Introducing JETS Workforce

2021 ◽  
Vol 19 (Sup2) ◽  
pp. S14-S16
Author(s):  
Keyword(s):  
Training System ◽  
Advisory Group ◽  
Endoscopy Training ◽  
Structured Approach

The Joint Advisory Group (JAG) on Gastrointestinal Endoscopy's introduces the Endoscopy Training System Workforce programme, a structured approach to endoscopy training

scholarly journals Variation in exposure to endoscopic haemostasis for acute upper gastrointestinal bleeding during UK gastroenterology training

2019 ◽  
Vol 11 (6) ◽  
pp. 436-440 ◽  
Author(s):  
Keith Siau ◽  
A John Morris ◽  
Aravinth Murugananthan ◽  
Brian McKaig ◽  
Paul Dunckley
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Training System ◽  
Advisory Group ◽  
Endoscopic Haemostasis ◽  
Endoscopy Training ◽  
Acute Upper Gastrointestinal Bleeding ◽  
The Uk ◽  
Upper Gastrointestinal ◽  
Adrenaline Injection

IntroductionGastroenterologists are typically expected to be competent in endoscopic haemostasis for acute upper gastrointestinal bleeding (AUGIB), with the Certificate of Completion of Training (CCT) often heralding the onset of participation in on-call AUGIB rotas. We analysed the volume of haemostasis experience recorded by gastroenterology CCT holders on the Joint Advisory Group on Gastrointestinal Endoscopy Training System (JETS) e-portfolio, the UK electronic portfolio for endoscopy, and assessed for variations in exposure to haemostasis.MethodsUK gastroenterologists awarded CCT between April 2014 and April 2017 were retrospectively identified from the specialist register. Credentials were cross-referenced with JETS to retrieve AUGIB haemostasis procedures prior to CCT. Procedures were collated according to variceal versus non-variceal therapies and compared across training deaneries.ResultsOver the 3-year study period, 241 gastroenterologists were awarded CCT. 232 JETS e-portfolio users were included for analysis. In total, 12 932 haemostasis procedures were recorded, corresponding to a median of 42 (IQR 21–71) per gastroenterologist. Exposure to non-variceal modalities (median 28, IQR 15–52) was more frequent than variceal therapies (median 11, IQR 5–22; p<0.001). By procedure, adrenaline injection (median 12, IQR 6–23) and variceal band ligation (median 10, IQR 5–20) were most commonly recorded, whereas sclerotherapy experience was rare (median 0, IQR 0–1). Exposure to haemostasis did not differ by year of CCT (p=0.130) but varied significantly by deanery (p<0.001), with median procedures ranging from 20–126.ConclusionExposure to AUGIB haemostasis during UK gastroenterology training varied across deaneries and procedural modalities which should prompt urgent locoregional review of access and delivery of training. Endoscopy departments should ensure the availability of supportive provisions in haemostasis (i.e. training/upskilling, supervision, mentorship) during the early post-CCT period.

Lower gastrointestinal polypectomy competencies in the United Kingdom: a retrospective analysis of Directly Observed Polypectomy Skills (DOPyS)

Endoscopy ◽  
2020 ◽  
Author(s):  
Arun Rajendran ◽  
Siwan Thomas-Gibson ◽  
Paul Bassett ◽  
Paul Dunckley ◽  
Rajaratnam Rameshshanker ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Training System ◽  
National Database ◽  
Advisory Group ◽  
Cecal Intubation ◽  
Endoscopy Training ◽  
The United Kingdom ◽  
Cecal Intubation Rate ◽  
The Uk ◽  
Provisional Certification

Abstract Background Polypectomy is often the most hazardous part of colonoscopy. There is significant variability in polypectomy training and assessment internationally. DOPyS (Directly Observed Polypectomy Skills) is a validated assessment tool and is used to demonstrate polypectomy competency in the UK. This study aimed to describe the learning curve for polypectomy competency in UK trainees. Methods Retrospective DOPyS data (January 2009 to September 2015) were obtained from the UK Joint Advisory Group (JAG) for intestinal endoscopy training system (JETS) national database. The number of lower gastrointestinal (LGI) procedures, overall cecal intubation rate (CIR), procedure intensity, and time in days to the first DOPyS assessment were recorded, and time to JAG certification was calculated. Results 4965 DOPyS assessments from 336 trainees were analyzed. Within the study period, 124 and 53 trainees achieved provisional and full colonoscopy certification, respectively. Trainees started formative assessment of polypectomy after > 130 LGI procedures and with a CIR of > 70 %. Within 3 years from the first DOPyS assessment, 94 % of trainees achieved provisional certification, and 50 % full certification. Higher procedure intensity at baseline DOPyS assessment was associated with a higher likelihood of obtaining certification sooner. Conclusion There is a significant variation in time to competency, and this potentially reflects the time necessary to acquire polypectomy skills. There is a need to start polypectomy training earlier, once sufficient skills, such as tip control, have been achieved to shorten the time to competency. Overall, the CIR could be used as a guide for such technical skills. Increasing exposure to training lists also potentially reduces the time to polypectomy competency.

