Canadian Credentialing Guidelines for Esophagogastroduodenoscopy

Current Status of Core and Advanced Adult Gastrointestinal Endoscopy Training in Canada: Survey of Existing Accredited Programs

“…Consistent with the corresponding Canadian Association of Gastroenterology (CAG) credentialing guidelines (5,8), the procedural volumes for gastroscopy and colonoscopy reported by all programs respect the recommended minimum numbers necessary for each: 130 and 140, respectively (Figure 2A). However, for sigmoidoscopy, the reported value of one program (7%) did not met the minimum requirement of 30 (7) ( Figure 2B).…”

“…With the growing interest in improving gastroenterology (GI) training, there have been major changes in the credentialing process (5)(6)(7)(8). To ensure trainee competency, objectively measuring the quality of procedures has become increasingly more important in addition to meeting requirements of procedural volumes (9,10).…”

The learning curve to achieve satisfactory completion rates in upper GI endoscopy: an analysis of a national training database

“…OGD experience is easier to accrue as the procedure time is shorter and more procedures can be performed per list. The greater technical difficulty of performing colonoscopy compared with OGD, combined with a lower completion standard, may explain the focus in the literature on colonoscopy learning curves 6 23…”

“…JAG currently requires a minimum of 200 procedures submitted through the JAG endoscopy training system (JETS). One hundred and thirty procedures are required in the USA,5 150 in Canada6 and 200 complete unassisted procedures in Australia 7…”

The role of upper gastrointestinal endoscopy in treating postoperative complications in bariatric surgery

“…53 Furthermore, Ponich et al argue that there generally is not enough time for surgeons to acquire the necessary experience to perform advanced endoscopic techniques, such as endoscopic hemostasis. 54 Thus, in general, at least six months of training is needed to fully understand the cognitive aspects of endoscopy, such as contraindications, current guidelines, risks, complications, and management of adverse sequelae. Consequently, Asfaha et al discovered that none of the surgical trainees at their institution met the American Society for Gastrointestinal Endoscopy minimum recommendations for endoscopy case numbers.…”