JAG consensus statements for training and certification in colonoscopy—JAG consensus statements for training and certification in sigmoidoscopy

There is widespread agreement that training, and certification are pivotal to high quality endoscopy. In the UK this is overseen by JAG (Joint Advisory Group). The certification process has been in place since 2011. In this issue Keith Siau and colleagues report on a modified Delphi process including evidence reviews and recommendations conducted between 2019 and 2020 developing consensus for training and certification. The process involved multiple stakeholders. For Colonoscopy there are 45 recommendations reported under the categories – definition of competence, acquisition of competence, assessment of competence and post certification support. The process has led to revised criteria for certification for involving a minimum procedure count of 280, achievement of key performance indicators (including unassisted caecal intubation of>90%, polyp retrieval rate>90%), ongoing practice>15 procedures a month, attendance at the JAG basic skills in colonoscopy course, > 60% ileal intubation in inflammatory bowel disease, evidence of reflection and the relevant number of formative then summative direct observations of procedure skills (DOPS). Certified endoscopists should perform at least 100 procedures a year to maintain competence and have access to mentored lists. In the second paper there are parallel consensus statements and …