How can gastroenterology training thrive in a post-COVID world?

Fitzpatrick, Michael; Clough, Jennifer; Harvey, Philip; Ratcliffe, Elizabeth

doi:10.1136/flgastro-2020-101601

Cited by 12 publications

(13 citation statements)

References 13 publications

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“…4 This could be multifactorial-restructuring of the NHS workforce during the pandemic meant that trainees were redeployed to front-line clinical duties; limited supply of PPE at the beginning of the pandemic; rationalisation of endoscopy lists to essential procedures only; and reduced number of procedures in each list and consultant-delivered therapeutic services (to reduce procedure times and exposure to potential COVID-19) were some of the other factors that were thought to have contributed to the reduction in endoscopy training during the pandemic. 12 In our study, we found that trainees were involved in 47% of the procedures which was far higher than the national figures. In our unit, trainees were allowed to perform the procedure…”

Section: Discussionmentioning

confidence: 49%

Impact of COVID-19 pandemic on key performance indicators in pancreatobiliary endoscopy: prioritise, minimise risk, keep scoping and training

Esmaily

Yau

Dwarakanath

et al. 2020

Frontline Gastroenterol

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BackgroundThe COVID-19 pandemic has profoundly affected endoscopy services including pancreatobiliary (PB) endoscopy across the UK. The British Society of Gastroenterology and Joint Advisory Group have issued guidance for managing endoscopy services safely throughout this period. There have been perceived concerns among the PB endoscopists that wearing full personal protective equipment might have an adverse impact on key performance indicators (KPIs) in endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) procedures leading to non-compliance with the national guidelines. The aim of the study was to assess the impact of COVID-19 pandemic on KPIs in ERCP and EUS and ascertain the risk of procedure-related complications.MethodsA retrospective audit of a prospectively maintained endoscopy database was carried out between 18 March and 31 July 2020.Results146 ERCP procedures (common bile duct (CBD) cannulation rate of naïve papilla 89.2%, complete CBD stone extraction rate at first ERCP 88.2%, biliary stricture decompression rate 91%) and 87 EUS procedures (diagnostic accuracy of EUS-fine needle aspiration 92%) were carried out during this period. ERCP-related complications included pancreatitis (4.8%), bleeding (0.68%) and cholangitis (0.68%). 30-day ERCP procedure-related mortality was 0.68%. There were no complications or procedure-related mortality in the EUS group.ConclusionThis is the first study looking at the impact of COVID-19 on KPIs and procedure-related complications in ERCP and EUS in the literature. Our study confirms that a high-quality PB endoscopy service can be delivered safely and effectively during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 49%

Impact of COVID-19 pandemic on key performance indicators in pancreatobiliary endoscopy: prioritise, minimise risk, keep scoping and training

Esmaily

Yau

Dwarakanath

et al. 2020

Frontline Gastroenterol

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“…Several strategies to address the challenges faced by trainees in the COVID-19 era have been proposed. 3 The use of online resources and expert-delivered video endoscopy learning seminars have been suggested as mechanisms to support the delivery of non-technical skills. Educational opportunities may also be enhanced through the utilisation of video conferencing portals.…”

Section: Impact Of Covid-19 On Trainingmentioning

confidence: 99%

“…Educational opportunities may also be enhanced through the utilisation of video conferencing portals. 3 Limitations have been placed on the number of personnel in the endoscopy room to protect both patients and staff. 1 Whether trainee endoscopists are nonessential personnel in this context remains to be defined.…”

Section: Impact Of Covid-19 On Trainingmentioning

confidence: 99%

“…1 Whether trainee endoscopists are nonessential personnel in this context remains to be defined. 3 Accreditation in diagnostic gastroscopy is required for CCT although colonoscopy is also pursued by most trainees. 4 Traditionally, this was already challenging; half of gastroenterology trainees surveyed in 2018 lacked accreditation in colonoscopy as they approached CCT.…”

Section: Impact Of Covid-19 On Trainingmentioning

confidence: 99%

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COVID-19 and the challenges faced by gastroenterology trainees: time for capsule endoscopy training?

Conley

Fiske

Townsend

et al. 2021

Frontline Gastroenterol

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“…Proposed solutions for these problems include embracing online learning, simulation and "sprint" courses. 13 In addition, micro-credentialing is another factor to consider.…”

Section: Covid-19 Pandemicmentioning

confidence: 99%

Two passions, one goal, and a pandemic: the future of medical education in South Africa

Quan

2020

South Afr J Anaesth Analg

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How can gastroenterology training thrive in a post-COVID world?

Cited by 12 publications

References 13 publications

Impact of COVID-19 pandemic on key performance indicators in pancreatobiliary endoscopy: prioritise, minimise risk, keep scoping and training

Impact of COVID-19 pandemic on key performance indicators in pancreatobiliary endoscopy: prioritise, minimise risk, keep scoping and training

COVID-19 and the challenges faced by gastroenterology trainees: time for capsule endoscopy training?

Two passions, one goal, and a pandemic: the future of medical education in South Africa

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