PT  - JOURNAL ARTICLE
AU  - Siau, Keith
AU  - Beales, Ian L P
AU  - Haycock, Adam
AU  - Alzoubaidi, Durayd
AU  - Follows, Rachael
AU  - Haidry, Rehan
AU  - Mannath, Jayan
AU  - McConnell, Susan
AU  - Murugananthan, Aravinth
AU  - Ravindran, Srivathsan
AU  - Riley, Stuart A
AU  - Williams, R N
AU  - Trudgill, Nigel John
AU  - Veitch, Andrew M
ED  - ,
TI  - JAG consensus statements for training and certification in oesophagogastroduodenoscopy
AID  - 10.1136/flgastro-2021-101907
DP  - 2022 May 01
TA  - Frontline Gastroenterology
PG  - 193--205
VI  - 13
IP  - 3
4099  - http://fg.bmj.com/content/13/3/193.short
4100  - http://fg.bmj.com/content/13/3/193.full
SO  - Frontline Gastroenterol2022 May 01; 13
AB  - Introduction 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.Methods 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.Results 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.Conclusion 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.