Endoscopy training in the UK pre-COVID-19 environment: a multidisciplinary survey of endoscopy training and the experience of reciprocal feedback.

colorectal surgery diagnostic and therapeutic endoscopy endoscopic procedures endoscopy surgical training

Journal

Frontline gastroenterology
ISSN: 2041-4137
Titre abrégé: Frontline Gastroenterol
Pays: England
ID NLM: 101528589

Informations de publication

Date de publication:
2022
Historique:
received: 13 11 2020
revised: 04 02 2021
accepted: 07 02 2021
entrez: 29 12 2021
pubmed: 30 12 2021
medline: 30 12 2021
Statut: epublish

Résumé

Training in gastrointestinal endoscopy in the UK occurs predominantly in a real world one-to-one trainer to trainee interaction. Previous surveys have shown surgical and gastroenterology trainees have had mixed experiences of supervision and training, and no surveys have explored specifically the role of trainee to trainer feedback. This study aimed to explore the experience of training and of providing trainer feedback for all disciplines of endoscopy trainees. An online survey designed in collaboration with Joint Advisory Committee training committee and trainee representatives was distributed from January 2020 but was interrupted by the COVID-19 pandemic and hence terminated early. There were 129 responses, including trainees from all disciplines and regions, of which 86/129 (66.7%) rated the culture in their endoscopy units favourably-either good or excellent. 65/129 (50.4%) trainees reported having one or more training lists allocated per week, with 41/129 (31.8%) reporting only ad hoc lists. 100/129 (77.5%) respondents were given feedback and 97/129 (75.2%) were provided with learning points from the list. 65/129 (50.4%) respondents reported their trainer completed a direct observation of procedure or direct observation of polypectomies. 73/129 (56.6%) respondents reported that they felt able to give feedback to their trainer, with 88/129 (68.2%) feeling they could do this accurately. Barriers to trainer feedback cited included time constraints, lack of anonymity and concerns about affecting the trainer-trainee relationship. Overall, the training environment has improved since previous surveys. There are still issues around interdisciplinary differences with some surgical trainees finding the training environment less welcoming, and trainee perceptions of hierarchical barriers and trainer responsiveness to feedback limiting the accuracy of their feedback.

Identifiants

pubmed: 34963796
doi: 10.1136/flgastro-2020-101734
pii: flgastro-2020-101734
pmc: PMC7902317
doi:

Types de publication

Journal Article

Langues

eng

Pagination

39-44

Informations de copyright

© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Elizabeth Ratcliffe (E)

Endoscopy department, Wrightington Wigan and Leigh NHS Foundation Trust, Leigh, UK.

Sharmila Subramaniam (S)

Gastroenterology, Queen Alexandra Hospital, Portsmouth, UK.

Wee Sing Ngu (WS)

JAG endoscopy representative, The Dukes' Club, London, UK.

Susan McConnell (S)

Endoscopy department, County Durham and Darlington NHS Foundation Trust, Darlington, Darlington, UK.

Ian L P Beales (ILP)

Gastroenterology, Norfolk and Norwich University Hospital, Norwich, UK.

Raymond McCrudden (R)

Gastroenterology, Royal Bournemouth Hospital, Bournemouth, Bournemouth, UK.

Geoff V Smith (GV)

Health Education England South West, Bristol, UK.

Christopher Wells (C)

Gastroenterology, North Tees and Hartlepool NHS Foundation Trust, Hartlepool, Hartlepool, UK.

Classifications MeSH