RT Journal Article
SR Electronic
T1 JAG consensus statements for training and certification in oesophagogastroduodenoscopy
JF Frontline Gastroenterology
JO Frontline Gastroenterol
FD BMJ Publishing Group Ltd
SP 193
OP 205
DO 10.1136/flgastro-2021-101907
VO 13
IS 3
A1 Keith Siau
A1 Ian L P Beales
A1 Adam Haycock
A1 Durayd Alzoubaidi
A1 Rachael Follows
A1 Rehan Haidry
A1 Jayan Mannath
A1 Susan McConnell
A1 Aravinth Murugananthan
A1 Srivathsan Ravindran
A1 Stuart A Riley
A1 R N Williams
A1 Nigel John Trudgill
A1 Andrew M Veitch
A1 ,
YR 2022
UL http://fg.bmj.com/content/13/3/193.abstract
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.