scholarly journals Review of the impact of the Joint Advisory Group on gastrointestinal endoscopy (JAG) on accreditation services and training

2019 ◽  
Vol 19 (Suppl 2) ◽  
pp. s80-s80
Author(s):  
Keith Siau ◽  
John Green ◽  
Neil Hawkes ◽  
Raphael Broughton ◽  
Mark Feeney ◽  
...  
2021 ◽  
pp. flgastro-2021-101790
Author(s):  
Srivathsan Ravindran ◽  
Jane Munday ◽  
Andrew M Veitch ◽  
Raphael Broughton ◽  
Siwan Thomas-Gibson ◽  
...  

AimThe demand for bowel cancer screening (BCS) is expected to increase significantly within the next decade. Little is known about the intentions of the workforce required to meet this demand. The Joint Advisory Group on Gastrointestinal Endoscopy (JAG), the British Society of Gastroenterology (BSG) and Association of Coloproctology of Great Britain and Ireland (ACPGBI) developed the first BCS workforce survey. The aim was to assess endoscopist career intentions to aid in future workforce planning to meet the anticipated increase in BCS colonoscopy.MethodsA survey was developed by JAG, BSG and ACPGBI and disseminated to consultant, clinical and trainee endoscopists between February and April 2020. Descriptive and comparative analyses were undertaken, supported with BCS data.ResultsThere were 578 respondents. Screening consultants have a median of one programmed activity (PA) per week for screening, accounting for 40% of their current endoscopy workload. 38% of current screening consultants are considering giving up colonoscopy in the next 2–5 years. Retirement (58%) and pension issues (23%) are the principle reasons for this. Consultants would increase their screening PAs by 70% if able to do so. The top three activities that endoscopists would relinquish to further support screening were outpatient clinics, acute medical/surgical on call and ward cover. An extra 155 colonoscopists would be needed to fulfil increased demand and planned retirement at current PAs.ConclusionThis survey has identified a serious potential shortfall in screening colonoscopists in the next 5–10 years due to an ageing workforce and job plan pressures of aspirant BCS colonoscopists. We have outlined potential mitigations including reviewing job plans, improving workforce resources and supporting accreditation and training.


2020 ◽  
pp. flgastro-2020-101561
Author(s):  
Srivathsan Ravindran ◽  
Paul Bassett ◽  
Tim Shaw ◽  
Michael Dron ◽  
Raphael Broughton ◽  
...  

BackgroundThe Joint Advisory Group on Gastrointestinal Endoscopy (JAG) ‘Improving Safety and Reducing Error in Endoscopy’ (ISREE) strategy was developed in 2018. In line with the strategy, a survey was conducted within the JAG census in 2019 to gain further insights and understanding of key safety-related areas within UK endoscopy.MethodsQuestions were developed using the ISREE strategy as a guide and adapted by key JAG stakeholders. They were incorporated into the 2019 JAG census of UK endoscopy services. Quantitative and qualitative statistical methods were employed to analyse the results.ResultsThere was a 68% response rate. There was regional variability in the provision of out-of-hours GIB services (p<0.001). Across 1 month, 1535 incidents were reported across all services. There was a significantly higher proportion of reported incidents in acute services compared with others (p<0.001). Technical and training incidents were likely to be reported significantly differently to all other incident types. 74% of services have an endoscopy-specific sedation policy and 42% have a named sedation or anaesthetic lead for endoscopy. Services highlighted a desire for more anaesthetic-supported lists. Only 66% of services stated they have an effective strategy for supporting upskilling of endoscopists. Across acute services, 56% have access to human factors and endoscopic non-technical skills (ENTS) training. Patient feedback is used in several ways to improve services, develop training and promote shared learning among endoscopy users.ConclusionsThe census provides a benchmark for key safety-related characteristics of endoscopy services. These results have highlighted key areas to develop, guided by the ISREE strategy.


2018 ◽  
Vol 10 (2) ◽  
pp. 93-106 ◽  
Author(s):  
Keith Siau ◽  
John T Green ◽  
Neil D Hawkes ◽  
Raphael Broughton ◽  
Mark Feeney ◽  
...  

The Joint Advisory Group on Gastrointestinal Endoscopy (JAG) was initially established in 1994 to standardise endoscopy training across specialties. Over the last two decades, the position of JAG has evolved to meet its current role of quality assuring all aspects of endoscopy in the UK to provide the highest quality, patient-centred care. Drivers such as changes to healthcare agenda, national audits, advances in research and technology and the advent of population-based cancer screening have underpinned this shift in priority. Over this period, JAG has spearheaded various quality assurance initiatives with support from national stakeholders. These have led to the achievement of notable milestones in endoscopy quality assurance, particularly in the three major areas of: (1) endoscopy training, (2) accreditation of endoscopy services (including the Global Rating Scale), and (3) accreditation of screening endoscopists. These developments have changed the landscape of UK practice, serving as a model to promote excellence in endoscopy. This review provides a summary of JAG initiatives and assesses the impact of JAG on training and endoscopy services within the UK and beyond.


