JAG consensus statements for training and certification in colonoscopy

IntroductionIn the UK, endoscopy certification is awarded when trainees attain minimum competency standards for independent practice. A national evidence-based review was undertaken to update and develop standards and recommendations for colonoscopy training and certification.MethodsUnder the oversi...

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Published in:Frontline gastroenterology 2023-05, Vol.14 (3), p.201-221
Main Authors: Siau, Keith, Pelitari, Stavroula, Green, Susi, McKaig, Brian, Rajendran, Arun, Feeney, Mark, Thoufeeq, Mo, Anderson, John, Ravindran, Vathsan, Hagan, Paul, Cripps, Neil, Beales, Ian L P, Church, Karen, Church, Nicholas I, Ratcliffe, Elizabeth, Din, Said, Pullan, Rupert D, Powell, Sharon, Regan, Catherine, Ngu, Wee Sing, Wood, Eleanor, Mills, Sarah, Hawkes, Neil, Dunckley, Paul, Iacucci, Marietta, Thomas-Gibson, Siwan, Wells, Christopher, Murugananthan, Aravinth
Format: Article
Language:English
Subjects:
Certification
COLONOSCOPY
Endoscopy
Gastroenterology
Intubation
Medical screening
Polyps
Quality control
Quality standards
Training
Working groups
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Summary:IntroductionIn the UK, endoscopy certification is awarded when trainees attain minimum competency standards for independent practice. A national evidence-based review was undertaken to update and develop standards and recommendations for colonoscopy training and certification.MethodsUnder the oversight of the Joint Advisory Group (JAG), a modified Delphi process was conducted between 2019 and 2020 with multisociety expert representation. Following literature review and Grading of Recommendations, Assessment, Development and Evaluations appraisal, recommendation statements on colonoscopy training and certification were formulated and subjected to anonymous voting to obtain consensus. Accepted statements were peer reviewed by JAG and relevant stakeholders for incorporation into the updated colonoscopy certification pathway.ResultsIn total, 45 recommendation statements were generated under the domains of: definition of competence (13), acquisition of competence (20), assessment of competence (8) and postcertification support (4). The consensus process led to revised criteria for colonoscopy certification, comprising: (1) achieving key performance indicators defined within British Society of Gastroenterology standards (ie, unassisted caecal intubation rate >90%, rectal retroversion >90%, polyp detection rate >15%+, polyp retrieval rate >90%, patient comfort
ISSN:2041-4137
2041-4145
DOI:10.1136/flgastro-2022-102260