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

Introduction  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: gastroent...

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Autores principales: Siau, Keith, Anderson, John T., Valori, Roland, Feeney, Mark, Hawkes, Neil D., Johnson, Gavin, McKaig, Brian C., Pullan, Rupert D., Hodson, James, Wells, Christopher, Thomas-Gibson, Siwan, Haycock, Adam V., Beales, Ian L.P., Broughton, Raphael, Dunckley, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: © Georg Thieme Verlag KG 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449159/
https://www.ncbi.nlm.nih.gov/pubmed/30957005
http://dx.doi.org/10.1055/a-0839-4476
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author Siau, Keith
Anderson, John T.
Valori, Roland
Feeney, Mark
Hawkes, Neil D.
Johnson, Gavin
McKaig, Brian C.
Pullan, Rupert D.
Hodson, James
Wells, Christopher
Thomas-Gibson, Siwan
Haycock, Adam V.
Beales, Ian L.P.
Broughton, Raphael
Dunckley, Paul
author_facet Siau, Keith
Anderson, John T.
Valori, Roland
Feeney, Mark
Hawkes, Neil D.
Johnson, Gavin
McKaig, Brian C.
Pullan, Rupert D.
Hodson, James
Wells, Christopher
Thomas-Gibson, Siwan
Haycock, Adam V.
Beales, Ian L.P.
Broughton, Raphael
Dunckley, Paul
author_sort Siau, Keith
collection PubMed
description Introduction  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. Methods  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. Results  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 ( P  < 0.001), whereas time-to-certification was consistently shortest in NMEs ( P  < 0.001). A post-certification reduction in mean cecal intubation rate (95.2 % to 93.8 %, P  < 0.001) was observed in colonoscopy, and D2 intubation (97.6 % to 96.2 %, P  < 0.001) and J-maneuver (97.3 % to 95.8 %, P  < 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. Conclusion  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.
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spelling pubmed-64491592019-04-05 Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio Siau, Keith Anderson, John T. Valori, Roland Feeney, Mark Hawkes, Neil D. Johnson, Gavin McKaig, Brian C. Pullan, Rupert D. Hodson, James Wells, Christopher Thomas-Gibson, Siwan Haycock, Adam V. Beales, Ian L.P. Broughton, Raphael Dunckley, Paul Endosc Int Open Introduction  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. Methods  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. Results  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 ( P  < 0.001), whereas time-to-certification was consistently shortest in NMEs ( P  < 0.001). A post-certification reduction in mean cecal intubation rate (95.2 % to 93.8 %, P  < 0.001) was observed in colonoscopy, and D2 intubation (97.6 % to 96.2 %, P  < 0.001) and J-maneuver (97.3 % to 95.8 %, P  < 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. Conclusion  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. © Georg Thieme Verlag KG 2019-04 2019-04-04 /pmc/articles/PMC6449159/ /pubmed/30957005 http://dx.doi.org/10.1055/a-0839-4476 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Siau, Keith
Anderson, John T.
Valori, Roland
Feeney, Mark
Hawkes, Neil D.
Johnson, Gavin
McKaig, Brian C.
Pullan, Rupert D.
Hodson, James
Wells, Christopher
Thomas-Gibson, Siwan
Haycock, Adam V.
Beales, Ian L.P.
Broughton, Raphael
Dunckley, Paul
Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio
title Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio
title_full Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio
title_fullStr Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio
title_full_unstemmed Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio
title_short Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio
title_sort certification of uk gastrointestinal endoscopists and variations between trainee specialties: results from the jets e-portfolio
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449159/
https://www.ncbi.nlm.nih.gov/pubmed/30957005
http://dx.doi.org/10.1055/a-0839-4476
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