National survey on endoscopy training in the UK

Jones, Rebecca; Stylianides, N; Robertson, Angus; Yip, Vincent; Chadwick, Georgina

doi:10.1308/003588415x14181254790400

Cited by 23 publications

(19 citation statements)

References 5 publications

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“…Although these posts were devised to support research activity and trainees going OOP, trainees acquire endoscopic experience that is often not achieved through in-programme activity alone. Supporting this assertion is a recent survey evaluating endoscopic training in the UK 12. Findings from this study suggest that although gastroenterology trainees had favourable experiences compared with surgical trainees, only 91.3%, 68.6% and 73.0% were expected to achieve the Joint Advisory Group certification requirements of 200 procedures in gastroscopy, flexible sigmoidoscopy and colonoscopy (provisional) at the time of completion of training (CCT).…”

Section: Introductionmentioning

confidence: 82%

Sheffield Clinical Research Fellowship programme: a transferable model for UK gastroenterology

Kurien

Hopper

Lobo

et al. 2017

Frontline Gastroenterol

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1 The advantages and disadvantages of these different OOP activities have been discussed previously, as a means of supporting both professional and personal development. Being unaware of opportunities and uncertainty on how to organise are reported barriers. 1Other factors that are increasingly pertinent relate to trainees not being afforded time to go OOP, and also not having financial support to sustain the planned activity. In this article, we discuss the current challenges that exist in undertaking OOP activities and also provide insights into the Sheffield Clinical Research Fellowship programme, which has supported OOP research activity in South Yorkshire for more than 13 years. This is a model which we believe is transferable and has attracted applicants (who have been appointed) from outside of South Yorkshire. Practical information is included in this article about how the Sheffield programme was established, its funding methods, alongside trainee feedback and outputs.The hope is that by sharing our model for supporting OOP research activity, we provide an alternative and sustainable way of meeting trainees' aspirations to go OOP, which can hopefully be used and replicated by trainees and local training programme directors (TPDs) in other areas of the country.

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Section: Introductionmentioning

confidence: 82%

Sheffield Clinical Research Fellowship programme: a transferable model for UK gastroenterology

Kurien

Hopper

Lobo

et al. 2017

Frontline Gastroenterol

View full text Add to dashboard Cite

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“…It previously has been reported that the majority of gastroenterology trainees in the UK felt it was likely that they would become accredited in both upper and lower gastrointestinal endoscopy prior to achieving CCT whereas only half of surgeons felt this was achievable for colonoscopy. Similarly, the proportion of surgical trainees who had already achieved certification was much lower than that for gastroenterology trainees at the time of the survey . The 2016 British Society of Gastroenterology (BSG) trainees’ survey discussed important issues facing the delivery of endoscopy training in the UK .…”

Section: Discussionmentioning

confidence: 99%

“…In recent years there has been a perception that JAG certification in colonoscopy is increasingly hard to achieve for surgical trainees . In support of this view, a national survey on endoscopy training in the UK showed a significantly higher proportion of gastroenterologists than surgeons achieving accreditation in colonoscopy (66.7% vs 1.4%) and flexible sigmoidoscopy (33.3% vs 3.0%) . The most obvious explanation is the lack of sufficient training time and exposure to endoscopy within surgical training.…”

Section: Introductionmentioning

confidence: 99%

Colorectal trainees in the UK struggle to meet JAG certification standards in colonoscopy by the end of their training

et al. 2019

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Aim Colonoscopy certification in the UK is taken in two parts – provisional and full – mandating lifetime procedure counts of 200 or 300, respectively. The aim of this study was to determine the number of procedures performed by colorectal trainees by the end of training compared with their gastroenterology peers and to determine the factors associated with achieving the 300‐procedure target for full certification. Method Dates of entry onto the specialist register were obtained from the General Medical Council. This list was cross‐referenced with procedure counts from the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) Endoscopy Training System database to determine the number of colonoscopies and polypectomies performed during training. Factors associated with achieving 300 procedures were analysed by logistic regression. Results Procedures numbers were obtained for 234 gastroenterology and 148 colorectal surgery trainees. Over the last 5 years, the number of colonoscopies performed during training has declined for colorectal surgery trainees but increased for gastroenterology trainees. Gastroenterology trainees are more likely to achieve provisional and full certification. For trainees completing training in 2017, 19% of colorectal surgery trainees compared with 88% of gastroenterology trainees were able to reach the threshold of 300 procedures for full certification. Conclusion Colorectal surgery trainees lag behind their gastroenterology counterparts in accruing endoscopy experience. This affects the ability of colorectal surgery trainees to achieve certification prior to completion of training. An urgent debate is required to decide what endoscopy training is required of a colorectal surgeon and how a robust training system can be put in place to ensure this is achieved.

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“…In our study, 100% of general surgeons indicated willingness to use endoscopy and complained about inadequate training opportunities. A study by Jones et al found that 38% of general surgeons in the UK performed endoscopy versus 60% of gastroenterologists, and reported that general surgeons should gain accreditation for endoscopy [ 16 ]. In Turkey, no institution currently provides routine accreditation in endoscopy training in a general surgery residency.…”

Section: Discussionmentioning

confidence: 99%

Emergency Endoscopy and the Importance of Endoscopy Training in General Surgery Residency: A Survey-Based Study

et al. 2017

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BackgroundEmergency endoscopy is a life-saving technique of great significance. The aim of our study was to draw attention to endoscopy training activities of general surgeons and their opinions on this issue.Material/MethodsWe asked general surgery specialists where they received their general surgery training, the institution where they currently worked, how many years they had been practicing, if they had endoscopy training during or after residency, if a gastroenterologist was available in their hospital, and whether they used endoscopy. We also asked some questions, including ‘Should general surgeons perform emergency or elective endoscopy?’, ‘Is endoscopy training required in general surgery’, and ‘What is your opinion regarding this issue?’, and we assessed the answers.ResultsOf the 138 general surgeons undertaking surveys, 63% of participants received their general surgery training in university hospitals and 37% in training and research hospitals. The duration of practicing as a general surgeon was 5 years for 23.9%, 5–15 years for 38.4%, 15–20 years for 20.3%, and over 20 years for 17.4% of participants. The rate of receiving endoscopy training at residency was 51.4%, 25.4% did not have endoscopy training, and 23.2% had postgraduate training. All participants replied affirmatively to the question ‘Should general surgeons perform emergency or elective endoscopy?’.ConclusionsAlthough endoscopy has been widely used recently, gastroenterologists are not available in every hospital. Consequently, it is evident that endoscopy should be part of general surgery training.

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National survey on endoscopy training in the UK

Cited by 23 publications

References 5 publications

Sheffield Clinical Research Fellowship programme: a transferable model for UK gastroenterology

Sheffield Clinical Research Fellowship programme: a transferable model for UK gastroenterology

Colorectal trainees in the UK struggle to meet JAG certification standards in colonoscopy by the end of their training

Emergency Endoscopy and the Importance of Endoscopy Training in General Surgery Residency: A Survey-Based Study

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