Breaking the unspoken rules of UK training in gastroenterology and hepatology

Raju, S.; Saunsbury, Emma G; Haddadin, Yazan; Cowan, Matthew

doi:10.1016/s2468-1253(22)00376-4

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…6 There are concerns that the new curriculum will further impair their ability to achieve high-quality training as specialists. 7 The 2021 British Society of Gastroenterology (BSG) Workforce Report recommended a 7%-9% yearly expansion in consultant numbers to meet the expected growing demand for services. 8 Delivering this will be a challenge, even more so when a potential increase in postcertificate of completion of training (CCT) training and anticipated less than full time (LTFT) consultant working patterns are taken into account.…”

Section: Introductionmentioning

confidence: 99%

UK-wide survey of gastroenterology and hepatology trainees in 2022: endoscopy, workforce planning and the Shape of things to come

Saunsbury,

Haddadin,

Gadhok

et al. 2023

Frontline Gastroenterol

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ObjectiveShape of Training has shortened the gastroenterology curriculum in the UK from a 5 to 4-year programme. There are ongoing concerns that this will negatively impact training and the attainment of competencies expected at consultant level. We undertook a UK-wide survey of gastroenterology trainees to establish their views.MethodThe British Society of Gastroenterology Trainees Section collected anonymised survey responses from trainees between June and September 2022 via an online platform.Results40.3% of trainees responded. Strikingly, only 10% of respondents felt they could achieve certificate of completion of training (CCT) within a 4-year programme. Furthermore, 31% were not confident they would attain the required expertise in their subspecialist interest during training. 70.8% reported spending a quarter or more of their training in general internal medicine (GIM) and 71.6% felt this negatively impacted on their gastroenterology training. Only 21.6% of respondents plan to pursue a consultant post with GIM commitments.Regarding endoscopy, only 36.1% of ST7s had provisional and 22.2% full accreditation in colonoscopy. Although 92.3% of respondents wanted exposure to a ‘bleed rota’, this was the case for only 16.2%. Teaching quality was judged to be insufficient by 45.9% of respondents.ConclusionRespondents had struggled to achieve the necessary competencies for CCT even prior to the newly reduced 4-year curriculum. While still maintaining service provision, we must safeguard gastroenterology training from encroaching GIM commitments. This will be critical in order to provide capable consultants of the future and prevent UK standards from falling behind internationally.

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Section: Introductionmentioning

confidence: 99%

UK-wide survey of gastroenterology and hepatology trainees in 2022: endoscopy, workforce planning and the Shape of things to come

Saunsbury,

Haddadin,

Gadhok

et al. 2023

Frontline Gastroenterol

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What is the role of out of programme clinical fellowships in the era of Shape of Training? A single-centre cohort study

Raju,

Bowker-Howell,

Aziz

et al. 2024

BMJ Open Gastroenterol

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BackgroundThe updated Shape of Training curriculum has shortened the duration of specialty training. We present the potential role of out of programme clinical fellowships.MethodAn electronic online survey was sent to all current fellows to understand their experiences, training opportunities and motivations.Data were collected on fellows’ endoscopic experiences and publications using PubMed for all previous doctors who have completed the Sheffield Fellowship Programme.ResultsSince 2004, 39 doctors have completed the Sheffield Fellowship.Endoscopic experience: current fellows completed a median average of 350 (IQR 150–500) gastroscopies and 150 (IQR 106–251) colonoscopies per year. Fellows with special interests completed either 428 hepato-pancreato-biliary procedures or 70 endoscopic mucosal resections per year.Medline publications: Median average 9 publications(IQR 4–17). They have also received multiple national or international awards and 91% achieved a doctoral degree.The seven current fellows in the new Shape of Training era (57% male, 29% Caucasian, aged 31–40 years) report high levels of enjoyment due to their research projects, supervisory teams and social aspects. The most cited reasons for undertaking the fellowship were to develop a subspecialty interest, take time off the on-call rota and develop endoscopic skills. The most reported drawback was a reduced income.All current fellows feel that the fellowship has enhanced their clinical confidence and prepared them to become consultants.ConclusionOut of programme clinical fellowships offer the opportunity to develop the required training competencies, subspecialty expertise and research skills in a supportive environment.

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Breaking the unspoken rules of UK training in gastroenterology and hepatology

Cited by 2 publications

References 6 publications

UK-wide survey of gastroenterology and hepatology trainees in 2022: endoscopy, workforce planning and the Shape of things to come

UK-wide survey of gastroenterology and hepatology trainees in 2022: endoscopy, workforce planning and the Shape of things to come

What is the role of out of programme clinical fellowships in the era of Shape of Training? A single-centre cohort study

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