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Hospital compound-level endoscopy training quality performance: scoping the spectrum

Background and study aims  This study aimed to assess the quality of endoscopy training in a UK Statutory Educational Body compared with Joint Advisory Group on Gastrointestinal Endoscopy Training standards (JETS). Methods  A total of 28,298 training procedures recorded by 211 consecutive cross-spec...

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Autores principales: Eley, Catherine, Brown, Chris, Hawkes, Neil D., Egan, Richard J., Lewis, Wyn G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010101/
https://www.ncbi.nlm.nih.gov/pubmed/35433225
http://dx.doi.org/10.1055/a-1728-9187
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author Eley, Catherine
Brown, Chris
Hawkes, Neil D.
Egan, Richard J.
Lewis, Wyn G.
author_facet Eley, Catherine
Brown, Chris
Hawkes, Neil D.
Egan, Richard J.
Lewis, Wyn G.
author_sort Eley, Catherine
collection PubMed
description Background and study aims  This study aimed to assess the quality of endoscopy training in a UK Statutory Educational Body compared with Joint Advisory Group on Gastrointestinal Endoscopy Training standards (JETS). Methods  A total of 28,298 training procedures recorded by 211 consecutive cross-specialty trainee endoscopists registered with JETS in 18 hospitals during 2019 were analyzed. Data included trainer and trainee numbers, training list frequency, procedures, direct observation of procedural skills (DOPS) completion, and key performance indicators. Results  Annual median training procedures per hospital were 1395 (interquartile range (IQR) 465–2365). Median trainers and trainees per unit were 11 (6–18) and 12 (7–16), respectively, (ratio 0.8 [0.7–1.3]). Annual training list frequency per trainee was 13 (10–17), 35.0 % short of Joint Advisory Group (JAG) standard (n = 20, P = 0.001, effect size –0.56). Median points per adjusted training list were 11 (5–18). Median DOPS per trainee and trainer were three (1–6) and four (1–7) respectively; completing 0.2 DOPS (0.1–0.4) per list and amounting to six (2–12) per 200 procedures: fewer than half of the JAG standard (20 per 200) (P < 0.001, –0.61). Esophagogastroduodenoscopy median KPI: J maneuver 94 % (90–96), D2 intubation 93 % (91–96); Colonoscopy KPI: cecal intubation 82 % (72–90), polyp detection rate 25 % (18–34). Compound hospital score ranged from nine to 26 (median 17 [14–20]). Conclusions  Important performance disparity emerged with three-fold variation in compound hospital training quality and most units underperforming compared with JAG standards. Trainees and training program directors should be aware of such metrics to improve quality endoscopy educational programs and consider formal adjuncts to optimize training.
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spelling pubmed-90101012022-04-15 Hospital compound-level endoscopy training quality performance: scoping the spectrum Eley, Catherine Brown, Chris Hawkes, Neil D. Egan, Richard J. Lewis, Wyn G. Endosc Int Open Background and study aims  This study aimed to assess the quality of endoscopy training in a UK Statutory Educational Body compared with Joint Advisory Group on Gastrointestinal Endoscopy Training standards (JETS). Methods  A total of 28,298 training procedures recorded by 211 consecutive cross-specialty trainee endoscopists registered with JETS in 18 hospitals during 2019 were analyzed. Data included trainer and trainee numbers, training list frequency, procedures, direct observation of procedural skills (DOPS) completion, and key performance indicators. Results  Annual median training procedures per hospital were 1395 (interquartile range (IQR) 465–2365). Median trainers and trainees per unit were 11 (6–18) and 12 (7–16), respectively, (ratio 0.8 [0.7–1.3]). Annual training list frequency per trainee was 13 (10–17), 35.0 % short of Joint Advisory Group (JAG) standard (n = 20, P = 0.001, effect size –0.56). Median points per adjusted training list were 11 (5–18). Median DOPS per trainee and trainer were three (1–6) and four (1–7) respectively; completing 0.2 DOPS (0.1–0.4) per list and amounting to six (2–12) per 200 procedures: fewer than half of the JAG standard (20 per 200) (P < 0.001, –0.61). Esophagogastroduodenoscopy median KPI: J maneuver 94 % (90–96), D2 intubation 93 % (91–96); Colonoscopy KPI: cecal intubation 82 % (72–90), polyp detection rate 25 % (18–34). Compound hospital score ranged from nine to 26 (median 17 [14–20]). Conclusions  Important performance disparity emerged with three-fold variation in compound hospital training quality and most units underperforming compared with JAG standards. Trainees and training program directors should be aware of such metrics to improve quality endoscopy educational programs and consider formal adjuncts to optimize training. Georg Thieme Verlag KG 2022-04-14 /pmc/articles/PMC9010101/ /pubmed/35433225 http://dx.doi.org/10.1055/a-1728-9187 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) 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 Eley, Catherine
Brown, Chris
Hawkes, Neil D.
Egan, Richard J.
Lewis, Wyn G.
Hospital compound-level endoscopy training quality performance: scoping the spectrum
title Hospital compound-level endoscopy training quality performance: scoping the spectrum
title_full Hospital compound-level endoscopy training quality performance: scoping the spectrum
title_fullStr Hospital compound-level endoscopy training quality performance: scoping the spectrum
title_full_unstemmed Hospital compound-level endoscopy training quality performance: scoping the spectrum
title_short Hospital compound-level endoscopy training quality performance: scoping the spectrum
title_sort hospital compound-level endoscopy training quality performance: scoping the spectrum
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010101/
https://www.ncbi.nlm.nih.gov/pubmed/35433225
http://dx.doi.org/10.1055/a-1728-9187
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