Table 1

Specific measures to address training issues highlighted in the BSG trainees’ survey

Area of interestSpecific issueMeasures taken for improvement
Training listsAccess to listsGrade B requirement in the GRS for base hospitals to provide a minimum of 20 training lists per year to every trainee
Case selectionGrade B requirement in the GRS for evidence of baseline training needs assessment and adjusting of lists to meet training needs
Progress of basic trainingAccelerated upper GI trainingAdoption by all deaneries of training programme adaptations which facilitate completion of upper GI endoscopic
training within 12 months
‘Immersion training’ currently being evaluated
Review of colonoscopy certificationJAG currently reviewing the certification requirements for colonoscopy, including basic polypectomy using competency-based approach
Appraisal of endoscopy trainingGrade B requirement in the GRS for local training leads to perform regular appraisal and set goals for training
Supervision/assessment/ recording of trainingTrainee feedback on JETS
DOPS forms
JETS e-portfolio
Trainees are encouraged to leave feedback on training lists on JETS—GRS requires local training leads to review this data annually with trainers
JAG have updated a suite of DOPS forms for diagnostic and therapeutic procedures
New e-learning tools, for example, SLATE, are being considered
JETS database to have update of procedural information forms
Therapeutic and subspecialty endoscopy trainingCertification of therapeutic training
Development of training pathways
Access to training opportunities
JAG and BSG Endoscopy are developing certification standards and KPIs for GI bleeding and subspecialty endoscopy (ERCP, EUS, DBE, WCE)
Specific courses and training resources are being developed to support certification requirements
Increased regional cooperation between TPDs and regional training leads; review of national subspecialty training pathways and fellowships
  • BSG, British Society of Gastroenterology; DBE, double balloon enteroscopy; DOPS, direct observation of procedural skills; ERCP, endoscopic retrograde cholangiopancreatography; EUS, endoscopic ultrasound; GI, gastrointestinal; GRS, Global Rating Scale; JAG, Joint Advisory Group in Gastrointestinal Endoscopy; JETS, JAG Endoscopy Training System; KPI, key performance indicator; SLATE, Standardised Lesion Assessment Tests in Endoscopy; TPD, training programme director; WCE, wireless capsule enteroscopy.