Surgical endoscopy training: the Joint Advisory Group on gastrointestinal endoscopy national review

Hammond, John S.; Watson, Nicholas; Lund, Jon; Barton, J R

doi:10.1136/flgastro-2012-100242

Cited by 13 publications

(19 citation statements)

References 8 publications

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“…Being a colorectal surgery trainee was independently associated with not achieving 300 colonoscopies during training. This is in keeping with a previous study that predicted a shortfall in the number of surgical trainees gaining JAG accreditation prior to their CCT [8]. Our results are also in keeping with a recent study exploring differences in recorded endoscopy activity by specialty using the JETS database [19].…”

Section: Discussionsupporting

confidence: 92%

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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Section: Discussionsupporting

confidence: 92%

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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“…Overall, awareness of the requirements for accreditation were high for all specialties, with surgical trainee engagement with the JAG significantly improved since the previous survey in 2010. 1 Unsurprisingly, the overwhelming majority of gastroenterology trainees aspired to become accredited in both upper and lower GI endoscopy, and felt it was likely that they would do so prior to achieving their Certificate of Completion of Training (CCT). Indeed, a significant proportion of gastroenterology trainees had already achieved JAG accreditation at the time of the survey.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, a 2010 survey highlighted a predicted shortfall in the number of surgical trainees gaining JAG accreditation prior to completion of specialist training. 1 A separate study among gastroenterology trainees failed to demonstrate the same problems. 4 Since then, the JAG has made a number of changes to how training and certification for endoscopic competency are assessed to address some of the perceived disadvantages faced by surgical trainees.…”

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confidence: 98%

“…However, concerns have been raised about the provision and delivery of endoscopy training in the UK. 1,2 Although medical gastroenterologists perform the majority of GI endoscopic examinations, it is essential that surgeons continue be trained in this procedure, achieving independent competence to assess their own patients prior to surgery and to make appropriate management decisions. This view is reinforced by guidance from the Association of Upper GI Surgeons and the Association of Coloproctology of Great Britain and Ireland.…”

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confidence: 99%

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National survey on endoscopy training in the UK

Jones¹,

Stylianides²,

Robertson³

et al. 2015

annals

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This survey highlights marked disparities between surgical and gastroenterology trainees in both aiming for and achieving accreditation in endoscopy. Without changes to the delivery and provision of training as well as clarification of the role of endoscopy training in a surgical training programme, future surgeons will not be able to perform essential endoscopic assessment of patients as part of their management algorithm.

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“…This allows trainees to learn from experts in both specialties with equal opportunity to caseloads. A survey by Hammond et al (26) in 2012, reported that two of three surgical trainees from all UK training regions admit to lacking access to endosuite, with no scheduled training lists. The authors concluded that surgical trainees are failing to achieve national standards due to deficiencies in endoscopy training.…”

Section: Acquisition and Measurement Of Competency: Jag And Other Optmentioning

confidence: 99%

Endoscopy in Canada: Proceedings of the National Roundtable

Switzer

Dixon

Tinmouth

et al. 2015

Canadian Journal of Gastroenterology and Hepatology

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This 2014 roundtable discussion, hosted by the Canadian Association of General Surgeons, brought together general surgeons and gastroenterologists with expertise in endoscopy from across Canada to discuss the state of endoscopy in Canada. The focus of the roundtable was the evaluation of the competence of general surgeons at endoscopy, reviewing quality assurance parameters for high-quality endoscopy, measuring and assessing surgical resident preparedness for endoscopy practice, evaluating credentialing programs for the endosuite and predicting the future of endoscopic services in Canada. The roundtable noted several important observations. There exist inadequacies in both resident training and the assessment of competency in endoscopy. From these observations, several collaborative recommendations were then stated. These included the need for a formal and standardized system of both accreditation and training endoscopists.

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Surgical endoscopy training: the Joint Advisory Group on gastrointestinal endoscopy national review

Abstract: Higher surgical trainees are failing to achieve national standards for endoscopy practice. There is an urgent need to address the deficiencies in endoscopy training to ensure a competent cohort of surgical endoscopists.

Cited by 13 publications

References 8 publications

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

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

National survey on endoscopy training in the UK

Endoscopy in Canada: Proceedings of the National Roundtable

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