scholarly journals British society of gastroenterology Endoscopy Quality Improvement Programme (EQIP): overview and progress

2019 ◽  
Vol 10 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Colin J Rees ◽  
Sara Koo ◽  
John Anderson ◽  
Mark McAlindon ◽  
Andrew M Veitch ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Significant Variation ◽  
Rating Scale ◽  
Training System ◽  
Support Network ◽  
British Society ◽  
Global Rating Scale ◽  
Advisory Group ◽  
Global Rating ◽  
Gi Endoscopy

High quality gastrointestinal (GI) endoscopy improves patient care. Raising standards in endoscopy improves diagnostic accuracy, management of pathology and ultimately improves outcomes. Historical identification of significant variation in colonoscopy quality led to the development of the Joint Advisory Group (JAG) on GI Endoscopy, the Global Rating Scale (GRS), JAG Endoscopy Training System (JETS) training and certification. These measures led to major improvements in UK endoscopy but significant variation in practice still exists. To improve quality further the British Society of Gastroenterology Endoscopy Quality Improvement (EQIP) has been established with the aim of raising quality and reducing variation in the quality of UK endoscopy. A multifaceted approach to quality improvement (QI) will be undertaken and is described in this manuscript. Upper GI EQIP will support adoption of standards alongside regional upskilling courses. Lower GI EQIP will focus on supporting endoscopists to achieve current standards alongside approaches to reducing postcolonoscopy colorectal cancer rates. Endoscopic retrograde cholangiopancreatography EQIP will adopt a regional approach of using local data to support network-based QI. Newer areas of endoscopy practice such as small bowel endoscopy and endoscopic ultrasound will focus on identifying key performance indicators as well as standardising training and accreditation pathways. EQIP will also support QI in management of GI bleeding as well as standardising the approach to new techniques and technologies. Where evidence is lacking, approaches to gather new evidence and support the translation into clinical practice will be supported.

scholarly journals Trends in UK endoscopy training in the BSG trainees’ national survey and strategic planning for the future

2017 ◽  
Vol 9 (3) ◽  
pp. 200-207 ◽  
Author(s):  
Sujata Biswas ◽  
Laith Alrubaiy ◽  
Louise China ◽  
Melanie Lockett ◽  
Antony Ellis ◽  
...  
Keyword(s):  
British Society ◽  
Endoscopic Management ◽  
Advisory Group ◽  
Subspecialty Training ◽  
Training Experience ◽  
Training Time ◽  
Endoscopy Training ◽  
Therapeutic Modalities ◽  
Training Programmes ◽  
The Uk

BackgroundImprovements in the structure of endoscopy training programmes resulting in certification from the Joint Advisory Group in Gastrointestinal Endoscopy have been acknowledged to improve training experience and contribute to enhanced colonoscopy performance.ObjectivesThe 2016 British Society of Gastroenterology trainees’ survey of endoscopy training explored the delivery of endoscopy training - access to lists; level of supervision and trainee’s progression through diagnostic, core therapy and subspecialty training. In addition, the barriers to endoscopy training progress and utility of training tools were examined.MethodsA web-based survey (Survey Monkey) was sent to all higher specialty gastroenterology trainees.ResultsThere were some improvements in relation to earlier surveys; 85% of trainees were satisfied with the level of supervision of their training. But there were ongoing problems; 12.5% of trainees had no access to a regular training list, and 53% of final year trainees had yet to achieve full certification in colonoscopy. 9% of final year trainees did not feel confident in endoscopic management of upper GI bleeds.ConclusionsThe survey findings provide a challenge to those agencies tasked with supporting endoscopy training in the UK. Acknowledging the findings of the survey, the paper provides a strategic response with reference to increased service pressures, reduced overall training time in specialty training programmes and the requirement to support general medical and surgical on-call commitments. It describes the steps required to improve training on the ground: delivering additional training tools and learning resources, and introducing certification standards for therapeutic modalities in parallel with goals for improving the quality of endoscopy in the UK.

