Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio.

Siau, Keith and Anderson, John T and Valori, Roland and Feeney, Mark and Hawkes, Neil D and Johnson, Gavin and McKaig, Brian C and Pullan, Rupert D and Hodson, James and Wells, Christopher and Thomas-Gibson, Siwan and Haycock, Adam V and Beales, Ian L P and Broughton, Raphael and Dunckley, Paul (2019) Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio. Endoscopy international open, 7 (4). E551-E560. ISSN 2364-3722.

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Abstract

In the UK, endoscopy certification is administered by the Joint Advisory Group on Gastrointestinal Endoscopy (JAG). Since 2011, certification for upper and lower gastrointestinal endoscopy has been awarded via a national (JETS) e-portfolio to the main training specialties of: gastroenterology, gastrointestinal surgeons (GS) and non-medical endoscopists (NME). Trends in endoscopy certification and differences between trainee specialties were analyzed. This prospective UK-wide observational study identified trainees awarded gastroscopy, sigmoidoscopy, colonoscopy (provisional and full) certification between June 2011 - 2017. Trends in certification, procedures and time-to-certification, and key performance indicators (KPIs) in the 3-month pre- and post-certification period were compared between the three main training specialties. Three thousand one hundred fifty-seven endoscopy-related certifications were awarded to 1928 trainees from gastroenterology (52.3 %), GS (28.4 %) and NME (16.5  %) specialties. During the study period, certification numbers increased for all modalities and specialties, particularly NME trainees. For gastroscopy and colonoscopy, procedures-to-certification were lowest for GS (  < 0.001), whereas time-to-certification was consistently shortest in NMEs (  < 0.001). A post-certification reduction in mean cecal intubation rate (95.2 % to 93.8 %,  < 0.001) was observed in colonoscopy, and D2 intubation (97.6 % to 96.2 %,  < 0.001) and J-maneuver (97.3 % to 95.8 %,  < 0.001) in gastroscopy. Overall, average pre- and post-certification KPIs still exceeded national minimum standards. There was an increase in PDR for NMEs after provisional colonoscopy certification but a decrease in PDR for GS trainees after sigmoidoscopy and full colonoscopy certification. Despite variations among trainee specialties, average pre- and post-certification KPIs for certified trainees met national standards, suggesting that JAG certification is a transparent benchmark which adequately safeguards competency in endoscopy training.

Item Type: Article
Subjects: WI Digestive system. Gastroenterology
Divisions: Planned IP Care > Gastroentrology
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Depositing User: Mr Philip O'Reilly
Date Deposited: 16 Apr 2019 10:23
Last Modified: 16 Apr 2019 10:23
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/2037

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