Financial barriers to participation in international gastroenterology conferences: a cross-sectional analysis of registration fees

Objective

International gastroenterology conferences serve as vital platforms for networking and professional development. Yet, financial barriers limit participation from low- and middle-income countries (LMICs). We sought to analyse the registration fees for international gastroenterology conferences to understand the financial challenges faced by attendees, particularly from LMICs, and suggest improvements for equitable access.

Design/method

In this cross-sectional, retrospective study, we collected registration fee data from the official conference websites and categorised them according to host country, career stage (student, trainee/resident or staff), society membership status, option for virtual participation and availability of concessions for LMIC participants. Fees were converted to their US dollar equivalent using historical exchange rates from the International Monetary Fund’s website.

Results

Out of 42 conferences, only five (11.9%) were hosted by LMICs. The median registration fees for member students, trainees and staff were US$87.65, US$150.00 and US$336.84, respectively, while the median fees for non-member students, trainees and staff were US$220.00, US$368.28 and US$600.39, respectively. Only eight (19%) conferences offered concessions for LMIC participants. 12 (28.6%) conferences included a virtual component, with seven (58.3%) offering cheaper virtual-only packages.

Conclusion

Conference registration costs are substantial and only a minority of conferences offered concessions for LMIC participants. High costs of registration, travel and accommodation, complex visa processes and limited speaking opportunities are major reasons for the limited LMIC representation. To address these inequities, global societies should provide financial and administrative support and continue the hybrid model of conferences to enhance accessibility and inclusivity.