EP.TU.657Scoping the role and content of a simulator-based endosim curriculum

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Catherine Eley ◽  
Neil Hawkes ◽  
Wyn Lewis
Keyword(s):  
Simulation Training ◽  
Technical Skills ◽  
Advisory Group ◽  
Practical Skill ◽  
Procedural Skills ◽  
Endoscopy Training ◽  
Simultaneous Acquisition ◽  
Training Delivery ◽  
And Training ◽  
Simulated Training

Abstract Background Endoscopy training requires simultaneous acquisition of practical skill and knowledge. Virtual reality Simulators, such as EndoSim (SurgicalScience), offer the opportunity to deconstruct a skill into fundamental components (1), to allow repetitive practice, and achievement of task-specific objectives. Trainees with the least endoscopy experience benefit most from early simulated training (2,3), supporting the introduction of a simulation curriculum into SPRINT: Structured PRogramme for INduction and Training, an existing initiative to improve endoscopy training delivery in Wales. (4) The aim of this study was to design a pilot simulator curriculum for the EndoSim (Surgical Science, Gothemberg) simulator. Methods A focus group completed all EndoSim modules. Each EndoSim exercise was cross-examined against the relevant DOPS tool “Direct Observation of Procedural Skill” used by the Joint Advisory Group for Endoscopy Training and Certification. Exercises were chosen that represented each DOPS domain to teach basic skills in endoscopy scope handling. Results 12 exercises were chosen. These exercises addressed the insertion and withdrawal, and visualisation components of the JAG DOPS tool. Pre-procedural skills, management of findings, post-procedural skills and endoscopic non-technical Skills (ENTS) are beyond the scope of this simulator and require additional taught sessions to provide the context for current simulation training. Discussion This is the first step in developing and refining appropriate exercises to inform the proposed curriculum. The next step will be validating the chosen exercises against expert benchmark performance.

scholarly journals Tu1050 SCALING A HIGHLY EFFECTIVE STANDARD UPPER ENDOSCOPY TRAINING SYSTEM

2020 ◽  
Vol 91 (6) ◽  
pp. AB520-AB521
Author(s):  
Roy M. Soetikno ◽  
Patricia Anne C. Prodigalidad ◽  
Mark A. De Lusong ◽  
Tiffany Nguyen-Vu ◽  
Carmel Malvar ◽  
...  
Keyword(s):  
Training System ◽  
Upper Endoscopy ◽  
Endoscopy Training ◽  
Highly Effective

scholarly journals Expertise in colonoscopy intubation does not predict diagnostic accuracy: a simulation-based study

2022 ◽  
Vol 10 (01) ◽  
pp. E30-E36
Author(s):  
Andreas S. Vilmann ◽  
Christian Lachenmeier ◽  
Morten Bo S. Svendsen ◽  
Bo Soendergaard ◽  
Yoon S. Park ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Assessment Tool ◽  
Training System ◽  
Endoscopy Training ◽  
Technical Performance ◽  
Adenoma Detection ◽  
Simulation Based ◽  
Cecal Intubation Rate ◽  
Inspection Performance ◽  
Insignificant Correlation

Abstract Background and study aims Studies have linked cecal intubation rate with adenoma detection rate; however, the direct association between technical performance during colonoscopy intubation and withdrawal has never been explored. Thus, it remains unclear whether gentle and efficient intubation predicts superior mucosal inspection. The aim of this study was to investigate the correlation between performance during intubation and withdrawal in a simulation-based setup. Methods Twenty-four physicians with various experience in colonoscopy performed twice on the Endoscopy Training System (ETS). Intubation skills were evaluated by assessing tasks on the ETS related to intubation (scope manipulation and loop management) and use of a computerized assessment tool called the 3D-Colonoscopy Progression Score (3D-CoPS). Diagnostic accuracy was defined by the number of polyps found during the ETS task of mucosal inspection. Pearson’s correlations were calculated to explore associations between intubation skill and diagnostic accuracy. Results The correlation analysis between 3D-CoPS and number of polyps found during mucosal inspection revealed a weak and insignificant correlation (0.157, P = 0.3). Likewise, an insignificant correlation was seen between ETS intubation and number of polyps found (0.149, P = 0.32). Conclusions We found no evidence to support that technical performance during intubation is correlated with mucosal inspection performance in a simulation-based setting.

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