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Trends in UK endoscopy training in the BSG trainees’ national survey and strategic planning for the future
  1. Sujata Biswas1,
  2. Laith Alrubaiy2,
  3. Louise China3,
  4. on behalf of the British Society of Gastroenterology Trainees’ Section,
  5. Melanie Lockett4,
  6. Antony Ellis1,
  7. Neil Hawkes5
  1. 1Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  2. 2Department of Gastroenterology, Swansea University Medical School, Swansea, UK
  3. 3Division of Medicine, University College London, London, UK
  4. 4Department of Gastroenterology, North Bristol NHS Trust, Bristol, UK
  5. 5Department of Gastroenterology, Royal Glamorgan Hospital, Llantrisant, UK
  1. Correspondence to Dr Sujata Biswas, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK; sujatabiswas07{at}gmail.com

Abstract

Background Improvements in the structure of endoscopy training programmes resulting in certification from the Joint Advisory Group in Gastrointestinal Endoscopy have been acknowledged to improve training experience and contribute to enhanced colonoscopy performance.

Objectives The 2016 British Society of Gastroenterology trainees’ survey of endoscopy training explored the delivery of endoscopy training - access to lists; level of supervision and trainee’s progression through diagnostic, core therapy and subspecialty training. In addition, the barriers to endoscopy training progress and utility of training tools were examined.

Methods A web-based survey (Survey Monkey) was sent to all higher specialty gastroenterology trainees.

Results There were some improvements in relation to earlier surveys; 85% of trainees were satisfied with the level of supervision of their training. But there were ongoing problems; 12.5% of trainees had no access to a regular training list, and 53% of final year trainees had yet to achieve full certification in colonoscopy. 9% of final year trainees did not feel confident in endoscopic management of upper GI bleeds.

Conclusions The survey findings provide a challenge to those agencies tasked with supporting endoscopy training in the UK. Acknowledging the findings of the survey, the paper provides a strategic response with reference to increased service pressures, reduced overall training time in specialty training programmes and the requirement to support general medical and surgical on-call commitments. It describes the steps required to improve training on the ground: delivering additional training tools and learning resources, and introducing certification standards for therapeutic modalities in parallel with goals for improving the quality of endoscopy in the UK.

  • endoscopy
  • endoscopic procedures

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Footnotes

  • Contributors SB designed the survey with the help of LA, LC and NH and analysed results. SB and NH co-wrote the article. LA, LC, ML and AE reviewed and edited the article. The BSG Trainees’ Section committee commissioned and disseminated the survey.

  • Funding The BSG Trainees’ Section met costs associated with the survey. No external funding was received.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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