinical and educational reality strongly supported by scientific evidence, the current regulatory framework, and accumulated experience in other countries and specialties. In this context, SEPD and AEED issue this position statement to reinforce the role of clinical ultrasound as an essential skill of the digestive system specialist. This position is not driven by corporate interests but by an academic, responsible vision that serves patients and the healthcare system. It is further justified by growing scientific evidence, regulatory and training support, and the urgent need to ensure equal access to this technique in all Gastroenterology departments across the country, avoiding unjustified inequalities between regions or hospitals. It also seeks to address organizational gaps where ultrasound remains restricted to other specialties, even when the overall care of the patient lies with the gastroenterologist.