2013 ◽  
Vol 1 (3) ◽  
pp. 9
Author(s):  
Jennifer Lee Brady ◽  
Annie Hoang ◽  
Olivia Siswanto ◽  
Jordana Riesel ◽  
Jacqui Gingras

Obtaining dietetic licensure in Ontario requires completion of a Dietitians of Canada (DC) accredited four-year undergraduate degree in nutrition and an accredited post-graduate internship or combined Master’s degree program. Given the scarcity of internship positions in Ontario, each year approximately two-thirds of the eligible applicants who apply do not receive a position XX, XX, XX, XX, XX, XX, in press). Anecdotally, not securing an internship position is known to be a particularly disconcerting experience that has significant consequences for individuals’ personal, financial, and professional well-being. However, no known empirical research has yet explored students’ experiences of being unsuccessful in applying for internship positions. Fifteen individuals who applied between 2005 and 2009 to an Ontario-based dietetic internship program, but were unsuccessful at least once, participated in a one-on-one semi-structured interview. Findings reveal that participants’ experiences unfold successively in four phases that are characterized by increasingly heightened emotional peril: naïveté, competition, devastation, and frustration. The authors conclude that the current model of dietetic education and training in Ontario causes lasting distress to students and hinders the future growth and vitality of the dietetic profession. Further research is required to understand the impact of the current model on dietetic educators, internship coordinators, and preceptors as coincident participants in the internship application process.


2019 ◽  
Vol 6 (1) ◽  
Author(s):  
MATHALA JULIET GUPTA ◽  
ASHISH M. PITRE ◽  
SUMATI CHAVAN PANDURNAG ◽  
SALONI SALIL VANJARI

This paper assessed the impact of the mechanization of the 8 tribal paddy farmers’ groups of Goa benefited in the year 2011 through the Tribal sub-plan program of ICAR-CCARI through results of surveys conducted in 2012 and 2015. Shift to mechanization among beneficiaries was significant in power tillers (64-100%) but less in power reapers(0-91%). Also significant saving in manpower (Power tillers:33.3% to 60%, power reapers: 33.3% to 83.3%), , time (field capacity increased (power tillers : 41.7% to141%, power reapers :58.1% to 912.8%) and cost(power tillers :44.7% to 59.1%, power reapers : 57.8% to 82.9%) was reportedthrough the use of equipment as compared to desi plough or manual methods of harvesting. Some constraints like lack of access roads and training in use and maintenance of the equipment were reported by the beneficiary farmers.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e039939
Author(s):  
Sahdia Parveen ◽  
Sarah Jane Smith ◽  
Cara Sass ◽  
Jan R Oyebode ◽  
Andrea Capstick ◽  
...  

ObjectivesThe aim of this study was to establish the impact of dementia education and training on the knowledge, attitudes and confidence of health and social care staff. The study also aimed to identify the most effective features (content and pedagogical) of dementia education and training.DesignCross-sectional survey study. Data collection occurred in 2017.SettingsHealth and social care staff in the UK including acute care, mental health community care trusts, primary care and care homes.ParticipantsAll health and social care staff who had completed dementia education and training meeting the minimal standards as set by Health Education England, within the past 5 years were invited to participate in an online survey. A total of 668 health and social care staff provided informed consent and completed an online survey, and responses from 553 participants were included in this study. The majority of the respondents were of white British ethnicity (94.4%) and identified as women (88.4%).OutcomesKnowledge, attitude and confidence of health and social care staff.ResultsHierarchical multiple regression analysis was conducted. Staff characteristics, education and training content variables and pedagogical factors were found to account for 29% of variance in staff confidence (F=4.13, p<0.001), 22% of variance in attitude (knowledge) (F=3.80, p<001), 18% of the variance in staff knowledge (F=2.77, p<0.01) and 14% of variance in staff comfort (attitude) (F=2.11, p<0.01).ConclusionThe results suggest that dementia education and training has limited impact on health and social care staff learning outcomes. While training content variables were important when attempting to improve staff knowledge, more consideration should be given to pedagogical factors when training is aiming to improve staff attitude and confidence.


Author(s):  
Mary L. Still ◽  
Jeremiah D. Still

Human factors research has led to safer interactions between motorists through redesigned signage, roadway designs, and training. Similar efforts are needed to understand and improve interactions between cyclists and motorists. One challenge to safe motorist-cyclist interactions are expectations about where cyclists should be on the road. In this study, we utilize more directive signage and additional lane markings to clarify where cyclists should ride in the travel lane. The impact of these signifiers was examined by having motorists indicate where cyclists should ride in the lane, how difficult it was to determine the correct lane position, and how safe they would feel if they were in that lane position. Results indicate that more directive signage – “bicycles take the lane”-and painted hazard signifiers can change motorists’ expectations, so they are more aligned with safer cyclist positioning in the lane.


2021 ◽  
Vol 7 (3) ◽  
pp. 59
Author(s):  
Yohanna Rodriguez-Ortega ◽  
Dora M. Ballesteros ◽  
Diego Renza

With the exponential growth of high-quality fake images in social networks and media, it is necessary to develop recognition algorithms for this type of content. One of the most common types of image and video editing consists of duplicating areas of the image, known as the copy-move technique. Traditional image processing approaches manually look for patterns related to the duplicated content, limiting their use in mass data classification. In contrast, approaches based on deep learning have shown better performance and promising results, but they present generalization problems with a high dependence on training data and the need for appropriate selection of hyperparameters. To overcome this, we propose two approaches that use deep learning, a model by a custom architecture and a model by transfer learning. In each case, the impact of the depth of the network is analyzed in terms of precision (P), recall (R) and F1 score. Additionally, the problem of generalization is addressed with images from eight different open access datasets. Finally, the models are compared in terms of evaluation metrics, and training and inference times. The model by transfer learning of VGG-16 achieves metrics about 10% higher than the model by a custom architecture, however, it requires approximately twice as much inference time as the latter.


Sign in / Sign up

Export Citation Format

Share Document