JAG consensus statements for training and certification in oesophagogastroduodenoscopy.

endoscopy

Journal

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

Informations de publication

Date de publication:
2022
Historique:
entrez: 2 5 2022
pubmed: 3 5 2022
medline: 3 5 2022
Statut: epublish

Résumé

Training and quality assurance in oesophagogastroduodenoscopy (OGD) is important to ensure competent practice. A national evidence-based review was undertaken to update and develop standards and recommendations for OGD training and certification. Under the oversight of the Joint Advisory Group (JAG), a modified Delphi process was conducted with stakeholder representation from British Society of Gastroenterology, Association of Upper Gastrointestinal Surgeons, trainees and trainers. Recommendations on OGD training and certification were formulated following literature review and appraised using Grading of Recommendations Assessment, Development and Evaluation. These were subjected to electronic voting to achieve consensus. Accepted statements were incorporated into the updated certification pathway. In total, 32 recommendation statements were generated for the following domains: definition of competence (4 statements), acquisition of competence (12 statements), assessment of competence (10 statements) and post-certification support (6 statements). The consensus process led to following certification criteria: (1) performing ≥250 hands-on procedures; (2) attending a JAG-accredited basic skills course; (3) attainment of relevant minimal performance standards defined by British Society of Gastroenterology/Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland, (4) achieving physically unassisted D2 intubation and J-manoeuvre in ≥95% of recent procedures, (5) satisfactory performance in formative and summative direct observation of procedural skills assessments. The JAG standards for diagnostic OGD have been updated following evidence-based consensus. These standards are intended to support training, improve competency assessment to uphold standards of practice and provide support to the newly-independent practitioner.

Identifiants

pubmed: 35493618
doi: 10.1136/flgastro-2021-101907
pii: flgastro-2021-101907
pmc: PMC8996097
doi:

Types de publication

Journal Article

Langues

eng

Pagination

193-205

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. 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

Keith Siau (K)

Department of Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK.
Medical and Dental Sciences, University of Birmingham, Birmingham, UK.

Ian L P Beales (ILP)

Department of Gastroenterology, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.

Adam Haycock (A)

Department of Gastroenterology, St Mark's Hospital and Academic Institute, Harrow, UK.

Durayd Alzoubaidi (D)

Department of Gastroenterology, Royal Free London NHS Foundation Trust, London, UK.

Rachael Follows (R)

Clinical Advisor, Health Education England, Leeds, UK.

Rehan Haidry (R)

Department of Gastroenterology, Division of Surgery and Interventional Science, University College London Hospital NHS Foundation Trust, London, UK.

Jayan Mannath (J)

Department of Gastroenterology, Coventry and Warwickshire NHS trust, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Susan McConnell (S)

Endoscopy Department, University Hospital of North Durham, Durham, UK.

Aravinth Murugananthan (A)

Department of Gastroenterology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.

Srivathsan Ravindran (S)

Joint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.
Surgery and Cancer, Imperial College London, London, UK.

Stuart A Riley (SA)

Department of Gastroenterology, Northern General Hospital, Sheffield, UK.

R N Williams (RN)

Department of Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.

Nigel John Trudgill (NJ)

Gastroenterology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.

Andrew M Veitch (AM)

Department of Gastroenterology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
President-Elect, British Society of Gastroenterology, London, UK.

Classifications MeSH