Assessments and skills improvement for endoscopists

Anderson, John T.

doi:10.1016/j.bpg.2016.05.005

Cited by 21 publications

(26 citation statements)

References 14 publications

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“…The accent should shift from procedural volume to procedural assessment of competency. DOPS assessments at the beginning and end of training should be instituted in each European country and policed rigorously as occurs in most adult and in some paediatric endoscopy centres already 17. By filling a log book with self-assessment, the trainee may identify where intensified support and training is needed.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a European-wide survey on paediatric endoscopy training

Broekaert

Jahnel

Moes

et al. 2018

Frontline Gastroenterol

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ObjectiveTo evaluate quality of paediatric endoscopy training of Young members of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN).MethodsAn online questionnaire designed by the Young ESPGHAN Committee was sent to 125 Young ESPGHAN members between February 2014 and September 2015. The questionnaire comprised 32 questions addressing some general information of the participants and the structure of their paediatric gastroenterology, hepatology and nutrition programmes; procedural volume and terminal ileal intubation (TII) rate; supervision, assessments, participation in endoscopy courses and simulator training; and satisfaction with endoscopy training and self-perceived competency.ResultsOf 68 participants, 48 (71%) were enrolled in an official training programme. All alumni (n=31) were trained in endoscopy. They completed a median of 200 oesophagogastroduodenoscopies (OGDs) and 75 ileocolonoscopies (ICs) with a TII rate of >90% in 43%. There is a significant difference in numbers of ICs between the TII rate groups >90%, 50%–90% and <50% (median 150 vs 38 vs 55) (p<0.001). 11 alumni (35%) followed the ESPGHAN Syllabus during training. 25 alumni (81%) attended basic skills endoscopy courses and 19 (61%) experienced simulator training. 71% of the alumni were ‘(very) satisfied’ with their diagnostic OGD, while 52% were ‘(very) satisfied’ with their IC training. The alumni felt safe to independently perform OGDs in 84% and ICs in 71% after their training.ConclusionsDespite reaching the suggested procedural endoscopy volumes, a rather low TII rate of >90% calls for end-of-training certifications based on the achievement of milestones of competency.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a European-wide survey on paediatric endoscopy training

Broekaert

Jahnel

Moes

et al. 2018

Frontline Gastroenterol

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“…From the start, endoscopy training and upskilling were therefore identified as key components of the service transformation [7,8]. Central to this transformation was the critical review of the effectiveness of historical training models and the recognition of the phases and mechanics of procedural skills acquisition.…”

Section: New Models Of Training and Upskillingmentioning

confidence: 99%

Acquiring and maintaining competency in gastrointestinal endoscopy

Dubé

Rostom

2016

Best Practice & Research Clinical Gastroenterology

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“…In 2013, the Best Practice Tariff was commissioned by the DoH in England, thereby enabling higher rates of reimbursement for accredited units. Additionally, service accreditation become a prerequisite for Trusts to receive trainees in endoscopy,12 further incentivising units to participate in the QA process.…”

Section: Introductionmentioning

confidence: 99%

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Siau

Green

Hawkes

et al. 2018

Frontline Gastroenterol

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The Joint Advisory Group on Gastrointestinal Endoscopy (JAG) was initially established in 1994 to standardise endoscopy training across specialties. Over the last two decades, the position of JAG has evolved to meet its current role of quality assuring all aspects of endoscopy in the UK to provide the highest quality, patient-centred care. Drivers such as changes to healthcare agenda, national audits, advances in research and technology and the advent of population-based cancer screening have underpinned this shift in priority. Over this period, JAG has spearheaded various quality assurance initiatives with support from national stakeholders. These have led to the achievement of notable milestones in endoscopy quality assurance, particularly in the three major areas of: (1) endoscopy training, (2) accreditation of endoscopy services (including the Global Rating Scale), and (3) accreditation of screening endoscopists. These developments have changed the landscape of UK practice, serving as a model to promote excellence in endoscopy. This review provides a summary of JAG initiatives and assesses the impact of JAG on training and endoscopy services within the UK and beyond.

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Assessments and skills improvement for endoscopists

Cited by 21 publications

References 14 publications

Evaluation of a European-wide survey on paediatric endoscopy training

Evaluation of a European-wide survey on paediatric endoscopy training

Acquiring and maintaining competency in gastrointestinal endoscopy

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

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