PWE-433 A qualitative assessment of cognitive framework development in novice endoscopists: implications for programmed lesion recognition training

Axe, K; Hawkes, Esther; Turner, Jeff; Hurley, Joanna J.; Neville, Peter; Warren, Neil; Hawkes, Neil

doi:10.1136/gutjnl-2015-309861.879

Cited by 4 publications

(3 citation statements)

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“…Less common pathologies, development of management plans, and report writing should also be covered once trainees are more proficient. In these courses, assessment, feedback, and discussion should be encouraged to improve the learning process in DAE [87].…”

Section: Knowledge and Maintaining Competence In Daementioning

confidence: 99%

Curriculum for small-bowel capsule endoscopy and device-assisted enteroscopy training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

et al. 2020

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Main RecommendationsThe European Society of Gastrointestinal Endoscopy (ESGE) has recognized the need to formalize training in small-bowel endoscopy across European centers. The following criteria and framework for training in small-bowel capsule endoscopy (SBCE) and device-assisted enteroscopy (DAE), which aim to provide uniform and high quality training to ensure that small-bowel endoscopists are competent to operate independently, are based on the current literature and experience of experts in the field. Three main areas are covered: skills required prior to commencing training in small-bowel endoscopy; structured training for trainees to become independent endoscopists; and ways of ensuring competence is achieved. 1 Centers providing training in SBCE should perform a minimum of 75 – 100 SBCEs/year. 2 Experience in bidirectional endoscopies is desirable for structured training in SBCE. 3 SBCE courses should consist of at least 50 % hands-on training and cover information on technology, indications and contraindications for SBCE, pathologies that can be encountered on SBCE, and standard terminology that should be used during reporting of SBCE. An SBCE course should be completed prior to achieving competence in SBCE reporting. 4 Competence in SBCE can be assessed by considering a minimum of 30 SBCEs. Direct Observation of Procedural Skills, short SBCE videos, and multiple-choice questions can be useful to assess improvement in the skills of trainees. 5 Centers offering training in DAE should aim to carry out at least 75 DAEs/year, should have direct links with an SBCE service, and should allow regular discussion of cases at a radiology small-bowel MDT. Training centers with lower numbers are encouraged to offer training by “buddying-up” with other centers, or using mentoring systems. 6 DAE trainees must be independent in bidirectional endoscopies and have experience in level 1 polypectomy prior to commencement of training. They should also be competent in reviewing SBCEs. 7 Training in DAE should be structured with a minimum of 75 procedures, including 35 retrograde DAEs, with therapeutic procedures undertaken in at least 50 % of the DAEs performed. Training should cover the indications, contraindications, complications including prevention, and technicalities of the DAE procedure; formal evaluation should follow. DAE trainees must acquire skills to independently manage and advise on small-bowel pathology following DAE procedures. 8 It is highly recommended that international societies develop online modules and courses on DAE, which are currently lacking across Europe.

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Section: Knowledge and Maintaining Competence In Daementioning

confidence: 99%

Curriculum for small-bowel capsule endoscopy and device-assisted enteroscopy training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

et al. 2020

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“…‘Immersion training’, where blocks of time are dedicated to endoscopy alone, is being considered 130. These approaches may be paired with new e-learning tools to accelerate development of non-technical competencies such as lesion recognition 124. However, the single innovation likely to have greatest impact on training is the impending National Endoscopy Database (NED) 125.…”

Section: Resultsmentioning

confidence: 99%

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Siau

Green

Hawkes

et al. 2018

Frontline Gastroenterol

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The Joint Advisory Group on Gastrointestinal Endoscopy (JAG) was initially established in 1994 to standardise endoscopy training across specialties. Over the last two decades, the position of JAG has evolved to meet its current role of quality assuring all aspects of endoscopy in the UK to provide the highest quality, patient-centred care. Drivers such as changes to healthcare agenda, national audits, advances in research and technology and the advent of population-based cancer screening have underpinned this shift in priority. Over this period, JAG has spearheaded various quality assurance initiatives with support from national stakeholders. These have led to the achievement of notable milestones in endoscopy quality assurance, particularly in the three major areas of: (1) endoscopy training, (2) accreditation of endoscopy services (including the Global Rating Scale), and (3) accreditation of screening endoscopists. These developments have changed the landscape of UK practice, serving as a model to promote excellence in endoscopy. This review provides a summary of JAG initiatives and assesses the impact of JAG on training and endoscopy services within the UK and beyond.

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“…This may indicate poor lesion recognition/assessment, and that trainers may take over when pathology is detected. Although access to lesion recognition e-learning is available on selected training pathways,6 this has not been adopted nationally by JAG. E-learning has the potential for both teaching and formative assessment of lesion recognition at different stages of training, of which performance may be linked with the e-portfolio.…”

mentioning

confidence: 99%

Analysis of learning curves in gastroscopy training: the need for composite measures for defining competence

Siau

Kuwai

Ishaq

2017

Gut

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PWE-433 A qualitative assessment of cognitive framework development in novice endoscopists: implications for programmed lesion recognition training

Cited by 4 publications

References 0 publications

Curriculum for small-bowel capsule endoscopy and device-assisted enteroscopy training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Curriculum for small-bowel capsule endoscopy and device-assisted enteroscopy training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Analysis of learning curves in gastroscopy training: the need for composite measures for defining competence

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