Training pathway for small bowel capsule endoscopy in the UK

Abstract

The demand for small bowel (SB) capsule endoscopy (CE) is increasing in the UK. However, there remains a wide variation in the number of CE procedures performed in different centres. Across the UK there is a lack of a clear training pathway or certification process. A standardised national Joint Advisory Group (JAG) on Gastrointestinal Endoscopy approved a 1-year training and accreditation programme accessible to all professional groups that may wish to train in SB CE. Structured training is delivered using JAG-accredited CE courses and an electronic learning module. Prior to setting a knowledge-based assessment, a minimum of 50 SB CE cases are recommended to be read in tandem with a trainer at a local centre, with proficiency documented using Direct Observation of Procedural Skill (DOPS) assessments.

More than 20 procedures are necessary to learn small bowel capsule endoscopy: Learning curve pilot study of 535 trainee cases

“…Both national and international societies recommend training before performing reviews of SBCE 10 11 . The latest statement by the European Society for Gastrointestinal Endoscopy (ESGE) indicates that learning SBCE requires a minimum of 75 to 100 SBCEs/year for a center, experience with bidirectional endoscopy is desirable for structured SBCE training, 50% hands-on training at SBCE courses, and competencies in SBCE evaluation can be assessed after 30 procedures with direct observation, short videos, or multiple-choice questionnaires 12 .…”